VP, Provider Network Management - South

Your Role

Reporting to the SVP of Provider Partnerships and Network Management, the role of the VP, Provider Network Management : Southern CA, Medi-Cal & Behavioral Health contributes to Blue Shield's overall strategy and goals by providing leadership to a team of 50+ for Provider Contracting and ensures interconnected performance with other teams and divisions. This is the central role responsible for the oversight and execution of our provider contracting roadmap and provider related strategies to support BSC growth, quality and affordability goals for BSC health plan products. The VP, Provider Network Management : Southern CA and Medi-Cal is critical to the success of Blue Shield of California and the Network Management department in realizing its goals and objectives. This individual will play a key role as part of Network Management team in delivering and collaborating on all aspects of network design and provider contracting.

In this highly visible role, the VP is also responsible for developing and maintaining excellent relationships with leaders from Blue Shield's provider partners, regulators and industry collaborators. Additionally, the VP is responsible for providing strategic and operational leadership in executing our provider network strategy with hospitals, medical groups, IPAs, ASCs, SNF's, and health systems. The VP is also responsible for collaboratively enhancing Blue Shield's contracting capabilities through the development of strong relationships within Strategy and Health Solutions, and being interconnected with teams including actuary, finance, medical informatics, product, and markets / sales / account teams.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

Minimum of 12 years of Network Management (or prior relevant experience) experience required, including 8 years of management experience.

Bachelor's degree or equivalent experience required; emphasis on health administration, business administration or public health preferred.

Experience providing leadership to large teams required; experience leading senior people leaders preferred.

Experience driving provider contracting in a network model required.

Broad and deep health care strategy and overall industry knowledge, and understanding of the California health care landscape.

Team player with proven ability to work cross-functionally and develop strong collaborative working relationships within a fast-paced, matrix organization.

Demonstrated ability to build high-performing teams, and lead and manage organizations through significant change.

Ability to think strategically and act tactically.

The ability to influence both sales and provider audiences through strong written and verbal communication skills.

Excellent presentation skills.

Demonstrates managerial courage and change leadership in a dynamic environment.

Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.

Technologically savvy and able to utilize information systems effectively.

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