What are the responsibilities and job description for the Director, Program and Project Management (Payment Innovation) position at Blue Shield of CA?
Your Role
The Payment Innovation team leads the strategy, design, development, and implementation of value-based payment models. The Director, Program and Project Management - Payment Innovation will report to the Senior Director of Payment Innovation. In this role you will be responsible for leading the strategy and end-to-end design of multiple new value-based payment models, leading the end-to-end program of multiple new and current payment models and the outcomes of those models that support Blue Shield's strategic goals. He/she/they will manage program(s) from initiation through delivery, perform operational responsibilities, and monitor for continuous improvement.
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
Requires a bachelor's degree or equivalent experience
Requires at least 10 years prior relevant experience, including 6 years of management experience
Previous experience in value-based care design including designing value-based payment models or financial models is preferred
Requires previous experience in designing a program/initiative end-to-end, including conceptual design, implementation planning and execution, and on-going operational support
Requires contract writing experience or experience in drafting documents
Required knowledge and experience of health insurance business and structure, preferably within a payor
Requires experience with aligning disparate stakeholders and driving towards outcomes
Requires experience with payor data infrastructure, regulations for various lines of business and contracting preferred
Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.