Blue Shield of California · 3 days ago
Director, Strategic Planning and Performance
Long Beach, CA, United States
Full-time
Hybrid
Senior Level, Lead/Staff
$182K/yr - $273K/yr
10+ years expBlue Shield of California is dedicated to transforming healthcare to serve its nonprofit mission. The Director of Strategic Planning and Performance will oversee health plan operations, implementing strategic planning and process improvements while ensuring optimal performance metrics and governance.
Financial ServicesHealth InsuranceNon Profit
No H1B
Responsibilities
Provide strategic and tactical planning as well as oversight and program implementation for Health Plan operations teams in Customer Experience, Claims, Healthcare Business Operations (AGD, Billing, provider dispute resolution)
Provide direction and management for process improvements for end to end operations, includes complexity de-scoping documentation and governance for all Health Plan Operations improvements
Maintain tracking and analysis for critical improvements with Return On Investment (ROI), Key Performance Indicators (KPIs) delivery while managing risk for audits both internally and externally
Provide thought leadership to the Health Plan Operations organization and other cross-functional leaders throughout BSC and Stellarus
Develop business and operations improvement strategies for Health Plan Operations
Oversee service, technology and financial performance metrics for Health Plan Operations teams
Define and support the implementation of organizational and operational structures, systems and processes to facilitate business performance including operations improvement and regulatory requirements; and ensure optimization of resources by resolving any duplicative improvement efforts and organization structures
Provide executive oversight and leadership to managers responsible for creating and driving implementation of operating plans, which are required to support immediate and long-term requirements and business strategies
Ensure customer-driven Key Performance Indicators (KPIs) and goals are in place, which are reflective of and measure our strategic, competitive and regulatory position with ongoing measurement, reporting, and root cause analysis
Identify end-to-end process improvements throughout the organization designed to create efficiencies and allow us to scale for growth and/or operational requirements, such as increasing automation and adoption of self-service
Qualification
Required
Requires a bachelor's degree or equivalent experience
Requires at least 10 years prior relevant experience, including 6 years of management experience
Requires in-depth experience in Health Plan or Health Care Operations (Claims Operations, Customer Experience, etc.)
Requires experience leading operational teams in a matrixed organization
Requires exceptional verbal and written communication skills, including an ability to communicate effectively at the executive level
Requires ability to influence peers and senior executives across functional teams
Preferred
12 years of prior relevant experience preferred
Company
Blue Shield of California
Blue Shield of California is a health insurance service provider.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Gary Culp
Senior Vice President, Government Markets
Gregory Siebert
Senior Vice President Provider Partnerships & Network Management
Recent News
Fierce Healthcare
2025-12-15
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