VP, Provider Network Management

3 weeks ago


San Diego CA, United States Blue Shield of California Full time

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 + 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, SNFs, 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. #J-18808-Ljbffr



  • San Diego, United States Blue Shield of CA Full time

    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...


  • San Diego, CA, United States Blue Shield of CA Full time

    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...


  • San Diego, CA, United States Blue Shield of CA Full time

    A leading health insurance organization based in California is seeking a VP, Provider Network Management to lead provider contracting efforts. This role requires a minimum of 12 years in network management and strong leadership skills. This is a critical role for achieving growth and quality objectives within a dynamic environment. #


  • San Diego, United States Blue Shield of CA Full time

    A leading health insurance organization based in California is seeking a VP, Provider Network Management to lead provider contracting efforts. This role requires a minimum of 12 years in network management and strong leadership skills. The ideal candidate will enhance contracting capabilities and develop relationships with healthcare partners while driving...

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