Strategic Business Lead

3 weeks ago


El Dorado Hills, California, United States Blue Shield of CA Full time

Job Summary

The Payment Innovation team at Blue Shield of California leads the design, development, and implementation of value-based payment models. As a Strategic Business Lead, you will report to the Senior Manager of Payment Innovation and be responsible for leading the end-to-end design of new value-based payment models that support Blue Shield's strategic goals.

Key Responsibilities

  • Operate at a strategic business level to ensure projects/programs align with Blue Shield of California's strategic goals
  • Consult with senior management, make recommendations, and influence decision-making
  • Leverage cross-functional internal and external relationships to drive initiatives forward
  • Plan and implement multiple and complex projects/programs spanning across business areas
  • Determine key business issues, develop effective action plans, and implement to successful conclusion
  • Design and implement value-based payment models/payment mechanisms spanning across business areas
  • Conduct market research and literature review on alternative payment models and clinical redesign efforts
  • Manage project/program planning to ensure completion of key deliverables and reporting

Requirements

  • Requires a bachelor's degree or equivalent experience
  • Requires at least 10 years of prior relevant experience
  • Requires previous experience in designing a program/initiative end-to-end, including conceptual design, implementation planning, and execution, and on-going operational support
  • Requires significant knowledge and experience of health insurance business and structure, preferably within a payor
  • Requires significant experience with aligning disparate stakeholders
  • Previous experience in value-based care design, including designing value-based payment models or financial models, is preferred

Pay Range

The pay range for this role is: $ to $ for California.

Note

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.



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