Healthcare Operations Improvement Manager

6 days ago


Rancho Cordova, California, United States Blue Shield of California Full time

About the Role

The Medicare team at Blue Shield of California is responsible for driving membership growth, profitability, and performance optimization for the Medicare line of business. As a Strategic Planning and Performance Consultant, you will play a critical role in supporting the success of the Medicare operating model by leading key initiatives, driving performance governance activities, and enhancing employee engagement, communications, and leadership activities.

Your Key Responsibilities

  • Develop and implement moderately complex projects to drive business growth and improvement.
  • Collaborate with cross-functional teams to identify and address key business issues, and implement effective action plans to achieve successful outcomes.
  • Facilitate the annual strategic planning process to ensure alignment with business objectives.
  • Support financial partners in completing business planning and forecasting activities.
  • Assist in overseeing budget planning as part of the annual budget cycle.
  • Identify and resolve gaps in processes and oversight to ensure achievement of Medicare goals and targets.
  • Drive departmental projects to support Medicare growth, profitability, performance optimization, and customer experience.
  • Support monitoring and optimizing Medicare performance by leading preparations for key Medicare performance governance meetings, and collaborating with functional area partners to ensure their priorities are aligned with Medicare objectives.
  • Develop and implement an overarching, end-to-end vendor management governance model for the Medicare line of business to ensure vendor partners meet compliance, contractual, and experience expectations.

About You

We are seeking a highly skilled and experienced professional with a strong background in strategic planning, business development, and operations improvement. You will have a proven track record of driving business growth, improving performance, and enhancing customer experience. You will be a collaborative team player with excellent communication and leadership skills.



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