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Blue Shield of California · 1 day ago

Director, Strategic Planning and Performance

Long Beach, CA

Full-time

Hybrid

Senior Level, Lead/Staff

10+ years exp

Blue Shield of California is a nonprofit organization focused on transforming health care to be affordable and high-quality. The Director of Strategic Planning and Performance will provide strategic oversight and management for Health Plan operations, ensuring process improvements and performance metrics are met to support organizational goals.

Financial ServicesHealth InsuranceNon Profit

H1B Sponsor Likely

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

Health Care OperationsOperational LeadershipStrategic PlanningProcess ImprovementPerformance MetricsInfluencing SkillsTeam BuildingCommunication Skills

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

Glassdoor3.8

Blue Shield of California is a health insurance service provider.

Founded in 1939

San Francisco, California, USA

5001-10000 employees

https://www.blueshieldca.com

H1B Sponsorship

Blue Shield of California has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (1)

2022 (41)

2021 (20)

2020 (31)