Blue Shield of California · 16 hours ago
Senior Principal Systems Solutioning & Configuration
Oakland, CA, United States
Full-time
Hybrid
Senior Level, Lead/Staff
$205K/yr - $308K/yr
12+ years expBlue Shield of California is a leading health insurance provider committed to innovative healthcare solutions. The Senior Principal Systems Solutioning & Configuration role involves strategic leadership for Facets solution design and configuration governance, aiming to enhance operational scalability and improve delivery quality through automation and AI-enabled tools.
Financial ServicesHealth InsuranceNon Profit
No H1B
Responsibilities
Provide strategic oversight of Facets solution architecture and ensure all configuration, design approaches align with enterprise priorities, modernization goals, and compliance standards. Establish architecture principles and decision framework that guide scalable solutions across all business domains
Define, implement, and enforce governance process for configuration standards, reusable patterns, and design quality controls. Establish structured checkpoints to ensure consistency, traceability, and quality across all system changes
Create and maintain comprehensive knowledge repositories, reusable configuration assets, and standardized templates. Promote organizational learning through documentation, playbooks, and implementation guides that accelerate delivery across programs
Oversee the solutioning and configuration lifecycle for new healthcare products, market expansions, customer onboarding, and employer group setup. Ensure delivery is timely, accurate, compliant, and aligned with operational readiness requirements
Drive the adoption of AI enabled tools and automation capabilities to accelerate configuration, reduce manual effort, and improve accuracy. Elevate and implement AI models for rules analysis, configuration recommendations, defects pattern detection, and test automation
Lead operational excellence initiatives that streamline solutioning, configuration, and cross-functional processes. Identify bottlenecks and execute improvements that enhance throughput, reduce rework, and improve overall delivery quality
Identify opportunities to improve system performance, claims processing accuracy, and auto-adjudication through optimized Facets configuration. Ensure that configuration decision support scalability, reliability, and cost-effective operations
Serve as the primary liaison to business, IT, operations, and vendor partners to ensure alignment on solution strategies, configuration impacts, delivery timeline, and value realization. Promote transparency and strategic clarity across all stakeholder groups
Lead change management efforts to introduce new standards, configuration models, and delivery processes. Ensure teams understand impacts, adopt new practices, and effectively operationalize new capabilities
Qualification
Required
Bachelor's degree or equivalent experience in Computer Science Information Systems, Healthcare Administration, Business, or related field
12+ years of progressive experience in health care payer systems, with deep expertise in Facets solutioning and configuration
Strong understanding of core health plan operations, including enrollment, benefits, claims, billing, provider, and utilization management
Experience supporting multiple lines of businesses, including Commercial, Medicare, and Medicaid
Hands-on experience establishing solution governance, design standards, and configuration quality controls
Experience leveraging automation and AI-enabled tools to improve configuration accuracy, speed, and quality
Strong financial acumen with demonstrated ability to manage and reduce delivery costs
Excellent communication skills with the ability to translate complex technical solutions into clear business insights
Proven change leadership and stakeholder management skills across business, IT, and operations
Innovation mindset is critical
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
2026-01-13
Fierce Healthcare
2025-12-15
Company data provided by crunchbase