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Strategic Planning and Performance, Principal

Company: Blue Shield of CA
Location: Monterey Park
Posted on: March 27, 2020

Job Description:

At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. Were excited to share Blue Shield of California has received awards and recognition for LGBT diversity, quality improvement, most influential women in corporate America, Bay Areas top companies in volunteering & giving, and one of the worlds most ethical companies. Here at Blue Shield of California, were striving to make a positive change across our industry and the communities we live in Join us!

The STRATEGIC PLANNING AND PERFORMANCE, PRINCIPAL position works in a highly matrixed environment and supports the Trio and Tandem planning process, strategies, and activities for the Program across all lines of business. The position drives key activities that optimize the short-term and long-range objectives, implementing policy and procedures, providing support to the management team, and working across multiple functional areas including but not limited to: clinical and quality performance, product enhancements, Trio and Tandem membership growth, and overall P&L results for the entire Program. The Strategic Planning and Performance, Principal plays a critical role in developing growth and retention strategies, developing long-term and annual plans, and leading or contributing to strategic and operational projects for Trio and Tandem.

This position reports to the Senior Director, Strategy Planning & Performance for Trio and Tandem, who has responsibilities that span across Blue Shields Commercial, Consumer, Healthcare Quality and Affordability and Health Care and Community Health Transformation organizations.

The Strategic Planning and Performance, Principal is responsible for the following areas:

* Identifies, and assists in designing and driving Trio and Tandem regional strategic planning and product strategy contributing to shared P&L results. This includes participating in setting growth targets including expansion efforts, clinical performance and cost of healthcare. Assures all regional efforts are contributing into the enterprise strategy and goals.

* Collaborates with all applicable lines of business to co-develop and assist in implementation of a regional growth strategy.

* Contributes to the design of a regional marketing strategy and collaborates with Corporate Marketing for implementation of the strategy.

* Participates and acts as a subject matter expert for product strategy supported by the Product Development Team.

* Collaborates with the Corporate Actuarial Team in preparing pricing across all lines of business.

* Coordinates with Regional Provider Partnerships Leads to develop and maintain relationships with all Trio and Tandem providers.

* Collaborates with Network Management to manage performance against all network strategies specific to Trio and Tandem.

* Responsible for understanding and supporting the financial performance supported by the Finance Team (planning, reporting, performance management, contract support, capitation payments, analysis, coding and budgeting).

* Collaborates on developing the Trio/Tandem experience and desired operational outcomes supported by the Enterprise Operations Team.

* Partners with other BSC cross functional teams to ensure services provided to our members is effective and meeting the changing needs of our customers.

* Collaborates with other BSC SPPs and cross-function business units to improve our market position.

* Works in partnership with customers, vendors, and other key stakeholders to deliver the service and products required.

* Understands and supports an end-to-end, holistic view of existing healthcare delivery processes with focus on process diagnosis, analysis and improvement

* Support large portfolio of initiatives, based on each ACO partnership, aimed to improve affordability, quality and care integration

* Support clinical, technical and operational roadmaps into our ACO collaborations

* Work cross-organizationally with multiple internal departments and provider partners to ensure the portfolio of initiatives is delivered on time, budget and benefit commitments

* Perform other duties as requested.

The STRATEGIC PLANNING AND PERFORMANCE, PRINCIPAL position works in a highly matrixed environment and supports the Trio and Tandem planning process, strategies, and activities for the Program across all lines of business. The position drives key activities that optimize the short-term and long-range objectives, implementing policy and procedures, providing support to the management team, and working across multiple functional areas including but not limited to: clinical and quality performance, product enhancements, Trio and Tandem membership growth, and overall P&L results for the entire Program. The Strategic Planning and Performance, Principal plays a critical role in developing growth and retention strategies, developing long-term and annual plans, and leading or contributing to strategic and operational projects for Trio and Tandem.

This position reports to the Senior Director, Strategy Planning & Performance for Trio and Tandem, who has responsibilities that span across Blue Shields Commercial, Consumer, Healthcare Quality and Affordability and Health Care and Community Health Transformation organizations.

The Strategic Planning and Performance, Principal is responsible for the following areas:

* Identifies, and assists in designing and driving Trio and Tandem regional strategic planning and product strategy contributing to shared P&L results. This includes participating in setting growth targets including expansion efforts, clinical performance and cost of healthcare. Assures all regional efforts are contributing into the enterprise strategy and goals.

* Collaborates with all applicable lines of business to co-develop and assist in implementation of a regional growth strategy.

* Contributes to the design of a regional marketing strategy and collaborates with Corporate Marketing for implementation of the strategy.

* Participates and acts as a subject matter expert for product strategy supported by the Product Development Team.

* Collaborates with the Corporate Actuarial Team in preparing pricing across all lines of business.

* Coordinates with Regional Provider Partnerships Leads to develop and maintain relationships with all Trio and Tandem providers.

* Collaborates with Network Management to manage performance against all network strategies specific to Trio and Tandem.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Keywords: Blue Shield of CA, Monterey Park , Strategic Planning and Performance, Principal, Other , Monterey Park, California

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