Senior Manager, Provider Network Management job Woodland Hills California
Senior Manager, Provider Network Management job Woodland Hills California
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Senior Manager, Provider Network Management Job

Employer Name: SpiderID: 13250180
Location: Woodland Hills, California Date Posted: 2/22/2023
Wage: Negotiable Category: Insurance
Job Code: 17002DL-2191

Job Description:
Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California's Mission is to ensure all Californians have access to high-quality care at an affordable price. Blue Shield is focused on improving health care delivery by working closely with providers and making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 4 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than $325 million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution.

We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.


Lead a team of analysts as they assist in delivering outstanding analytic and consultative service to Healthcare Quality and Affordability (HCQA) and other organizations like Sales team, marketing team. The team will provide recurring/operational analytic/consultative support within HCQA and other organizations like Market.
The Senior Manager will be a leader, mentor, diplomat, project manager, and resource who can insure tasks are being completed in a timely manner and that the output is of the highest quality. He/she will also manage relationship with multiple stakeholders.
1. Manage the work efforts of the analytics team. Insure all output meets the high expectations of internal and external clients (50%)
a. Drive high-quality work products within expected timeframes. This may involve synthesizing data into actionable insights, strategies, and tactics, and creates findings reports / presentations
b. Monitor progress, manage risk and ensure key stakeholders are kept informed about progress and expected outcomes.
c. Develop and present executive-level summaries of data analysis
d. Presents findings and recommendations to Senior Leadership
e. May perform project management duties including the creation of status reports, work plans and presentations

2. Build and manage relationship with multiple stakeholders (15%)
a. Manage expectations of the stakeholders/clients (including senior leadership of HCQA). This may entail working through resourcing constraints and finding a workable solution.
b. Collaborate with other departments to define deliverables, develop solutions, action plans (may involve enhancing and improving a current process)
c. Provide thought-leadership in on-going measurement and analysis (i.e. competitive intelligence, discount guarantee, charge master provision)

3. Process improvement (15%)
a. Provide recommendations on improving the current process. Coordinate process improvement with other departments. Identify opportunities to improve efficiency and quality, and make recommendations to senior management to enhance the current workflow/process
b. Influence business partners and stakeholders to drive change toward more greater effectiveness and efficiency (i.e. provider negotiation checklist, charge master tracking and monitoring)
c. Identify new ideas and opportunities for analytic projects

4. People Leadership: manage the professional development of the team (15%)
a. Effectively lead and motivate teams with diverse skills and backgrounds. Provide constructive on-the-job feedback/coaching to team members.
b. Foster an innovative and inclusive team-oriented work environment.
c. Play an active role in counseling, mentoring, and developing analysts within the organization

5. Stay abreast of current Blue Shield, Healthcare business and industry trends relevant to HCQA. (5%)


• Proven experience as a manager and leader
• Strong interpersonal skills, ability to work effectively and build relationships with subordinates, peers, senior staff, cross functional teams.
• Able to lead and influence cross-functional teams, including teams with Senior Leadership involvement or oversight
• Very strong analytical, problem solving, and critical thinking skills. Able to navigate ambiguous problems and breakdown complex issues into manageable chunks for structured problem solving
• Strong oral and written communication skills
• Prefer project management and team facilitation skills
• 7+ years experience in healthcare and/or consulting environment
• Prefer MPH, MBA or advanced degree with at least 7 years related experience, or Bachelors degree with 10 years related experience in the healthcare industry, preferably with prior experience at a health plan or healthcare or strategy consulting firm

Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:

Contact Information:
Contact Name: Blue Shield of California Company Type:
Company: Blue Shield of California

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