Blue Shield of CA
Strategic Planning and Performance, Principal
Blue Shield of CA, Sacramento, California, United States, 95828
Your Role
The Healthcare Quality and Affordability (HQA) team drives Blue Shield of California's enterprise strategy to deliver high-value care by facilitating optimal health outcomes at an affordable cost for our members. HQA oversees Network Contracting, Provider Relations, Medical Care Solutions—including utilization management and care management—and the Office of the Chief Medical Officer. The Strategic Planning and Performance, Principal will report to the Vice President of Health Solutions Strategy, Planning & Operations, in service of the Executive Vice President of HQA.
In this role, you will serve as a high-impact connector between HQA and internal line-of-business (LOB) and Market leaders across Medicare, Medi-Cal, Promise, and Commercial markets. You will lead strategic integration of clinical and network programs into enterprise priorities, translating innovation into scalable solutions that deliver measurable value. Your work will directly influence enterprise strategy, resource allocation, and health outcomes across Blue Shield's diverse membership.
In this role, you will serve as a strategic connector and catalyst for collaboration between HQA and internal line-of-business (LOB) and Market leaders across Individual, Small Business, Middle Market, Premier, Medicare, Medi-Cal, Select, and Specialty segments. You will help ensure that HQA strategies are market-informed, customer-focused, and aligned with enterprise goals—enabling seamless translation of strategy into execution. By fostering early engagement, shared problem solving, and transparent communication, you will create the conditions for stronger partnerships, faster alignment, and more impactful outcomes.
This role is ideal for a leader who thrives at the intersection of strategy and operations, and who brings a consultative mindset to complex challenges. You will play a key role in elevating visibility, clarifying priorities, and building trust across teams—ensuring that clinical and network programs are not only well-designed, but also well-supported and successfully delivered across Blue Shield's diverse membership.
Your Knowledge and Experience
Requires a bachelor's degree or equivalent experience
Requires at least 10 years of prior relevant experience
Required deep expertise in health plan operations, value-based care, and the payer-provider landscape
Required strong strategic thinking, change management, and project execution skills
Required demonstrated success translating market insights into enterprise strategies, facilitating alignment, and delivering measurable outcomes
Required experience designing and leveraging dashboards, metrics, and governance structures to enable data-driven decision-making
Required ability to influence without authority and drive change across complex, matrixed environments
Required excellent written and verbal communication skills, including development and delivery of executive-level presentations
Desired ability to lead in cross-functional environments and influence senior leaders and operational teams
Desired experience supporting clinical or network programs within a health plan setting
Desired master's degree in healthcare administration, public health, business, or related field
Desired track record of fostering collaboration across business and clinical teams to break down silos and accelerate execution
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In this role, you will serve as a high-impact connector between HQA and internal line-of-business (LOB) and Market leaders across Medicare, Medi-Cal, Promise, and Commercial markets. You will lead strategic integration of clinical and network programs into enterprise priorities, translating innovation into scalable solutions that deliver measurable value. Your work will directly influence enterprise strategy, resource allocation, and health outcomes across Blue Shield's diverse membership.
In this role, you will serve as a strategic connector and catalyst for collaboration between HQA and internal line-of-business (LOB) and Market leaders across Individual, Small Business, Middle Market, Premier, Medicare, Medi-Cal, Select, and Specialty segments. You will help ensure that HQA strategies are market-informed, customer-focused, and aligned with enterprise goals—enabling seamless translation of strategy into execution. By fostering early engagement, shared problem solving, and transparent communication, you will create the conditions for stronger partnerships, faster alignment, and more impactful outcomes.
This role is ideal for a leader who thrives at the intersection of strategy and operations, and who brings a consultative mindset to complex challenges. You will play a key role in elevating visibility, clarifying priorities, and building trust across teams—ensuring that clinical and network programs are not only well-designed, but also well-supported and successfully delivered across Blue Shield's diverse membership.
Your Knowledge and Experience
Requires a bachelor's degree or equivalent experience
Requires at least 10 years of prior relevant experience
Required deep expertise in health plan operations, value-based care, and the payer-provider landscape
Required strong strategic thinking, change management, and project execution skills
Required demonstrated success translating market insights into enterprise strategies, facilitating alignment, and delivering measurable outcomes
Required experience designing and leveraging dashboards, metrics, and governance structures to enable data-driven decision-making
Required ability to influence without authority and drive change across complex, matrixed environments
Required excellent written and verbal communication skills, including development and delivery of executive-level presentations
Desired ability to lead in cross-functional environments and influence senior leaders and operational teams
Desired experience supporting clinical or network programs within a health plan setting
Desired master's degree in healthcare administration, public health, business, or related field
Desired track record of fostering collaboration across business and clinical teams to break down silos and accelerate execution
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