Your Role
The Healthcare Quality & Affordability Partner Services team identifies, evaluates, and scales innovative, condition specific, value based clinical solutions across the enterprise. In parallel, the Partner Services team owns enterprise health quality vendor governance and clinical product strategy across case management and utilization management in support of delivering measurable affordability, improved clinical outcomes, and sustainable membership growth-while ensuring a seamless experience for both members and providers.
The Director, Clinical Product will report to the Vice President, Partner Services of direct manager. In this role you will partner closely with Commercial and Government Markets to design, deliver, and continuously evolve clinical programs that meet the needs of clients, plan sponsors, Covered California, Medi Cal, and CMS. This role supports the clinical product strategy via sustained roadmaps that enable innovative, scalable, and measurable clinical capabilities in service of Blue Shield's mission to make healthcare affordable, high quality, and accessible for Californians.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Knowledge and Experience
Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
10 years of progressive healthcare experience in a payer, provider, or value-based care environment- with emphasis on oncology strongly preferred
6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports
Experience in clinical product role at the payer level with specific experience launching payer oncology solutions
Demonstrated experience leading clinical or health services product initiatives with measurable outcomes
Strong healthcare and clinical fluency with ability to operationalize clinical concepts into scalable programs
Proven ability to manage product roadmaps and deliver cross-functional execution at scale
Data-driven decision-maker with experience balancing quality, cost, experience, and operational considerations
Effective communicator who can influence stakeholders and align cross-functional teams
Experience partnering with Commercial and Government Markets and navigating regulatory environments (Covered California, Medi-Cal, CMS)
Experience managing vendors and supporting performance-based partnerships and program outcomes
Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Your Work
In this role, you will:
Partner with Commercial and Government Markets to design and deliver compliant clinical programs for clients, plan sponsors, Covered California, Medi-Cal, and CMS
Translate client, purchaser, and regulatory requirements into actionable product strategies and multi-year roadmaps
Drive product execution that strengthens market competitiveness, improves retention, and supports new business growth
Lead design and scaling of clinical programs, including ASO buy-up offerings, to deliver measurable outcomes for members and clients
Define and track performance metrics (clinical outcomes, affordability, engagement, ROI) to demonstrate product value
Ensure clinical products are operationally scalable, financially sustainable, and deliver positive member and client experience
Manage vendor relationships and support performance oversight to ensure alignment with quality, cost, and experience goals
Execute against a defined product domain strategy, including prioritization, roadmap delivery, and performance outcomes
Translate strategy into requirements, governance processes, and measurable goals across the product lifecycle
Partner with Clinical, Operations, Technology, Digital, and Analytics teams to deliver integrated, scalable solutions
Monitor product performance and stakeholder feedback, adjusting priorities to maintain value and relevance
Communicate product direction, progress, and outcomes to senior leadership, supporting data-driven decision-making
Perform other duties as assigned
Your Work
In this role, you will:
Partner with Commercial and Government Markets to design and deliver compliant clinical programs for clients, plan sponsors, Covered California, Medi-Cal, and CMS
Translate client, purchaser, and regulatory requirements into actionable product strategies and multi-year roadmaps
Drive product execution that strengthens market competitiveness, improves retention, and supports new business growth
Lead design and scaling of clinical programs, including ASO buy-up offerings, to deliver measurable outcomes for members and clients
Define and track performance metrics (clinical outcomes, affordability, engagement, ROI) to demonstrate product value
Ensure clinical products are operationally scalable, financially sustainable, and deliver positive member and client experience
Manage vendor relationships and support performance oversight to ensure alignment with quality, cost, and experience goals
Execute against a defined product domain strategy, including prioritization, roadmap delivery, and performance outcomes
Translate strategy into requirements, governance processes, and measurable goals across the product lifecycle
Partner with Clinical, Operations, Technology, Digital, and Analytics teams to deliver integrated, scalable solutions
Monitor product performance and stakeholder feedback, adjusting priorities to maintain value and relevance
Communicate product direction, progress, and outcomes to senior leadership, supporting data-driven decision-making
Perform other duties as assigned