Blue Cross and Blue Shield Association logo

Product Manager, Sr. Principal - Oncology

Blue Cross and Blue Shield Association
  • Rancho Cordova, CA
    2 days ago

    Job Description

    Your Role

    The Partner Services team leads the selection and implementation of new vendor/provider solutions to support the highest cost and prevalence conditions across Blue Shield of California members. The Clinical Product Senior Principal will report to the Senior Director of Clinical Product Strategy and Innovation. In this role you will build and develop the clinical product strategy and roadmap for high-cost conditions, with an initial focus on Oncology. This role 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.
    • Advanced degree (e.g., MPH, MBA, MHA) preferred
    • 12 years prior relevant experience required
    • Expertise in medical management, including utilization management, case management, and population health strategy required
    • Proven experience developing and executing multi-year clinical product roadmaps in healthcare or payer environments required
    • Requires experience working at a health plan (managed care, government payer, or academic)
    • Experience working in oncology is preferred
    • Strong understanding of cross-benefit integration (medical and pharmacy) and value-based care principles
    • Demonstrated success leading enterprise-scale transformation initiatives and driving measurable affordability and quality outcomes
    • Expertise in healthcare analytics, predictive modeling, and outcomes measurement frameworks
    • Experience managing strategic vendor partnerships, including contracting, performance management, and shared-risk model
    • Strong financial acumen, including budget ownership, business case development, and ROI analysis
    • Ability to navigate complex regulatory environments, including Commercial, Covered California, Medi-Cal, and CMS requirement
    • Exceptional executive presence with ability to influence senior stakeholders and lead cross-functional teams
    • Proven track record of building, mentoring, and scaling high-performing teams

    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.

    Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

    Your Work

    In this role, you will:

    • Strategy & Roadmap: Lead clinical product strategy with LOB, network and clinical leaders with multi-year roadmap aligned to enterprise and market needs.
    • Market Partnership: Partner with Commercial and Government Markets to design compliant, differentiated clinical programs through cross functional coordination. This role also includes working with our hospital partners directly to drive value via our partnership strategy.
    • Outcomes Measurement: Define outcomes measurement and reporting across clinical performance, engagement, affordability, and ROI.
    • Vendor Management: Oversee clinical product vendor performance and partnerships, including contracting, performance guarantees, shared risk, and integration. Clinical buy-up offerings
    • Drive cross-functional alignment so teams make consistent tradeoffs and deliver measurable results by influencing priorities, resourcing, risk decisions, and performance outcomes across the organization.
    • Continuously improve and evolve the clinical product domain.
    • Identify gaps/opportunities, design new or improved programs and processes, and scale them with measurable outcomes (quality, affordability, experience, and ROI).
    • Act as subject matter expert in assigned clinical products, governance and performance.
    • Understand contract negotiation, financing, managed care and provider relationships.
    • Oversee key programs and contracts that impact member pricing, member experience (sales), and cost of healthcare.
    • Oversee processes, procedures, and vendor selection which significantly impacts our clinical operations.

    Your Work

    In this role, you will:

    • Strategy & Roadmap: Lead clinical product strategy with LOB, network and clinical leaders with multi-year roadmap aligned to enterprise and market needs.
    • Market Partnership: Partner with Commercial and Government Markets to design compliant, differentiated clinical programs through cross functional coordination. This role also includes working with our hospital partners directly to drive value via our partnership strategy.
    • Outcomes Measurement: Define outcomes measurement and reporting across clinical performance, engagement, affordability, and ROI.
    • Vendor Management: Oversee clinical product vendor performance and partnerships, including contracting, performance guarantees, shared risk, and integration. Clinical buy-up offerings
    • Drive cross-functional alignment so teams make consistent tradeoffs and deliver measurable results by influencing priorities, resourcing, risk decisions, and performance outcomes across the organization.
    • Continuously improve and evolve the clinical product domain.
    • Identify gaps/opportunities, design new or improved programs and processes, and scale them with measurable outcomes (quality, affordability, experience, and ROI).
    • Act as subject matter expert in assigned clinical products, governance and performance.
    • Understand contract negotiation, financing, managed care and provider relationships.
    • Oversee key programs and contracts that impact member pricing, member experience (sales), and cost of healthcare.
    • Oversee processes, procedures, and vendor selection which significantly impacts our clinical operations.

    Numbers & Facts

    LocationRancho Cordova, CA
    IndustryInsurance
    Company Size2,000 to 2,499 employees
    Websitehttps://www.bcbs.com/about-us/careers

    About Company

    At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

    Skills

    • Alliance/Partner Managementunmatched
    • Budgetingunmatched
    • Business Caseunmatched
    • Case Managementunmatched
    • Content Management Systems (CMS)unmatched
    • Continuous Improvementunmatched
    • Contract Managementunmatched
    • Contract Negotiationunmatched
    • Cross-Functionalunmatched
    • Customer Experienceunmatched
    • Functional Programming Languagesunmatched
    • Governmentunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • High School Diplomaunmatched
    • Hospitalunmatched
    • Leadershipunmatched
    • Managed Careunmatched
    • Medi-Calunmatched
    • Medical Productsunmatched
    • Mentoringunmatched
    • Oncologyunmatched
    • Performance Analysisunmatched
    • Performance Managementunmatched
    • Pharmacyunmatched
    • Predictive Modelingunmatched
    • Pricingunmatched
    • Process Improvementunmatched
    • Product Managementunmatched
    • Product Planningunmatched
    • Product Strategyunmatched
    • Product Supportunmatched
    • Project/Program Managementunmatched
    • Quality Metricsunmatched
    • Regulationsunmatched
    • Return on Investment (ROI)unmatched
    • Riskunmatched
    • Risk Modelingunmatched
    • Salesunmatched
    • Team Lead/Managerunmatched
    • Utilization Managementunmatched
    • Vendor/Supplier Evaluationunmatched
    • Vendor/Supplier Managementunmatched
    • Vendor/Supplier Selectionunmatched

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