Director, Provider Contracting

The Blue Shield of California (BSC) Network and Provider Partnership team is responsible for the BSC Provider Contracting and Provider Relations activities for BSC. The Director, Provider Contracting will report to the Vice President of Network and Provider Partnerships Southern California. In this role, you will be responsible for participating in and leading the network team’s development of the multi-year contracting strategy for assigned providers and ongoing provider network maintenance. This will include unit cost trend targets and specific metrics to improve our overall competitive position. Additionally, you will lead cross functional work to drive process improvement opportunities for improved provider experience. You will also participate in committees and initiatives to help manage the total cost of health care for the lines of business for their assigned territory that typically results in savings of $1M+ plus in annual cost.