Program Manager, Consultant- Payment Innovation

Your Role

The Payment Innovation team leads the design, development, and implementation of value-based payment models. The Program Manager, Consultant - Payment Innovation will report to the Senior Manager of Payment Innovation. In this role you will be responsible for leading the end-to-end design of new value-based payment models, leading the end-to-end program of payment models current payment models that support Blue Shield's strategic goals. He/she/they will manage program(s) from initiation through delivery, perform operational responsibilities, and monitor for continuous improvement.

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

• Requires a bachelor's degree or equivalent experience
• Requires at least 7 years of prior relevant experience
• Contract writing experience or experience in drafting documents strongly preferred
• Previous experience in value-based care design including designing value-based payment models or financial models preferred
• Previous experience in designing a program/initiative end-to-end, including conceptual design, implementation planning and execution, and on-going operational support strongly desired
• Knowledge and experience of health insurance business and structure, preferably within a payor preferred
• Desired qualification of experience with aligning disparate stakeholders
• Experience with payor data infrastructure, regulations for various lines of business and contracting preferred

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.