Director, Strategic Planning and Performance

Your Role Reporting to the Vice President of Medical Care Solutions, the role of the Director Planning and Performance Enablement is critical to the success of Blue Shield of California and the Medical Care Solutions team.  The Director Planning and Performance Enablement will direct Medical Care Solutions teams in realizing department goals and objectives that create value and meaning for our members, provider, brokers and employers.  This individual will play a key role leading and ensuring the Medical Care Solutions delivery, enablement and execution on all aspects of business transformation, strategic planning, workforce optimization, incident management, communication and employee engagement. Also a key focus area will be fostering support and partnerships with critical leadership and enterprise stakeholders including operations, Line of Business General Managers, transformation, network management, quality, information technology, finance, growth and other strategic partner to prioritize and execute on BSC's key growth initiatives.Your WorkIn this role, you will:Strategy and ExecutionDevelop business strategies and operating plans that enable improved care delivery and align with company goals and objectives, internal and external customer expectations, and meet competitive benchmarks. Ensure decisions, prioritization, and planning align to the overall end-to-end member Medical Care Solutions multi-year roadmap and enables the team to meet both short-term and long-term goalsDevelop and maintain external partnerships with industry leaders, regulatory bodies, and key stakeholders to advance Medical Care Solutions' strategic objectives and influence the broader Health Solutions Operations goalsImplement effective governance and 360 feedback processes for improved efficiency and effectiveness for the MCS organization. Designs, implements, and runs governance model for managing performance against annual planLead and enable team members in establishing programs and processes to ensure tracking, management and organization of goals, milestones and results for stakeholder communications, progress and goal enablementServe as point person for driving and facilitating yearly strategic planning and business case development for the overall Medical Care Solutions organizationOversee staff engaged in incident management, ensures departmental objectives are met, and provides oversight for day-to-day activitiesServe as the escalation contact for high-profile incidents and manage activities such as incident resolution, root cause analysis, and continuous process improvementSupport VP in preparing board materials/presentation; owns VP communications internally and externally in coordination with internal stakeholdersPerformance, Quality, and Change ManagementRepresent Medical Care Solutions in relevant Run and Grow initiatives, including delivering requirements, supporting planning and execution, leading change deployment with relevant staff, and delivering on intended outcomesEnable change management for Medical Care Solutions to ensure actionable change and process execution within transformation and strategically identified areas to ensure systems and process transformation within key functional areas Own the coordination and organization of business units' employee engagement action planningDrives efforts to improve and address employee engagement feedback obtained through annual surveyYour Knowledge and ExperienceBachelor’s degree requiredRequires a minimum of 10 years prior relevant experience, including 6 years of management experienceRequires at least 10 years prior experience in a health plan or managed care organizationRequires broad management and leadership knowledge to lead project teams and/or multiple job areas. Demonstrated mastery level knowledge and skills within a managed care environment with broad understanding of operations and clinical deliveryHealth Plan markets, sales, and account management support preferredLean Sigma background preferredExperience managing healthcare projects or programs in complex environments, working with high demand, fast-paced organizationExceptional verbal and written communication and program/project management skills, including an ability to communicate effectively at an executive levelExperience managing mid-to-large sized teams and influencing adjacent matrixed cross-functional teamsMaintain functional and strategic knowledge of current and emerging technology and product trends to anticipate new initiatives and set direction for the roadmapAbility to craft simple and elegant solutions to complex problemsExperience, desire and drive to mentor team members and inspire professional growth and cohesion through leadership by example

Created: 2025-07-01