Job Description

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.

Responsibilities

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

Qualifications

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.

About the Team

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Our Values:

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

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