Senior Manager, Statewide Quality Collaboratives

Blue Shield Of California San Francisco , CA 94118

Posted 1 week ago

TheSenior Manager, Statewide Quality Collaboratives is responsible for building aStatewide Quality Collaborative for their designated clinical specialty alignedwith the overarching program vision, strategy and roadmap. These Collaborativeswill empower providers to alter delivery of care and encourage responsible andproactive physician/surgeon behavior, ultimately driving better health outcomesand lowering the cost of health care.

TheSenior Manager will be responsible for building the coordinating center fortheir designated collaborative which includes either establishing or promotingan existing registry and ensuing partner providers provide data to theseregistries to collaboratively measure and improve the standard of care. TheSenior Manager will represent Blue Shield of California and act as a neutralparty to facilitate collaboration between competitive hospitals. S/he will alsobe responsible for managing the funding for the collaborative and providerparticipation in the collaborative. S/he will partner cross functionally todevelop incentive payment programs for participating providers. Finally, s/he willhelp gain clinical and administrative support for the Collaborative andparticipating provider partners to improve their overall performance.

TheSenior Manager will report to the Director Value Partnerships and will bepart of the Statewide Quality Collaboratives program leadership team. S/he willalso hire and manage a small team to run their designated collaborative.

Essential Responsibilities:

  • Design and build a statewide quality collaborative for designated specialtyaligned with overall program vision, strategy and roadmap

  • Lead designated collaborative in partnership with appointed physicianleaders

  • Provide administrative direction to coordinating center staff supportingthe collaborative

  • Ensure all aspects of data and analytics are robust and effectively supportthe program (for example, selecting/ building an appropriate data registry,ensuring data effectively flows from sites to the registry, and ensuringanalysis and insight are meaningful and support quality improvement efforts)

  • Oversee site audits and the training of site-based data abstractors

  • Recruit providers to join collaborative

  • Develop partnerships with key stakeholders in the ecosystem to supportcollaborative

  • Manage communications internally and externally with between BSC, ProviderPartners and Collaboratives Leverage cross-functional internal and externalrelationships to drive initiatives forward

  • Manage collaborative funding and funding support for Provider Partners.

  • Conduct briefings with senior leaders on progress of portfolio of work

Knowledge, Skills & Experience:

  • Minimum Bachelor's degree; Master's degree preferred

  • Clinical background strongly preferred

  • Consulting background, or equivalent background in a highly dynamic,fast-paced environment preferred

  • Strong skills in project management and program building

  • Minimum 10 years of prior relevant experience

  • Experience managing a small team preferred

  • Technically proficient having broad background in problem solving tools.Lean, TQM, Six Sigma, Quality Improvement certification or Project Managementcertification preferred

  • Knowledge in developing and implementing company-wide, organizationaldevelopment or process improvement programs

  • Subject matter expert in sophisticated, best-practices organizationaldevelopment, process improvement or project management processes

  • Strong negotiation skills and ability to successfully interact with alllevels of management.

  • Ability to operate at a strategic business level to ensuresprojects/programs are in line with Blue Shield of California strategic goals

  • Ability to consult with all levels, including senior management internallyand externally, make recommendations, and influence decision-making

  • Ability to effectively maneuver through organizational dynamics and tailorapproach and delivery methodology to ensure optimal outcome

  • Proven ability to determine key business issues, develop effective actionplans and implement to successful conclusion

  • Ability to communicate with executive leadership regarding matters ofsignificant importance to the organization

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Senior Manager, Statewide Quality Collaboratives

Blue Shield Of California