Product Manager, Sr. Principal - Oncology

Your Role

• The Partner Services team leads the selection and implementation of new
• vendor/provider solutions to support the highest cost and prevalence conditions
• across Blue Shield of California members. The Clinical Product Senior Principal
• will report to the Senior Director of Clinical Product Strategy and Innovation.
• In this role you will build and develop the clinical product strategy and
• roadmap for high-cost conditions, with an initial focus on Oncology.  This role
• 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

• Strategy & Roadmap: Lead clinical product strategy with LOB, network and

• clinical leaders with multi-year roadmap aligned to enterprise and market
• needs.

• Market Partnership: Partner with Commercial and Government Markets to design

• compliant, differentiated clinical programs through cross functional
• coordination. This role also includes working with our hospital partners
• directly to drive value via our partnership strategy.

• Outcomes Measurement: Define outcomes measurement and reporting across

clinical performance, engagement, affordability, and ROI.

• Vendor Management: Oversee clinical product vendor performance and

partnerships, including contracting, performance guarantees, shared risk, and

integration. Clinical buy-up offerings

• Drive cross-functional alignment so teams make consistent tradeoffs and

• deliver measurable results by influencing priorities, resourcing, risk
• decisions, and performance outcomes across the organization.

• Continuously improve and evolve the clinical product domain.
• Identify gaps/opportunities, design new or improved programs and processes,

• and scale them with measurable outcomes (quality, affordability, experience,
• and ROI).

• Act as subject matter expert in assigned clinical products, governance and

performance.

• Understand contract negotiation, financing, managed care and provider

relationships.

• Oversee key programs and contracts that impact member pricing, member

experience (sales), and cost of healthcare.

• Oversee processes, procedures, and vendor selection which significantly

impacts our clinical operations.

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.

• Advanced degree (e.g., MPH, MBA, MHA) preferred
• 12 years prior relevant experience required
• Expertise in medical management, including utilization management, case

management, and population health strategy required

• Proven experience developing and executing multi-year clinical product

roadmaps in healthcare or payer environments required

• Requires experience working at a health plan (managed care, government payer,

or academic)

• Experience working in oncology is preferred
• Strong understanding of cross-benefit integration (medical and pharmacy) and

value-based care principles

• Demonstrated success leading enterprise-scale transformation initiatives and

driving measurable affordability and quality outcomes

• Expertise in healthcare analytics, predictive modeling, and outcomes

measurement frameworks

• Experience managing strategic vendor partnerships, including contracting,

performance management, and shared-risk model

• Strong financial acumen, including budget ownership, business case

development, and ROI analysis

• Ability to navigate complex regulatory environments, including Commercial,

Covered California, Medi-Cal, and CMS requirement

• Exceptional executive presence with ability to influence senior stakeholders

and lead cross-functional teams

• Proven track record of building, mentoring, and scaling high-performing teams

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.

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.

• Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best
• Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360
• as a Top Regional Company, and one of the 50 most community-minded companies in
• the United States by Points of Light. Here at Blue Shield, we strive to make a
• positive change across our industry and communities – join us!

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.

• Please click here for further physical requirement detail.
• [https://www.blueshieldca.com/physical-job-requirements]

Equal Employment Opportunity

• External hires must pass a background check/drug screen. Qualified applicants
• with arrest records and/or conviction records will be considered for employment
• in a manner consistent with Federal, State and local laws, including but not
• limited to the San Francisco Fair Chance Ordinance. All qualified applicants
• will receive consideration for employment without regards to race, color,
• religion, sex, national origin, sexual orientation, gender identity, protected
• veteran status or disability status and any other classification protected by
• Federal, State and local laws.