VP, Partner Services

Your Role

The VP, Partner Services will report to the SVP, Healthcare Quality & Affordability (HQA) Operations.  This leader will be vital to leading the clinical program strategy and performance for HQA by developing a robust vendor portfolio established through modernized value-based contracting for all lines of business. The VP, Partner Services will lead contract negotiation for new and emerging programmatic needs while developing and maintaining vendor performance metrics and reporting.   The VP, Partner Services will understand and identify opportunities to expand and improve member options through their subject matter expertise driving significant impact to cost of care. This role will develop a business rhythm to monitor and evaluate and analyze the performance clinical programs.  This leader will be accountable for member satisfaction, resolution of escalated issues, cost of healthcare savings and clinical quality improvement and outcomes for Blue Shield's members. 

Your Work 
In this role, you will: 

• Manage and expand the clinical program vendor portfolio across all lines of business, overseeing $250M+ in contracts, including negotiation, business case development, outcomes analysis, and relationship management.
• Drive program performance and member satisfaction through rigorous evaluation, issue resolution, and outcome analyses that support healthcare cost savings.
• Collaborate with senior leadership (General Managers, Chief Medical Officers) to enhance clinical program effectiveness and service delivery.
• Lead vendor strategy and selection to grow membership, improve patient experience, and optimize outcomes for key disease states through a well-aligned vendor ecosystem.
• Represent Healthcare Quality & Affordability in internal and external performance reviews, establishing governance standards and accountability for vendor partnerships.
• Strengthen clinical outcomes and strategic alignment through new and renewed program agreements, identifying partnership opportunities to expand BSC offerings.
• Establish performance reporting frameworks that leverage data to validate contract value, quality, and desired outcomes.
• Oversee digital clinical programs, including Lifestyle Medicine content and a growing portfolio of digital therapeutics, driving innovation, engagement, and improved outcomes.
• Design programs across acuity levels in collaboration with cross-functional stakeholders, supporting expansion into physical, community-based, and digital services that promote health equity.
• Partner across the enterprise, including Product & Strategy, Digital Health, HR, Finance, Provider Network, Claims, Compliance, Quality Improvement, PMO, and IT.
• Participate in external governance committees to represent organizational interests and influence industry standards.
• Lead and develop a high-performing team, fostering a culture of equity, inclusion, and excellence.
   

Your Knowledge and Experience 

• Bachelor's degree in Business Administration, Healthcare Administration or a related field required.
• Master's degree, especially an MBA focused on healthcare, Master of Public Health or related field preferred.  
• Requires a minimum 15 years prior relevant experience, including 8 years of management experience.
• A minimum of 8 years of health plan operations experience required including contract administration, risk management and compliance.
• Understanding of contract negotiation, financing, managed care and provider relationships required.
• Working knowledge of California regulatory and accreditation standards required (URAC, NCQA, DMHC, CMS, DHCS)
• Requires demonstrated experience in driving operational performance and efficiencies on a large scale.
• Requires broad management knowledge to lead teams and build relationships in a highly matrixed environment.