Job Description

Your Role

The Installation and Billing (I&B) team within Blue Shield of California oversees the enrollment and billing and payments process for their groups and members. This role, Product Owner- Consultant, will report to the Manager of Programs and Projects and will be responsible for the development and enhancement of our Medi-Cal enrollment process, as well as oversee the management of billing and payment for the I&B team. In this role you will manage two distinct product services of various complexities by improving access to healthcare services and ensuring a seamless experience for both providers and beneficiaries.

Your Work

In this role, you will:

• Drive Agile practices within the product development team, ensuring effective sprint planning, daily stand-ups, and retrospectives.
• Support the Agile team members and teams to deliver the best solution to the market presented by the Agile Product Management team.
• Fiscally manage the Service Enhancement annual budget through collaborative prioritization of user stories and Agile team's backlog.
• Build and maintain the Agile team's backlog of prioritized user stories, with regular refinement based on value, size, and dependencies.
• Work with the Agile team on the acceptance criteria and set the acceptance criteria for the Stories in the team's backlog and ensures that the team's output meets it prior to production release.
• Collaborate with cross-functional teams to define and prioritize product features and enhancements for the Medi-Cal enrollment platform.
• Develop and maintain a product roadmap, ensuring alignment with business goals and user needs.
• Work closely with development teams to deliver features on time and within scope.
• Monitor key performance indicators, user feedback and Incident management support to continuously improve the enrollment process.
• Additional responsibilities will include leading the strategy and execution of Billing and Payment systems, ensuring accuracy, efficiency, and compliance with relevant regulations.
• Work with cross-functional teams to resolve any billing and payment-related issues promptly.

Qualifications

Your Knowledge and Experience

• Requires bachelor's degree or equivalent experience and 7 years implementing Agile methodologies or similar experience implementing complex initiatives and/or products
• Graduate degree (e.g., MBA) is highly preferred
• Scaled Agile (SAFe) certification, Product Owner/Product Manager (POPM), Scrum Master (SM), or Agile Product Management (APM) certifications required
• Demonstrated (7+ years) experience as a Product Owner / Manager in the healthcare industry, with a focus on Medi-Cal enrollment and knowledge of billing/payment systems preferred.
• Strong understanding and application of Agile methodologies and experience implementing them in product development.
• Excellent communication and collaboration skills, with the ability to work effectively with cross-functional teams.
• Familiarity with healthcare regulations and compliance requirements related to Medi-Cal enrollment and billing preferred.

Pay Range:

The pay range for this role is: $ 118,000to $178,200 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

About the Team

Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. 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 fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.

Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. 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 be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
• 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:

Blue Shield of California is dedicated to making work-life balance a reality. Whether you prefer to work in an office or from home, we understand flexibility is more important than ever. That's why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.

Two ways of working: Hybrid (our default) and office

• Hybrid - In a business unit approved office a few times per year to 3 days per week, on average

• Office - In a business unit approved office 4+ days a week, on average. If the role you're applying for is deemed an "Essential Role," the company has determined that the role can only be performed in a Blue Shield office or in the field and would require your to meet the office worker classification.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. 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.

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.