Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

JENNIFER TORRES

Santa Cruz

Summary

Strategic Principal Program Manager with deep expertise in California healthcare, specializing in health plan product strategy, accountable care organizations, and provider partnerships. Translates complex strategies into actionable plans, aligns cross-functional leaders, and drives impactful product and operational decisions.

Overview

1
1
Certification
33
33
years of professional experience

Work History

Program Manager, Principal | Product Strategy, Marketing and Strategy

BLUE SHIELD OF CALIFORNIA
2025.01 - Current
  • Lead complex health plan product strategy and development initiatives, including Project Edge, to define market-ready HMO and EPO products, member and provider experiences, and implementation requirements.
  • Drove cross-functional solution design across product, finance, provider partnerships, contracting, operations, technology, clinical, pharmacy, marketing, sales, regulatory, legal, and compliance teams to ensure cohesive project execution.
  • Facilitate leadership and subject matter expert working sessions that translate strategic direction into product requirements, operating model decisions, and actionable implementation plans.
  • Align stakeholders around product design, market priorities, business requirements, decision needs, and success measures.
  • Aligned stakeholders on product design, market priorities, business requirements, and decision needs, enhancing clarity on success measures.
  • Supported development of executive-level presentations, product roadmaps, and cross-functional implementation plans to facilitate informed decision-making.

Program Manager, Principal | Health Transformation Acceleration

BLUE SHIELD OF CALIFORNIA
2021.06 - 2025.01
  • Led strategy, planning, and execution of business improvement opportunities with hospital, medical group, health system, and pharmacy partners, enhancing operational effectiveness.
  • Led strategy, planning, and execution of business improvement opportunities with hospital, medical group, health system, and pharmacy partners.
  • Facilitated integration of innovative capabilities into care delivery models, improving cost, quality, and customer experience outcomes.
  • Developed actionable operational and customer insights for senior and executive management review, informing strategic decision-making.
  • Developed operational and customer insights for senior and executive management review.
  • Recommended processes for ongoing measurement, monitoring, and reporting of progress against key performance metrics.
  • Facilitated executive briefings, external benchmarking, and customer research to establish program goals and strategies.

Senior Program Manager | Provider Partnerships

BLUE SHIELD OF CALIFORNIA
2020.04 - 2021.06
  • Managed Dignity PPO ACOs across ten regions, Brown & Toland Physicians HMO and PPO ACOs, and the Dignity Central HMO ACO.
  • Led meetings with medical group and hospital physicians and staff, presenting financial performance and innovative approaches to reducing the overall cost of healthcare.
  • Coordinated internal departments to enhance operational performance, drive quality improvement, and strengthen external provider relationships.
  • Researched and presented actionable operational opportunities to improve healthcare cost efficiency and quality outcomes.
  • Maintained workplans, tracked clinical interventions, and supported workgroups operating within the ACO framework.
  • Mapped population health opportunities by region and developed innovative initiatives to enhance performance of new and existing ACOs.
  • Led annual financial reconciliations with hospital and medical group ACO partners.

Administrative Coordinator | Accountable Care Organizations

BLUE SHIELD OF CALIFORNIA
2015.06 - 2020.04
  • Supported four Program Managers and four Clinical Program Managers across 16 Northern California ACO collaborations spanning HMO, PPO, and Medicare lines of business.
  • Researched and presented operational opportunities to enhance healthcare cost efficiency and quality.
  • Maintained workplans and tracked clinical interventions while coordinating cross-functional ACO activities.
  • Supported workgroups and initiatives aimed at improving provider engagement within accountable care framework.

Regional Manager, Network Services | Sutter Independent Physicians

SUTTER MEDICAL FOUNDATION
2008.06 - 2015.06
  • Led practice development and enhancement activities, improving engagement and quality within Sutter Independent Physicians community provider network.
  • Managed physician education and performance initiatives involving P4P quality measures, RAF, care coordination, diagnostic coding, and variation reduction.
  • Facilitated operational resolutions for contracted community physicians, enhancing service delivery within Sutter Health system.
  • Acted as the primary operational contact for clinicians and office managers in operations, quality, training, and service excellence.
  • Implemented a PCP scorecard to measure clinical and cost performance for annual incentives.
  • Reported program results to physician leadership and executive committees, ensuring alignment with strategic initiatives.
  • Supervised four staff members in daily operations.

Project Account Manager | Sutter Select

SUTTER HEALTH SUPPORT SERVICES
2007.03 - 2008.06
  • Facilitated implementation of Sutter Select health plan across Northern California hospitals and medical foundations, enhancing accessibility to healthcare services.
  • Developed project plans and implementation timelines.
  • Conducted benefit analyses and facilitated enrollment fairs and educational sessions for employees and union representatives.
  • Presented plan information to Human Resources teams and employees through onsite forums.
  • Compiled and presented quarterly medical and pharmacy utilization reports to executive leadership, informing strategic decision-making.

Provider Relations Representative

SUTTER CONNECT CLIENT SERVICES
2005.01 - 2007.03
  • Cultivated collaborative relationships with Sutter Independent Physicians and its 500-physician network to enhance communication and support.
  • Identified, investigated, and resolved provider issues related to contracting, claims, and authorization processes, ensuring timely solutions.
  • Facilitated physician network projects and operational initiatives to contribute to quality improvement programs.

Family Practice Facility Manager

DERRICK SMITH, M.D.
1997.05 - 2005.01
  • Oversaw operations of two medical practice locations, managing team of 12 employees.
  • Managed billing, budgets, payroll, and patient satisfaction to ensure smooth daily operations.
  • Negotiated and maintained contracts with three medical groups to secure essential partnerships.

Office Manager

DERRICK SMITH, M.D.
1996.01 - 1997.12
  • Led front-office and back-office staff to ensure streamlined operations.
  • Promoted industrial and pre-employment medical services to local employer groups, enhancing community awareness.
  • Instructed employers on safe work environments while coordinating community health fairs to foster engagement.

Facility Manager

HEALTHSOUTH CORPORATION
1996.12 - 1997.05
  • Led operations of 24-hour urgent care center, managing 58 employees to ensure quality care.
  • Directed corporate policies, profit and loss statements, budgets, human resources, staff scheduling, payroll, and marketing to maintain operational efficiency.
  • Coordinated monthly staff and marketing meetings to align team objectives and strategies.

Medical Assistant | Occupational Medicine

SHARP HOSPITAL
1994.02 - 1996.01
  • Facilitated minor procedures, urine drug screenings, pre-employment testing, breath alcohol testing, and pulmonary function testing to ensure patient safety and compliance.
  • Collaborated with physicians and clinical staff in occupational medicine to enhance patient care and streamline workflows.
  • Assisted healthcare providers in patient examinations and procedures, ensuring comfort and safety.
  • Managed patient scheduling and electronic medical records, enhancing workflow efficiency.
  • Educated patients on treatment plans, medications, and follow-up care instructions to promote adherence.

Education

Bachelor of Science - Business Management

University of Phoenix
2003-06

Certification - undefined

Center for Health Education Advancement
1993-11

Skills

  • Health plan strategy
  • Product Launch Strategy
  • Market Analysis
  • Program leadership
  • Solution design
  • Cross-functional collaboration
  • Provider partnerships
  • Business case management
  • Executive briefings

Certification

Venipuncture Certification | Center for Health Education Advancement | November 1993

Timeline

Program Manager, Principal | Product Strategy, Marketing and Strategy

BLUE SHIELD OF CALIFORNIA
2025.01 - Current

Program Manager, Principal | Health Transformation Acceleration

BLUE SHIELD OF CALIFORNIA
2021.06 - 2025.01

Senior Program Manager | Provider Partnerships

BLUE SHIELD OF CALIFORNIA
2020.04 - 2021.06

Administrative Coordinator | Accountable Care Organizations

BLUE SHIELD OF CALIFORNIA
2015.06 - 2020.04

Regional Manager, Network Services | Sutter Independent Physicians

SUTTER MEDICAL FOUNDATION
2008.06 - 2015.06

Project Account Manager | Sutter Select

SUTTER HEALTH SUPPORT SERVICES
2007.03 - 2008.06

Provider Relations Representative

SUTTER CONNECT CLIENT SERVICES
2005.01 - 2007.03

Family Practice Facility Manager

DERRICK SMITH, M.D.
1997.05 - 2005.01

Facility Manager

HEALTHSOUTH CORPORATION
1996.12 - 1997.05

Office Manager

DERRICK SMITH, M.D.
1996.01 - 1997.12

Medical Assistant | Occupational Medicine

SHARP HOSPITAL
1994.02 - 1996.01

Certification - undefined

Center for Health Education Advancement

Bachelor of Science - Business Management

University of Phoenix

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    <ul><li>- Working in Collaboration with the Central Quality team in the development of Quantitative checklists for Aggregate reports.</li><li>- Performing QR of Safety reports i.e, PADER, DSUR, PBRER and DSURs.</li><li>- Managing QR Team for Safety reports and acting as a training lead for Safety Writing Team.</li><li>- Prepared and Performed QC of the trackers for RSI project.</li><li>- Performed Quality review of cases in Argus database for VOQR project. Created error-free reports and other outputs according to tightly defined specifications to ensure timely reporting of assigned job to program management.</li><li>- Participating in weekly meetings on a regular basis to understand the client's requirement for a particular program and ensure that the team meets or exceeds the targets in terms of quality, quantity within the scope of time constraints</li><li>- Responsible for reviewing the SOPs, job aids as per program specific requirements.</li><li>- Acting as a subject matter expert and helping the team members with day-to-day trouble shooting activities.</li><li>- Signal detection and risk management plan authoring or other assigned PV related activities for client's product(s), per the regulations and SOPs when required.</li><li>- Exhibiting a growing awareness of program strategy and thinking capability alongside independence.</li><li>- Reviewing and providing solutions for issues relating to program delivery or escalating appropriately to the Team Lead / Program Lead as required.</li><li>- Providing standards for gathering information for use in trend analysis.</li><li>- Involved in people development in partnership with PDG leads.</li><li>- Ensuring that all training (internal training and client training) are successfully completed in a timely manner.</li></ul> at Syneos Health<ul><li>- Working in Collaboration with the Central Quality team in the development of Quantitative checklists for Aggregate reports.</li><li>- Performing QR of Safety reports i.e, PADER, DSUR, PBRER and DSURs.</li><li>- Managing QR Team for Safety reports and acting as a training lead for Safety Writing Team.</li><li>- Prepared and Performed QC of the trackers for RSI project.</li><li>- Performed Quality review of cases in Argus database for VOQR project. Created error-free reports and other outputs according to tightly defined specifications to ensure timely reporting of assigned job to program management.</li><li>- Participating in weekly meetings on a regular basis to understand the client's requirement for a particular program and ensure that the team meets or exceeds the targets in terms of quality, quantity within the scope of time constraints</li><li>- Responsible for reviewing the SOPs, job aids as per program specific requirements.</li><li>- Acting as a subject matter expert and helping the team members with day-to-day trouble shooting activities.</li><li>- Signal detection and risk management plan authoring or other assigned PV related activities for client's product(s), per the regulations and SOPs when required.</li><li>- Exhibiting a growing awareness of program strategy and thinking capability alongside independence.</li><li>- Reviewing and providing solutions for issues relating to program delivery or escalating appropriately to the Team Lead / Program Lead as required.</li><li>- Providing standards for gathering information for use in trend analysis.</li><li>- Involved in people development in partnership with PDG leads.</li><li>- Ensuring that all training (internal training and client training) are successfully completed in a timely manner.</li></ul> at Syneos Health

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JENNIFER TORRES