Senior Director, Health Plans
Location
United States
Posted
97 days ago
Salary
$180K - $210K / year
Seniority
Senior
Bachelor Degree7 yrs expEnglish
Job Description
• Lead THI’s effort to activate health plans to invest in the drivers of health, generating practical ideas and establishing the business case for doing so, & getting leaders to go on the record with the sector and policymakers about the importance of this approach.
• Support identification & recruitment of potential health plan partners for THI & engage other health plans if/as needed to achieve THI’s goals.
• Develop, secure, and successfully execute THI’s contractual agreements with health plans.
• Define quarterly, annual, & multi-year swim lane goals with corresponding milestones.
• Create and execute plans to meet those goals, identify key stakeholders & define analysis and artifacts that will compel action.
• Oversee the creation and finalization of all swim lane deliverables, e.g. briefings, articles, public comments, presentations, reports for a diverse set of stakeholders including policymakers, health plan executives, researchers, and funders.
• Ensure quality of content and process.
• Direct, mentor, & coach the cross-functional team members supporting the swim lane.
• Manage a subset of external relationships and support other THI executives in managing additional stakeholders.
• Monitor the healthcare landscape/ecosystem for developments relevant to THI goals, efficiently communicate internally or externally as appropriate, & integrate into prioritization.
• Collaborate with other THI swim lane leaders to achieve organizational goals, including partnership / development initiatives.
• Actively participate in the THI Leadership Team to strengthen organization-wide operations and culture.
Job Requirements
- Deep understanding of health plans’ business model, culture, operating model, customers, & context.
- Knowledge of the means through which plans engage policymakers, members, investors, & other stakeholders.
- Knowledge of health plan leadership priorities, mental models, & pain points.
- At least 7 years of prior employment with direct engagement of senior leadership at a health plan and/or at CMS working closely with plans.
- Experience in a core business function and/or government affairs leading a division or team required; experience leading cross-functional team members preferred.
- Sufficient fluency in Medicare, Medicaid, and commercial payment policy required; Actuarial experience or direct involvement with bid development for the MA market and/or rate development for the Medicaid market preferred.
- Ability to understand current constraints, think creatively about how to achieve THI’s objectives within these or by altering them, & to persuade others to take action consistent with this approach.
- Experience supporting senior executives/leaders (e.g., preparing oral and written briefings).
- Ability to manage up, down, and across peers.
- Skill in activating stakeholders and facilitating complex, multi-party discussions.
- Strategic goal-setting and execution in dynamic environments.
- Experience leading change management efforts preferred.
- Baseline knowledge of the impact of drivers of health on outcomes, cost & utilization.
Benefits
- Full coverage of medical, dental, and vision insurance
- Generous 401K matching and parental leave.
- Unlimited sustainable vacation and sick time
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