Senior Director, Health Plans

DirectorDirectorFull TimeRemoteSeniorTeam 11-50H1B SponsorCompany SiteLinkedIn

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

Related Categories

Related Job Pages

More Director Jobs

CharacterStrong logo

Director of Implementation – MTSS Innovation

CharacterStrong

K-12 character development curriculum and professional learning opportunities.

Director97 days ago
Full TimeRemoteTeam 11-50H1B No Sponsor

Director of Implementation at CharacterStrong focuses on MTSS and professional development.

Go
Washington
$150K - $175K / year
Director97 days ago
Full TimeRemoteTeam 1,001-5,000H1B Sponsor

Director of Medical Science Liaison leading field-based MSLs and collaborating on medical strategy

District of Columbia
$198.3K - $270K / year
Counterpart logo

Director, Professional Liability – Lawyers Professional Liability

Counterpart

Management & professional liability insurance for the 21st century workplace

Director97 days ago
Full TimeRemoteTeam 11-50H1B No Sponsor

Director for Lawyers Professional Liability insurance product development

United States
$200K - $270K / year
Customer.io logo

Director of IT

Customer.io

Email, push notifications, text messages, in-app messages, webhooks: automated and powered by your data.

Director97 days ago
Full TimeRemoteTeam 51-200Since 2012H1B No Sponsor

Director of Internal IT overseeing technology operations at Customer.io

CloudCyber Security
United States
$170K - $185K / year