Executive Director of Health Plan Operations

The Executive Director of Health Plan Operations is accountable for health plan success within a given market, leading local initiatives to achieve Member Engagement, Quality, Coding, Affordability, Growth and Retention goals.

Requirements

• Bachelor's degree required with emphasis in business, marketing, economics, health or public policy preferred
• 3+ years of experience in health care / managed care organization with demonstrated track record of increasing responsibility and accountability
• Experience in a Medicare Advantage or other government-funded healthcare business is highly preferred
• Experience with value base and risk based negotiating arrangements
• In-depth experience with health care providers / networks, CMS Quality Programs (Star ratings, HEDIS measures), Part D and clinical quality
• Demonstrated strong financial acumen and analytical skills
• Strong written and verbal communication skills
• Demonstrated success building relationships with external executives and stakeholders

Benefits

• E-Verify participation
• Equal Opportunity Employer