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Sr Director, Network Strategy & Planning- Work from home

Role overview

Qualifications

  • Bachelor degree and 8 years of experience in health care, health insurance, or strategic consulting environment
  • 5 years management experience
  • Experience with strategic planning, strategy development, analytics and research
  • Experience leading and mentoring staff

Responsibilities

  • Manage team responsible for multiple lines of business / Plan Geographies / provider network strategy development and assist leadership as needed
  • Conduct ideation around line of business provider network strategies and evaluate new ideas and concepts against goals, objectives and operational capabilities
  • Develop market, competitive and internal analytics in support of provider network strategy development across all lines of business
  • Lead the development of clear and compelling deliverables that present work approach and results to multiple internal/external audiences

Key facts

Hard skills

Other skills

  • Strategic Planning
  • Leadership
  • Communication
  • Creativity
  • Problem Solving
  • Team Management
  • Organizational Skills
  • Business Acumen

About the company

Health Care Service Corporation logo

Health Care Service Corporation

Health Insurance (Payers)

Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is an Independent Licensee of the Blue Cross and Blue Shield Association. We are the largest customer-owned health insurer in the United States, serving more than 18.6 million members through our Plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs. Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry. As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for developing business plans and provider network strategies across all lines of business - Commercial, ACA, Medicare, and Medicaid - and partnering with cross-functional leadership to execute them. This leader will lead the design, optimization, and long-term planning of HCSC’s provider networks to balance financial discipline, quality, and access across lines of business. This leader will leverage insights from provider contracting, performance management, leading practices, and market innovations to shape ambitious expansion and financial strategies that position HCSC as a market leader.  This leader will manage matrix relationships with key enterprise areas and ensure that executive strategy translates into measurable business outcomes by driving alignment and delivery across high-priority initiatives.

Job Responsibilities:

1. Manage team responsible for multiple lines of business / Plan Geographies / provider network strategy development and assist leadership as needed

2. Conduct ideation around line of business provider network strategies and evaluate new ideas and concepts against goals, objectives and operational capabilities. Ensure initiatives are measured against outcomes and business impact, not activity. Track results against business plans and strategies and provide executive level reporting to leadership.
3. Develop market, competitive and internal analytics in support of provider network strategy development across all lines of business.

4. Lead the development of clear and compelling deliverables that present work approach and results to multiple internal/external audiences, in presentations, reports, dashboards, etc.

5. Keep abreast of best practices and strategic trends in health-care products and industry in general.
6. Ensure team compliance with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
7. Communicate and interact effectively and professionally with co-workers, management, customers, etc.
8. Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
9. Maintain complete confidentiality of company business.
10. Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.

JOB REQUIREMENTS:
* Bachelor degree and 8 years of experience in health care, health insurance, or strategic consulting environment
* 5 years management experience
* Experience with strategic planning, strategy development, analytics and research
* Experience leading and mentoring staff
* Clear and concise verbal and written communication skills
* Experience with interacting successfully with senior management and staff across multiple departments
* Organizational skills, including ability to prioritize tasks
* Creativity and innovation, analysis and implementation skills and experience
* Business acumen and project/process integration skills.

*Overseeing the annual budget and allocating resources for various projects and operational needs.

*Translating needs and initiatives into compelling business cases.

*Conducting cost-benefit analyses to justify investments and ensure ROI.


PREFERRED JOB REQUIREMENTS:
* MBA or MHA
* Health care industry experience

* Experience with regulated markets (ACA, Medicaid, and Medicare Advantage)

#LI-TR1

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*Please note: This is a Telecommute (Remote) role. Remote employees must live within the continental United States, excluding  Alaska, California, Hawaii or New York. Sponsorship is not available

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$121,200.00 - $225,200.00

Exact compensation may vary based on skills, experience, and location.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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