Senior Director, Product Performance & Operations
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Job Description
Senior Director leading Marketplace Program Strategy to enhance business operations within the health care insurance sector. Collaborating across functional areas and ensuring consumer satisfaction through performance improvements.
Responsibilities:
- Lead the development of the overall Marketplace Program Strategy
- Establish and strengthen trusted advisor relationships with Enterprise functional business leaders
- Achieve a strong understanding of the Marketplace program elements that drive performance
- Partner with stakeholders to develop Marketplace program KPIs and metrics
- Evaluate administrative spend for the Marketplace program
- Execute Enterprise strategic initiatives as it relates to performance / process improvements
- Partner with the Consumer Experience team to identify and execute enterprise / market-level consumer improvement initiatives
- Accountable for hiring, training, coaching, performance appraisals and motivating collaboration
- Develop budget for area of responsibility
Requirements:
- Bachelor's degree in related field required
- Master's in a related field preferred
- Equivalent years of relevant work experience may be accepted in lieu of required education
- Seven (7) years of experience driving performance and process improvements in the health care insurance industry required
- Five (5) years of leadership and management experience required
- Experience in cross-functional health care insurance operations such as the following: Finance/Actuarial, sales/marketing, consumer experience/call center, grievance and appeals, population health management, including behavioral health, wellness, pharmacy and ancillary benefits, provider contracting, credentialing, enrollment, pricing, services and data maintenance, enrollment and revenue cycle operations, claims and encounters, and member and benefits configuration required
- Experience with Government-regulated (Federal and/or State) health insurance products including Medicaid, Medicare and Marketplace required
Benefits:
- health insurance
- retirement plans
- paid time off
- flexible work arrangements
- professional development opportunities
- bonuses
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