Job Description

**Primary City/State:** Phoenix, Arizona **Department Name:** Plan Admin **Work Shift:** Day **Job Category:** General Operations A network with resources for leaders with vision. Our leaders are at the front of the health care transformation, planning the future of Banner Health. If changing health care for the better sounds like something you want to be part of, we want to hear from you. Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package. POSITION SUMMARY This position has overall accountability for the operational leadership and day-to-day management of the health insurance plans and networks, ensuring service excellence, regulatory compliance, financial integrity, and strategic growth. This role is responsible for assuring positive relationships with all constituents including members, regulators, providers, employees, and the community while implementing strategies to achieve desired business outcomes. Participates and collaborates with the system to deliver value. Responsible for ensuring operations are in compliance with clinical guidelines, contractual, accreditation, and regulatory requirements. CORE FUNCTIONS Operational Leadership 1. This position is accountable for overall health plan and network operations and operational efficiencies. Maintains responsibility for day-to-day operations while ensuring service excellence. Develops and implements strategic, tactical, and operational planning to achieve desired business outcomes. 2. Oversees budgeting, financial stewardship, and capital planning. Ensures efficient utilization of resources to maximize operating margin. 3. Establish performance goals and ensure that the health plans and networks meet broad operational and growth targets. Leads senior leaders across the organization, fostering a culture of accountability. 4. Collaborates with leaders in care delivery to optimize the advantages of the integrated health system and leverage the synergies across the system for implementing value-based models that improve health for all. 5. Establishes optimal organizational design, structure and processes to effectively manage the complexities of large health plans and networks as part of an integrated health system while supporting growth and strategy execution. Financial Management 6. Develops and monitors financial performance and health plan outcomes to assure objectives are met, as established by corporate leadership and the Board of Directors. 7. Maintains effective budgeting discipline in conjunction with operational management to meet planned revenues, expenses, and profit goals. Makes appropriate decisions regarding capital and technology acquisition Strategic Planning 8. In alignment with the System Strategic Plan, develops short and long-term plans to carry out organizational goals. Identifies growth opportunities and program development initiatives. Ensures the integration of new and innovative operations and services by providing leadership that maximizes management's contributions and assures timely decision-making reflective of the system's mission, vision, and values. 9. Maintains a competitive position within the health insurance market. Drives communications and marketing necessary to reach and retain members. Reviews operations and makes decisions, as appropriate, on costs, pricing, allocation of resources and related issues. Collaborates with the system and its divisions to develop and execute innovative care models that decrease unnecessary clinical variation, reduce the total cost of care and increase access. Service Excellence 10. Maintains a service excellence culture with high expectations for positive member experiences. Drives, supports, and models a service-oriented culture focused on member safety. Promotes collaboration and serves as a liaison to providers and members Regulatory Compliance 11. Maintains compliance with regulatory and accreditation standards. Acts as regulatory liaison representing the health plan to government/external agencies. Ensures timely and accurate reporting to regulatory agencies at local, state, and federal levels Leadership and Team Development 12. Sets high performance expectations for leadership teams. Develops team members to ensure continued professional growth and talent management to support the development and long-term success of the organization. Maintains ongoing communication with employees to ensure staff is well-informed of the deal and organizational integration work. Banner Health Leadership will strive to uphold the mission, values, and purpose of the organization. They will serve as role models for staff and act in a people-centered, service excellence-focused, and results-oriented manner. MINIMUM QUALIFICATIONS Strong knowledge of healthcare operations as normally obtained through the completion of a Master's Degree in health or hospital administration, business administration or a related professional field or equivalent level of education and experience. Must possess a strong knowledge and understanding of health plan operations as normally demonstrated through at least 10 years of progressive experience in a major health care organization or health plan setting. Must have knowledge of modern national trends in managed care quality and member safety. Must be a unique communicator and be an expert in the power of persuasive argument in a way that engenders understanding and trust. Demonstrated ability to provide leadership in a way that reinforces the organization's mission, vision and values. Capable of providing leadership which displays a positive attitude and flexibility in changing situations, participates in identifying problems and suggesting solutions. Effectively uses problem-solving skills in a team environment to develop and implement solutions. Experience in the successful integration of acquired or partnered organizations is preferred. Demonstrates analytical, problem solving and negotiation skills. PREFERRED QUALIFICATIONS Previous experience with a large, non-profit health care system is highly desirable. Certification in healthcare management: CHE or FACHE credential preferred. Additional related education and/or experience preferred. **EEO Statement:** EEO/Disabled/Veterans ( Our organization supports a drug-free work environment. **Privacy Policy:** Privacy Policy ( EOE/Female/Minority/Disability/Veterans Banner Health supports a drug-free work environment. Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability

Job Tags

Temporary work, Local area, Shift work,

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