Market President Regional Health Plan
healthcare
MarketPresidentRegionalHealthPlan-Utah
Neural analysis suggests this role is
optimal for Senior candidates.
“Market President Regional Health Plan - Utah at Market President Regional Health Plan. Skills: Strategic Planning, Financial Management, Business Development, Operational Oversight. Develop, execute and integrate comprehensive market strategies. Lead market analysis, competitive positioning, and growth initiatives”
What You'll Achieve.
Drive integrated growth across and among product lines; Ensure operational excellence; Build and maintain the organization’s brand and position; Ensuring the health plan’s financial success; Regulatory compliance; Delivery of high-quality healthcare services; Increase market share; Expand membership; Cultivate new business opportunities; Enhance satisfaction and retention; Ensure the delivery of efficient, high-quality services; Monitor performance; Ensure the market meets or exceeds financial targets; Maintain adherence to all federal, state, and local regulations; Build and sustain high-performing provider networks; Deliver clinical outcomes; Provide competitive products; Deliver provider satisfaction; Address community health needs; Enhance member and provider satisfaction; Enhance clinical quality; Enhance population health outcomes; Drive improved outcomes across products and programs
Industry & Context.
May require business travel, as needed
What They're Looking For.
Must Have
Bachelor's degree and advanced degree in business administration, health management, public health, or related field, Minimum of 15 years progressive leadership experience in health plan, managed care, hospital, or broader healthcare industry, Must have held at least one VP, C-suite or leadership level position that required P&L accountability and senior level relationship management, Demonstrated success in market management, operational excellence, and business development, Minimum of 5 years of direct supervisory experience in a matrix organization, Deep understanding of health plan administration, insurance regulations, and healthcare delivery systems, Proven leadership capabilities in strategic planning, financial management, project management, and team development, Exceptional interpersonal, communication, and negotiation skills, Excellent written and verbal communication skills, Ability to build local networks and represent the health plan in diverse public forums, Commitment to upholding the highest standards of compliance, ethics, and corporate responsibility
Nice to Have
Professional certifications in healthcare management or insurance (e. g. , FACHE, CHIE, CEBS) are advantageous but not required
What You'll Do.
execute and integrate comprehensive market strategies
competitive positioning
and growth initiatives
Identify and oversee initiatives to increase market share
Build and maintain relationships with brokers
Oversee marketing strategies to promote health plan services
Ensure delivery of efficient
high-quality services
Monitor performance through operational reporting
Develop and manage state
market and product level budgeting
Monitor key performance indicators and financial targets
Maintain adherence to all federal
and local regulations
Serve as primary contact for regulatory agencies
Build and sustain high-performing provider networks
Oversee negotiations and contracts with hospitals
Serve as local face of the health plan
Champion initiatives that address community health needs
and develop high performing teams
Foster a culture of accountability
Develop and oversee programs to enhance member satisfaction
Collaborate with medical directors
care management teams
Cultivate partnerships with local government
Advocate for health plan's interests
Manage and execute Joint Venture contract aspects
How You'll Work.
Team & Collaboration
Develop and maintain relationships with strategic leaders; Build and maintain relationships with brokers, employers, and other business stakeholders; Partner with local and central functions on continuous process improvements; Foster collaborative relationships with clinical leaders and operational partners; Lead, mentor, and develop high performing, cross-functional teams; Ensure robust talent management and succession planning practices; Collaborate with medical directors, care management teams, and quality improvement specialists; Cultivate partnerships with local government, public health agencies, advocacy organizations; Manage the executive committee, any subcommittees
Communication Scope
Exceptional interpersonal, communication, and negotiation skills; Excellent written and verbal communication skills
Process & Methodology
Project management
Full Job Description
**Job Description:** The Market President is the senior officer for a regional health plan and is authorized to commit the organization’s resources to develop strategy to drive integrated growth across and among product lines, ensure operational excellence, and build and maintain the organization’s brand and position in the health care market and broader business community within the defined geographic market. This role is charged with ensuring the health plan’s financial success, regulatory compliance, and delivery of high-quality healthcare services to members, employers, providers, and community partners and taking accountability for all aspects of the health plan’s successes and challenges at the local, and state l level. As the State Level Executive, this role must also effectively translate the regional health plan’s needs within the parent organization to ensure that the state and requirements – operational, regulatory, financial and otherwise are understood and executed among the needs of the other State health plans served by the centralized functions. **Location** * This position is based in Salt Lake City, Utah and may require business travel, as needed, to be successful in the role. **Essential Functions** * Strategic Leadership: Develop, execute and integrate comprehensive market strategies that align with organizational objectives, respond to market dynamics, and advance Select Health’s mission. Lead market analysis, competitive positioning, and long-term growth initiatives for multiple products across states, territories and markets. Develop and maintain strong relationships with strategic leaders including but not limited to Insurance Commissioners, Health Cabinet Leaders, Elected Officials, Industry Associations and other key stakeholders. * Business Development: Identify and oversee initiatives to increase market share, expand membership, and cultivate new business opportunities that align and enhance organizational objectives. Build and maintain s
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