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Medical Management, Sr. Director, Health Management Transformation_B
Schenectady, NY
Job Description
Medical Management, Sr. Director, Health Management Transformation_B
Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req #1182
Tuesday, July 12, 2022
Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!
Under the direction of the Chief Medical Officer and in collaboration with Health Management Vice Presidents, the Sr. Director, Health Management Transformation is responsible for driving Health Management transformation to achieve a higher level of excellence to better serve MVP customers. Areas of focus include:
An influencer who plays a critical part in achieving our vision, the Sr. Director, Health Management Transformation is responsible for driving transformation to ensure the department delivers on MVP's strategic, cultural, and business goals. Consistent with The MVP Way, they challenge teams to deliver innovative solutions and high-quality outcomes, on-time and within budget.
Leading with an entrepreneurial and innovative spirit, the Sr. Director, Health Management Transformation plays an integral role aligning the department with the ever-evolving digital health care world. They champion the use of digital technology and agile practices to cultivate a digital mindset and increase operational efficiency.
In partnership with key stakeholders, both internal and external, the Sr. Director, Health Management Transformation works to transform processes, adopt/utilize digital tool sets and modern platforms to reimagine the way that we deliver value to MVP customers. They drive organizational change by taking high-level strategies and aligning them for the team(s) to execute.
Responsibilities
Required Skills:
Education:
Experience:
About MVP
MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the EEO is the Law Poster and Supplement protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com
Please apply and learn more - including how you may become a proud member of our team.
Other details
Apply Now
Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req #1182
Tuesday, July 12, 2022
Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!
Under the direction of the Chief Medical Officer and in collaboration with Health Management Vice Presidents, the Sr. Director, Health Management Transformation is responsible for driving Health Management transformation to achieve a higher level of excellence to better serve MVP customers. Areas of focus include:
- Quality
- Case Management
- Utilization Management
- Pharmacy
- Clinical Provider Strategy
- Risk Adjustment
An influencer who plays a critical part in achieving our vision, the Sr. Director, Health Management Transformation is responsible for driving transformation to ensure the department delivers on MVP's strategic, cultural, and business goals. Consistent with The MVP Way, they challenge teams to deliver innovative solutions and high-quality outcomes, on-time and within budget.
Leading with an entrepreneurial and innovative spirit, the Sr. Director, Health Management Transformation plays an integral role aligning the department with the ever-evolving digital health care world. They champion the use of digital technology and agile practices to cultivate a digital mindset and increase operational efficiency.
In partnership with key stakeholders, both internal and external, the Sr. Director, Health Management Transformation works to transform processes, adopt/utilize digital tool sets and modern platforms to reimagine the way that we deliver value to MVP customers. They drive organizational change by taking high-level strategies and aligning them for the team(s) to execute.
Responsibilities
- Cultivate a growth mindset within the team; encourage problem-solving, strategic thinking, customer-orientation.
- Work with key stakeholders to understand needs and opportunities to advance MVP corporate strategies within Health Management.
- Represent Health Management as a key member of strategic initiatives and serve as a critical resource to staff to translate strategy into actionable plans.
- Leverage Lean methodology to build a culture of continuous process improvement across Health Management.
- Partner with VP, Business Transformation to drive organizational change management initiatives based on Denison Culture Survey data.
- Liaise with leadership of other teams such as Growth, IT, Customer Engagement, and Operations to ensure alignment.
- Support Health Management operations in various capacities; other duties as assigned.
- Develops and manages staff who collaborate to advance Health Management operations in various capacities with a core focus on customer satisfaction and efficiency.
Required Skills:
- Ability to influence both horizontally and vertically to keep projects on track.
- Proven ability to leverage technology to streamline process and eliminate manual effort/waste.
- Demonstrated ability to lead diverse teams of various sizes, including remote, internal & external resources.
- Entrepreneurial mindset geared toward innovation and continuous improvement.
- Ability to manage multiple priorities with autonomy and independence.
- Strong leadership skills with ability to function tactically with business areas but also comfortable with senior level presentations.
- Excellent critical thinking, problem solving, and organizational skills.
- Ability to formulate and express ideas clearly and effectively in verbal and written presentations.
- Skilled in decision-making, conflict resolution and meeting facilitation.
- Ability to work collaboratively and professionally.
- Working knowledge of emerging technology and industry trends.
- Desire to embrace and apply the MVP Way.
Education:
- Master's degree or higher in business, health policy, or a health-related field
Experience:
- Minimum 7 years health plan experience
- Leadership experience in digital transformation
- Experience in designing, developing, and implementing complex strategic initiatives
- Proven success in leading/facilitating a diverse group of stakeholders
- Experience with leading or working within product teams
- Strong project management and business analysis background.
- Experience interfacing external vendors, partners, etc. Process engineering discipline
About MVP
MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the EEO is the Law Poster and Supplement protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com
Please apply and learn more - including how you may become a proud member of our team.
Other details
- Job Family Medical Management/Clinical
- Pay Type Salary
Apply Now
- Headquarters Office, 625 State Street, Schenectady, New York, United States of America
Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Master's Degree
Required Experience
7+ years
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