Senior Director, Health Plan – Self-Funded Employer Relationships

This is a fully remote position, open to applicants in United States.

📋 Description

• Ownership of client transitions, implementations, and lifecycle management.

• Acting as the primary executive responsible for the transition of new clients from the Sales team to contract execution.

• Facilitating the formal handoff process from Sales to Operations, ensuring clarity in scope, alignment with contractual obligations, performance guarantees, and readiness for implementation.

• Collaborating with Operations to create a summary implementation plan for client alignment and progress tracking.

• Establishing a governance structure for implementation, including milestone tracking and a schedule for executive reporting.

• Ensuring that the go-live is achieved on time, within budget, and in accordance with contractual commitments.

• Working in partnership with implementation, operations, and consultative teams to ensure successful onboarding.

• Transitioning clients from the implementation stage to ongoing service with clearly defined performance metrics and a value roadmap for the first year.

• Maintaining continuous lifecycle ownership throughout renewal and expansion phases.

• Building trusted relationships with C-suite executives (HR, Finance, Benefits, Population Health leadership).

• Leading regular executive business reviews (QBRs), performance assessments, and strategic planning meetings.

• Overseeing Guidehealth's accountability for Total Cost of Care (TCOC).

• Analyzing client-specific claims, utilization, quality, and engagement data to pinpoint cost containment opportunities.

• Identifying avenues for service expansion within current accounts.

• Striving for excellence in member and patient experiences.

⛳️ Requirements

• Minimum of 4 years of experience in healthcare client service and strategy, program implementation, and/or support for value-based care services and technologies.

• Proven experience in leading client implementations and managing cross-functional onboarding processes.

• Knowledge of healthcare and value-based care dynamics.

• Familiarity with utilization management processes.

• Understanding of claims processing and benefit administration.

• Experience in population health analytics.

• Knowledge of HEDIS quality measurement.

• Demonstrated ability to manage relationships with executive-level clients.

• Strong financial acumen with the capability to analyze cost-of-care drivers and return on investment (ROI).

• Excellent communication and executive presentation skills.

• Willingness to travel up to 50% to client locations.

🏝️ Benefits

• Work from Home: Guidehealth operates as a fully remote company, allowing you to minimize commuting time and focus more on your professional and personal objectives.

• Keep Health a Priority: We provide comprehensive Medical, Dental, and Vision plans to ensure your health needs are met.

• Plan for the Future: Our 401(k) plan features a 3% employer match on your 6% contribution.

• Have Peace of Mind: Life and Disability insurance are provided for those unexpected moments, along with optional voluntary Life insurance to protect you and your loved ones.

• Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) offers support during challenging times.

• Take Time for Yourself: We provide paid time off plans to help you achieve a healthy work-life balance and meet your personal objectives.

• Support Your New Family: Guidehealth offers paid parental leave to give you the time you need for family matters.

• Learn and Grow: We prioritize your professional development by offering various resources aimed at advancing your career with Guidehealth.