Senior Director, Network Strategy & Planning

This is a fully remote position, open to applicants in Illinois, +3 more states.

📋 Description

• Formulate business plans and provider network strategies across Commercial, ACA, Medicare, and Medicaid sectors.

• Collaborate with cross-functional leadership to implement provider network strategies.

• Oversee the design, enhancement, and long-term planning of provider networks.

• Maintain a balance between financial discipline, quality, and accessibility across various lines of business.

• Utilize provider contracting, performance management, best practices, and market innovations to influence expansion and financial strategies.

• Manage matrix relationships with essential enterprise areas.

• Convert executive strategy into measurable business outcomes by fostering alignment and execution across high-priority initiatives.

• Supervise teams responsible for multiple lines of business, geographical planning, and development of provider network strategies.

• Assess provider network strategy proposals against established goals, objectives, and operational capabilities.

• Monitor results against business plans and deliver executive-level reporting.

• Create market, competitive, and internal analytics.

• Lead the creation of presentations, reports, dashboards, and other deliverables.

• Keep track of best practices and strategic trends in healthcare products and the industry.

• Ensure adherence to HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies, and other relevant policies.

• Uphold confidentiality and communicate with management regarding assigned duties.

• Undertake special projects as necessary or upon request.

⛳️ Requirements

• Bachelor’s degree and 8 years of experience in healthcare, health insurance, or a strategic consulting environment.

• 5 years of management experience.

• Proficiency in strategic planning, strategy development, analytics, and research.

• Experience in leading and mentoring team members.

• Strong verbal and written communication skills that are clear and concise.

• Proven success in interacting with senior management and staff across various departments.

• Excellent organizational skills, including the ability to prioritize tasks effectively.

• Skills and experience in creativity, innovation, analysis, and implementation.

• Business acumen and capabilities in project/process integration.

• Experience in managing annual budgets and resource allocation.

• Ability to translate needs and initiatives into persuasive business cases.

• Experience in conducting cost-benefit analyses to validate investments and ensure return on investment (ROI).

• Remote employees must reside within the continental United States, excluding Alaska, California, Hawaii, or New York.

• Sponsorship is not provided.

🏝️ Benefits

• Curated development plans and opportunities for professional growth.

• 401(k) savings plan.

• Pension plan.

• Paid time off.

• Paid parental leave.

• Disability insurance.

• Supplemental life insurance.

• Employee assistance program.

• Paid holidays.

• Tuition reimbursement.

• Annual incentive bonus plan.

• Additional incentives.