Health Plan Programs Lead

Job Summary:

We have an exciting opportunity for a Health Plan Programs Lead. The Health Plan Programs Lead will execute strategic initiatives, business plan, and partnerships. This role will lead initiatives with multiple stakeholders and leaders to drive successful & measurable outcomes.

The ideal candidate has a voracious appetite for solving complex problems, enjoys partnering with numerous organizations and stakeholders, lives to deliver outstanding results and is passionate about transforming the healthcare industry from fragmented fee-for-service to coordinated, financially sustainable systems.

This role reports to Chief Health Plan Officer.

What You Will Be Doing:

• Partner with CHPO and VP of Operations to build relationships with partners, vendors, etc. and drive projects forward in an organized and replicable manner using Project Management structures and strategies.
• Manage current and future high-profile initiatives from conception through to implementation
• Ensure project team hits deliverable timelines
• Keep abreast, train/communicate changes in Health Plan guidelines and regulations, changes in the health care services, changes in the legal/legislative arena that impact Decent
• SME on Decent plans and Decent benefits.
• Provide detailed analysis on key data in potential new markets to inform expansion plans
• Understand and manage downstream impacts of program(s)
• Provide support to other departments (CS, Product, etc.) as needed

Experience:

• Bachelor's degree in Business or related field required.
• 6+ years in Healthcare, Health Plan Administration, Hospital Administration, Healthcare Consulting
• 2+ years with business analysis, program and project management
• Deep understanding of the US healthcare system and the economic drivers of healthcare.
• Proven ability to assess problems, identify solutions, remove barriers, bring people along and get results.
• Strong ability to confidently leverage data and financial analysis to understand problems, identify options, inform decisions, and drive targeted outcomes.
• Demonstrated leadership skills and ability to flex between strategic thinking and effective execution.
• Excellent research, writing, listening and verbal communication skills
• Effective public speaking/presentation skills
• Entrepreneurial spirit, drive, and creativity, including willingness to roll up your sleeves
• Comfortable in a constantly evolving and fast-paced environment

Preferred Experience:

• Master’s degree in Business or Health Administration