Description

The Senior Director, Individual Market Sales & Broker Strategy, is responsible for developing and executing a sales and broker strategy to grow and retain Medicare Advantage, Individual and Family Plan, and Commercial Small Group membership across the Division. In this role, the Senior Director will lead a team who play a significant role in achieving overall value-based membership growth and revenue goals. This position will build and manage external relationships with brokers and payers, develop annual outreach strategies, and partner with Marketing, Communications, and Operations to execute these strategies. In addition, the Sr. Director will maintain a strong relationship and connection with aligned Medical Groups and Affiliated Physicians to achieve growth goals.

KEY RESPONSIBILITIES

• Responsible for the development and implementation of broker strategy designed to increase patient net new acquisition for Medicare and commercial individual and small group segments for all the South Division.

• Collaborate with other parts of the organization providing the expertise and support to achieve patient acquisition and retention goals.

• Collaborate with Providence leadership in the South Division to understand their business goals and then implement programs to grow their business or retain existing business.

• Lead Medicare open enrollment strategy through the implementation of broker and health plan sales meetings throughout the South Division. Encourage staff to work with brokers and health plans to develop and implement meetings that will provide plan choice for Providence.

• Develop strategy to continuously improve patient retention. Partner with Marketing and Communications to develop strategies to reach patients who have the potential to leave Providence.

• Support broker channel through large scale quarterly and annual events which provide pertinent information assisting brokers promoting Providence high quality care to local communities.

• Develop and coordinate broker communications for the Providence South Division by working with Marketing to develop semi-annual newsletter and collateral development. Develop communications timelines with marketing to assure all deadlines are met.

• Conduct market analysis to evaluate trends and provide insight into opportunities with new market entries, new benefit designs, and other factors leading to increased enrollment.

• Develop and execute strategies to grow Individual and Family Plan and Small Group membership.

• Implement and manage the systems and structures for on-going support of broker escalated member complaints and issue resolution

• Partner with Medical Group and Affiliated Physicians to implement successful member on-boarding programs

• Manage the individual market sales and broker relations within the established budget.

• Hire and retain a high performing team; ensure new employees are oriented to their department and well trained for their jobs.

• Organize the department workload and establishes work standards to promote efficiency and productivity.

• Provide on-going periodic reporting of key performance indicator to be shared across the Division.

• Works in a safe manner, adhering to general safety precautions and standards. Reports any unsafe conditions to their supervisor and/or the safety hotline.

IDEAL QUALIFICATIONS

• Bachelor's Degree in Healthcare Administration, Marketing, Communications, or related field

• Master's Degree in Healthcare Administration, Marketing, Communications, or related field (preferred)

• Upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request. See policy for additional information.

• 8 years of experience with a health insurance, health system or consulting firm

• 5 years of Leadership Experience

• Demonstrated experience in marketing, communications, and strategic planning.

• Experience building and maintaining trusted relationships with the broker community.

• Experience operating in a regulatory environment and communicating with the Center for Medicare & Medicaid Services (CMS)

• Superior knowledge of the regulatory requirements of healthcare insurance, specifically the Center for Medicare & Medicaid Services (CMS), Covered California, and the Department of Managed Health Care (DMHC)

• Demonstrates ability to drive multiple large-scale initiatives across a large matrixed organization leading to the successful completion.

• Efficiently and effectively solves complex problems.

• Understands and contributes to the development of key organizational priorities.

• Manages relationships across various teams within highly complex and matrixed organization.

• Approaches problems with tenacity to push the organization forward.

• Demonstrates a creative and innovative approach to business development.

• Anticipates and takes personal responsibility for customer satisfaction.

• Consistently goes out of the way to listen, understand, and support the needs of others.

• Performs challenging tasks efficiently and effectively.

• Anticipates problems and takes corrective action prior to completing the task.

• Sets challenging objectives and works against self-defined standards of excellence to continually improve personal performance.

• Demonstrated planning and project management skills.

• Ability to quickly assess the current state, develop unique solutions, and drive implementation.

• Strong attention to detail and excellent analytical skills

• Demonstrated management skills and ability to work effectively to build relationships with colleagues, customers, and executive management through positive interaction.

• Proven ability to organize multiple projects, schedules, demand and to meet shifting priorities.

• Demonstrated ability to study, understand, adapt, and respond effectively to a constantly changing environment.

• Listens with sensitivity and openness.

• Actively seeks constructive feedback and remains open and receptive to it.

• Anticipates the information needs of others.

• Proven skills in communicating with customers, caregivers, and support staff.

• Excellent presentation and analytical skills plus demonstrated skills to handle a variety of assignments simultaneously.

• Strong interpersonal and communication skills (written, presentation and verbal)

• Advanced working knowledge of Microsoft Office products, social media outlets, copywriting and print production required.

• Demonstrates knowledge of the California Medicare Market, including Brokers, MCOs, health plans, Medical Group, and IPA landscape

• Ability to work some weekends and evenings as necessary.

• Ability to provide inspired leadership as a servant leader and team player.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 262210
Company: Providence Jobs
Job Category: Product Management & Support
Job Function: Project/Product Management
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 7000 PUBLIC RELATIONS CA SOCAL 1
Address: CA Irvine 3345 Michelson Dr
Work Location: Providence Health System Office-Irvine
Pay Range: $72.72 - $117.05
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.