Vice President - Network Management - HAP - Detroit

QUALIFICATIONS & EXPERIENCE:

1. Education: Minimum Bachelor’s degree in Business Administration, Healthcare Administration or related field with a relevant advanced degree (MHA or MBA) preferred.

2.  At least 10 years of relevant health plan experience; with demonstrated competency in strategy development, negotiations, execution and implementation of contracts.  

3.   Minimum five (5) years of relevant management experience.   

4.  Demonstrated or equivalent experience in developing and managing networks to support comprehensive health insurance products.

5.  Demonstrated financial acumen and experience using medical cost and other data and information as the basis for making sound decisions in contracting, as well as in the delivery of medical management, quality management and related improvement programs.

6.  Experience working closely and effectively with physicians, hospitals, and other healthcare providers, with a preference for experience in integrated delivery systems.

7.  Proven leader with a demonstrated ability to lead and influence the direction of large scale enterprises.

8.  A strong leader with proven ability to identify the need for change, anticipating, recognizing and creatively addressing resistance to change; working with others to view change as a challenge and opportunity for growth. 

9. Complete understanding of Medical Loss Ratio (MLR) cost drivers and a demonstrated success in managing the medical cost component of the MLR.

10.Demonstrated or equivalent experience in leading all aspects of provider network activities, including network development, provider contracting strategies and negotiations, and provider servicing and relations which will facilitate the creation and maintenance of a high performing, accountable and engaged provider network.   

11. Strategic influencer who drives agreement through intellect, interpersonal and negotiation skills.

12. Proven ability to attract, build, mentor and direct a high-performing cohesive and well-integrated team.

13. Understanding of the business environment and community, as well as trends and issues which will, or could potentially, influence the organization’s business performance.

CRITICAL LEADERSHIP COMPETENCIES:

1. Customer-centric - Looks at problems through the lens of the customer, (both internally and externally), showing empathy and understanding in creating the best solutions.
2. Commitment to High Reliability - Preoccupation with failure; competence in performance improvement to identify errors for correction while at the same time innovating solutions; messaging to mission; leading safe operations and local learning systems. 
3. Sense of Ownership - Demonstrates accountability for one's own responsibilities. Engages and empowers employees to do the same.
4. Principled – Self-aware, authentic and trustworthy; demonstrates sincerity and honesty in relationships and a relentless spirit to do the right thing for our customers each and every time.
5. Innovative – Ability to find creative solutions to challenges; entrepreneurial; navigating ambiguity and uncertainty by pro-actively disrupting traditional thinking when new ideas are needed.
6. Collaborative – Fosters teamwork across verticals to break down silos; demonstrates excellent communication skills with staff, peers and customers.
7. Results-Driven – Shows business acumen beyond areas of functional areas of expertise and a bias for action in accomplishing key objectives to help the organization thrive.  Even when faced with multiple challenges, demonstrates resilience and swift problem-solving.
8. Data-based Decision Making – Synthesizes and uses data to improve performance with a focus on safety, customer experience and value.
9. Change Champion – Shows ease, agility and the ability to influence without formal authority, in driving change necessary to become a highly reliable organization and fulfilling all aspects of our True North framework.