Are you a visionary healthcare leader ready to make a real impact? We're seeking a dynamic Executive Leader, Healthcare Strategy & Operations to drive innovation and excellence in a national health plan, Aurora.
Lead critical functions, shape strategy, and improve the lives of countless members. This is your chance to tackle complex challenges, collaborate with top leaders, and leave a lasting legacy.
location: Aurora, Illinois
job type: Permanent
salary: $240,000 - 300,000 per year
work hours: 8am to 4pm
education: Bachelors
responsibilities:
- Strategic Leadership & Planning: Lead the development and execution of comprehensive strategies and operational plans for Clinical Affairs, Operations, Healthcare Delivery, and Information Technology (IT) functional areas, aligning with the overall Fund vision and objectives.
- Financial Performance & Cost Management: Identify, lead, and monitor strategic initiatives focused on improving financial performance, managing medical costs effectively, and enhancing the overall value proposition for plan members.
- Quality & Access Improvement: Drive initiatives to enhance the quality and accessibility of healthcare services for our diverse membership, ensuring optimal health outcomes and satisfaction.
- Cross-Functional Collaboration: Partner closely with Clinical Affairs, Operations, Healthcare Delivery, and IT leadership to establish, refine, and monitor key performance and regulatory metrics, fostering a data-driven and results-oriented culture.
- Market Intelligence & Innovation: Maintain a deep understanding of national healthcare market trends, regulatory changes, and innovative solutions to inform Fund strategy, operations, and performance, ensuring Aurora remains at the forefront of healthcare delivery.
- Stakeholder Engagement: Effectively communicate and collaborate with key stakeholders, including Trustees, Union leadership, and network partners, to gain input, build consensus, and convey Fund initiatives related to plan finances, benefit design, and operations.
- Regulatory Compliance & Risk Management: Collaborate with Legal counsel to ensure all Fund functions adhere to ERISA and all pertinent federal and state regulations, mitigating potential risks and ensuring operational integrity.
- Vision & Strategy Development: Work collaboratively with Fund leadership and the Board of Trustees to define the long-term vision, develop strategic priorities, and establish ambitious yet achievable goals for the Aurora plan.
- Synergy & Collaboration: Partner with leadership and staff of the Las Vegas Plan to identify and leverage opportunities for synergy, shared resources, and addressing mutual concerns across both plans.
- Committee Leadership: Serve, by CEO appointment, as a valued member of the Fund's Employee Benefits and Investment Committees for Staff Plan administration purposes, contributing to critical organizational decisions.
- Team Leadership & Development: Oversee all aspects of human resources for assigned positions and areas, including employment decisions, staffing, promotions, compensation, performance management, talent development, and succession planning, fostering a high-performance and engaged workforce.
- Financial Accountability: Develop and manage budgets, analyze financial variances, implement corrective actions, and ensure the achievement of financial goals for assigned areas.
- Diversity, Equity & Inclusion: Champion the Fund's Diversity and Inclusion (D&I) principles in all interactions, partnering with senior leadership and staff to cultivate a safe, inclusive culture with equitable opportunities for success and career growth.
qualifications:
- Bachelor's degree in Business Administration or a related field from an accredited institution is required.
- Master's degree in Public Health, Healthcare Administration, Health Plan Administration, Organizational Development, Business Administration, or a related field is preferred.
- Minimum of 15+ years of progressive leadership experience within a health plan environment, demonstrating a strong working knowledge and financial understanding of health benefit plans, healthcare delivery systems, pharmacy plans, managed care contracting, member engagement and education, and operational performance and supporting systems.
- Minimum of 5+ years of executive-level leadership experience with a proven track record of driving strategic initiatives and achieving measurable results.
- Seasoned experience in a managed care environment is highly preferred.
- Strong working knowledge of operations and general administration associated with managing a health plan and ERISA benefit plans.
- Comprehensive understanding of current healthcare trends and statistical measures of healthcare performance.
- Familiarity with Taft-Hartley Trust Funds is highly preferred.
- Strong understanding of relevant benefits regulations, including ERISA, DOL, IRS, COBRA, and HIPAA, is highly preferred.
- Exceptional business acumen, particularly in the areas of finance, information technology and operational systems, strategic planning, budgeting, and project management.
- Proven experience leading and developing seasoned staff across a broad geographic area.
skills:
- Highly professional communication and presentation skills, with the ability to articulate complex information clearly and persuasively to diverse audiences.
- Exceptional collaborative relationship-building and interpersonal skills, with the ability to influence and build consensus across organizational boundaries.
- Demonstrated flexibility and maturity, with the ability to successfully navigate complex situations and adapt to a changing environment.
- Proven ability to hold others accountable, develop, and empower direct report leaders.
- Strong track record of creating healthcare value for plan participants and sponsors.
- Intermediate level proficiency in Microsoft Office Suite.
- Willingness and ability to travel up to 15% ~ 25%.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
This posting is open for thirty (30) days.
