Senior Director, Health Plans

Vaga não está no LinkedIn

🕒 Dezembro 11, 2025

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $180.000 - $210.000 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Diretor

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Positively Partners

SiteLinkedInTodas as Vagas

11 - 50 funcionários

🌍 Impacto Social

👥 RH Tech

🤝 Sem Fins Lucrativos

Social Impact • HR Tech • Non-profit

Positively Partners é uma empresa social dedicada a promover equidade e inclusão nos locais de trabalho, com foco particular na eliminação de barreiras sistêmicas para comunidades marginalizadas. A empresa colabora com organizações sem fins lucrativos e com responsabilidade social para conectar candidatos diversos a oportunidades de carreira no setor de impacto social. A equipe da Positively Partners é composta por profissionais de psicologia, recursos humanos e especialistas em design de sistemas que trabalham juntos para criar ambientes de trabalho produtivos e movidos por uma missão. A missão da empresa é alinhar os valores e as forças dos funcionários com seus papéis para aumentar o impacto organizacional e o engajamento dos funcionários.

Descrição

• Lead THI’s effort to activate health plans to invest in the drivers of health, generating practical ideas and establishing the business case for doing so, & getting leaders to go on the record with the sector and policymakers about the importance of this approach. • Support identification & recruitment of potential health plan partners for THI & engage other health plans if/as needed to achieve THI’s goals. • Develop, secure, and successfully execute THI’s contractual agreements with health plans. • Define quarterly, annual, & multi-year swim lane goals with corresponding milestones. • Create and execute plans to meet those goals, identify key stakeholders & define analysis and artifacts that will compel action. • Oversee the creation and finalization of all swim lane deliverables, e.g. briefings, articles, public comments, presentations, reports for a diverse set of stakeholders including policymakers, health plan executives, researchers, and funders. • Ensure quality of content and process. • Direct, mentor, & coach the cross-functional team members supporting the swim lane. • Manage a subset of external relationships and support other THI executives in managing additional stakeholders. • Monitor the healthcare landscape/ecosystem for developments relevant to THI goals, efficiently communicate internally or externally as appropriate, & integrate into prioritization. • Collaborate with other THI swim lane leaders to achieve organizational goals, including partnership / development initiatives. • Actively participate in the THI Leadership Team to strengthen organization-wide operations and culture.

🎯 Requisitos

• Deep understanding of health plans’ business model, culture, operating model, customers, & context. • Knowledge of the means through which plans engage policymakers, members, investors, & other stakeholders. • Knowledge of health plan leadership priorities, mental models, & pain points. • At least 7 years of prior employment with direct engagement of senior leadership at a health plan and/or at CMS working closely with plans. • Experience in a core business function and/or government affairs leading a division or team required; experience leading cross-functional team members preferred. • Sufficient fluency in Medicare, Medicaid, and commercial payment policy required; Actuarial experience or direct involvement with bid development for the MA market and/or rate development for the Medicaid market preferred. • Ability to understand current constraints, think creatively about how to achieve THI’s objectives within these or by altering them, & to persuade others to take action consistent with this approach. • Experience supporting senior executives/leaders (e.g., preparing oral and written briefings). • Ability to manage up, down, and across peers. • Skill in activating stakeholders and facilitating complex, multi-party discussions. • Strategic goal-setting and execution in dynamic environments. • Experience leading change management efforts preferred. • Baseline knowledge of the impact of drivers of health on outcomes, cost & utilization.

🏖️ Benefícios

• Full coverage of medical, dental, and vision insurance • Generous 401K matching and parental leave. • Unlimited sustainable vacation and sick time