Senior Director, Health Plan – Self-Funded Employer Relationships

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Guide Healthcare

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2018

⚕️ Seguro de Saúde

🎯 Recrutamento

Healthcare Insurance • Healthcare • Recruitment

A Guide Healthcare está liderando um movimento onde a criatividade gera mudanças positivas no setor de saúde. A empresa é especializada na prestação de serviços de saúde aliados e recrutamento na área de saúde, com foco no suporte e tratamento de idosos. Com um compromisso de agregar valor aos seus clientes, parceiros e equipes, a Guide Healthcare busca fazer as coisas de maneira diferente na indústria.

Descrição

• Client Transition, Implementation & Lifecycle Ownership • Serving as the executive owner of new client transitions from Sales to contract execution. • Leading formal handoff process from Sales to Operations, ensuring scope clarity, contractual alignment, performance guarantees, and implementation readiness. • Working with Operations to develop a summary implementation plan that can be used for client alignment and tracking • Establishing implementation governance structure, milestone tracking, and executive reporting cadence. • Ensuring on-time, on-budget, and contractually compliant go-live. • Partnering with implementation, operational, and consultative teams to drive successful onboarding. • Transitioning the client from the implementation phase to steady-state servicing with clear performance baseline metrics and first-year value roadmap. • Maintaining continuous lifecycle ownership through renewal and expansion. • Executive Relationship Ownership • Building trusted, C-suite relationships (HR, Finance, Benefits, Population Health leadership). • Leading recurring executive business reviews (QBRs), performance reviews, and strategic planning sessions. • Performance Accountability & Operational Integration. • Overseeing Guidehealth accountability for: Total cost of care (TCOC) • Data-Driven Value Creation. Analyzing client-specific claims, utilization, quality, and engagement data to identify: Cost containment opportunities. • Strategic Growth & Expansion. Identifying opportunities for service expansion within existing accounts. • Member & Patient Experience Excellence.

🎯 Requisitos

• 4+ years of experience in healthcare client service and strategy, program implementation, and/or support for value-based care services and technologies. • Demonstrated experience leading client implementations and cross-functional onboarding processes. • Healthcare and value-based care dynamics • Utilization management processes • Claims processing and benefit administration • Population health analytics • HEDIS quality measurement • Demonstrated experience managing executive-level client relationships. • Strong financial acumen with ability to analyze cost-of-care drivers and ROI. • Exceptional communication and executive presentation skills. • Ability to travel up to 50% to client locations.

🏖️ Benefícios

• Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs. • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered. • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution. • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected. • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times. • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals. • Support Your New Family: Guidehealth offers paid parental leave to give you the time you need. • Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.