Senior Director, Network Strategy & Planning

🕒 6 days ago

🌽 Illinois, Oklahoma, +2 more states – Remote

🌽 Illinois – Remote 🌪️ Oklahoma – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $121.2k - $225.2k / year

⏰ Full Time

🟠 Senior

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Develop business plans and provider network strategies across Commercial, ACA, Medicare, and Medicaid lines of business • Partner with cross-functional leadership to execute provider network strategies • Lead design, optimization, and long-term planning of provider networks • Balance financial discipline, quality, and access across lines of business • Leverage provider contracting, performance management, leading practices, and market innovations to shape expansion and financial strategies • Manage matrix relationships with key enterprise areas • Translate executive strategy into measurable business outcomes by driving alignment and delivery across high-priority initiatives • Manage teams responsible for multiple lines of business, plan geographies, and provider network strategy development • Evaluate provider network strategy ideas against goals, objectives, and operational capabilities • Track results against business plans and provide executive-level reporting • Develop market, competitive, and internal analytics • Lead development of presentations, reports, dashboards, and other deliverables • Monitor best practices and strategic trends in health-care products and the industry • Ensure compliance with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies, and other applicable policies • Maintain confidentiality and communicate with management regarding assigned responsibilities • Perform special projects as required or requested

🎯 Requirements

• Bachelor degree and 8 years of experience in health care, health insurance, or strategic consulting environment • 5 years management experience • Experience with strategic planning, strategy development, analytics and research • Experience leading and mentoring staff • Clear and concise verbal and written communication skills • Experience interacting successfully with senior management and staff across multiple departments • Organizational skills, including ability to prioritize tasks • Creativity and innovation, analysis and implementation skills and experience • Business acumen and project/process integration skills • Experience overseeing annual budgets and allocating resources • Experience translating needs and initiatives into compelling business cases • Experience conducting cost-benefit analyses to justify investments and ensure ROI • Remote employees must live within the continental United States, excluding Alaska, California, Hawaii, or New York • Sponsorship is not available

🏖️ Benefits

• Curated development plans and professional development • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Annual incentive bonus plan • Other incentives