Vice President - Consumer Operations - Health Alliance Plan (HAP)

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Leadership (Non-Clinical)
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183689 Requisition #
PRIMARY OBJECTIVE
 
Plan, direct and coordinate all activities associated with HAP's Consumer Operations’ Department, which includes Call Center, Enrollment and Premium Billing.
 
DUTIES AND RESPONSIBILITIES
 
*1.        Provide direction and oversee internal and co-sourced Customer Service including the planning, coordination and development of functions that impact divisional and corporate goals, strategies and objectives.
 
*2.        Lead the Enrollment, Premium Billing, and Payment cycle for HAP, including transactional posting of receipts, maintenance of proper rates, reconciliation of receivable balances at a group or individual level, invoice processing and distribution channels, back office support of customer service concerns, and root cause analysis/collaboration with other departments on issue resolution.
 
*3.        Develop strategies for improving customer service across all channels.
 
*4.        Develop and manage departmental budgets and develop a broad based divisional budget strategy incorporating both long and short term corporate objectives.
 
*5.        Achieve and maintain call center industry benchmark performance across all departments/geographies to support attainment of Medicare 5 STAR and J.D. Power awards.
 
6.         Maintain high employee engagement levels through active management of existing staff, effective recruitment of new staff, and effective communication methods.
 
7.         Maintain strong relationships with union leadership and ensure effective collaboration between HAP and the represented staff.
 
 8.        Development of Service Excellence policies and procedures in accordance with other corporate areas and HFHS relative to the entire HAP population.
 
 9.        Perform other duties as assigned.
 
Competencies
  • Business Literacy:  Knows the business and produces results; is aware of the financial implications of decisions made; identifies and seeks opportunities to enhance cost savings; builds on existing market strengths; and seizes ways to improve market penetration.

  • Change Leadership:  Creates a motivating environment to successfully help people through change in a positive manner; fosters open communications, continuous improvement, and innovation; minimizes complexity; maintains stability; involves others in decision making.

  • Decision Making:  Seeks and organizes information; develops and considers alternatives; takes or initiates action; draws upon personal experiences.

  • Effective Communications:  Listens; freely shares information in a timely manner; clearly communicates messages, either verbally or in writing; checks for understanding; effectively delivers and receives difficult messages.
     
  • Performance Management:  Involves people in improving organizational effectiveness in the accomplishment of its mission and goals; plans work and sets expectations; develops the capacity to perform; monitors performance; evaluates performance; recognizes and rewards good performance.
     
  • Quality Orientation:  Embraces continuous improvement in the development of high quality products to deliver service excellence; utilizes technology improvements, value-added products, customer responsiveness; influences positive employee attitudes.

  • Relationship Building:  Acts with integrity; maintains mutually beneficial relationships with customers, superiors, peers, team members, other departments and functions to achieve organizational goals.

  • Service Excellence:  Intentionally and consistently provides impeccable service to internal and external customers; successfully delivers on service promises at every opportunity.

  • Strategic Thinking:  Translates vision, strategy and long range goals into terms others can understand and establishes concrete plans to deliver customer satisfaction; leads by example.
     
  • Talent Development:  Identifies the professional learning and development needs of self, and team members if appropriate; collaboratively plans development activities to improve on-the-job performance; emphasizes the importance of lifelong learning and continuous improvement.

  • Technical Expertise:  Seeks solutions; has personal energy; demonstrates ability to get the job done; overcomes obstacles; focuses on accomplishments rather than activities.
REQUIREMENTS
 
A.         Education
  • Bachelor’s Degree in Health Care or Business required
  • Master’s degree in health care or business or related field preferred
     
    B.         Experience
  • Minimum of five (5) years in health care or insurance leadership.
  • At least three (3) years in a director level managerial position.
  • Experience interacting and building relationships with organized labor groups preferred.
     
    C.         Behaviors
  • Definite managerial skills, experience translating strategies into operational plans and executing operational plans.
  • Demonstrated communication, analytical and decision making skills
  • Ability to comprehend and suggest modification to technical computerized systems
  • Ability to develop a good understanding of the health care system and the HAP provider network
     
    D.         Knowledge
  • Basic understanding of accounting principles
  • Comprehensive understanding of data base oriented computer systems
  • Definite human relations management skills
  • Active participation in local, state or national professional organizations is desirable
     
    E.         Other
  • Intermittent evening/weekend assignments based on business needs.

Overview

Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

care systems, is a national leader in clinical care, research and education.  The system includes

the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

network and many other health-related entities throughout southeast Michigan, providing a

full continuum of care.  In 2015, Henry Ford provided $299 million in uncompensated care.

The health system also is a major economic driver in Michigan and employs more than 24,600

employees.  Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient.  The

health system is led by President and CEO Wright Lassiter III.  To learn more, visit HenryFord.com.

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or

making the employee enrollment selection experience easier, it's all about choice.  Henry

Ford Health System has a new approach for its employee benefits program - My Choice

Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

dozens of options for all of our employees including compensation, benefits, work/life balance

and learning - options that enhance your career and add value to your personal life.  As an

employee you are provided access to Retirement Programs, an Employee Assistance Program

(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

benefits and services.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

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