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Blue Cross and Blue Shield of Minnesota · 4 hours ago

Senior Director of Health Services - Behavioral Health

Eagan, MN

Full-time

Hybrid

Senior Level, Lead/Staff

$149K/yr - $261K/yr

8+ years exp

Blue Cross and Blue Shield of Minnesota is committed to transforming healthcare and achieving the healthiest life for everyone. The Senior Director of Health Services is responsible for the design, strategic planning, and delivery of Health Services programs, ensuring high-quality clinical care is provided to members in a cost-effective manner.

Insurance

Comp. & Benefits

Responsibilities

Leads, either directly or via their team, the ideation, design, implementation, measurement, and ongoing evaluation of specific programs and products

Manages and maintains accountability for the delivery of overall value of specific programs and products

In partnership with Operations, ensures programs and products are achieving desired outcomes and meet all applicable regulatory and compliance standards as well as accreditation requirements

Partners closely with the internal stakeholders and product leaders to ensure strategies are aligned to achieve and maximize value

Works with Commercial, Medicare, and Medicaid leadership to ensure programs and products meet the unique needs of their specific member populations and positions BCBSMN as a leader in the market

Establishes department goals and performance metrics that support divisional and enterprise strategic plans. Ensures that the right systems, processes, and measurement/reporting are in place to demonstrate the value and effectiveness of programs and products to customers

Manage relationships with and ensures the accountability of external partners / vendors that provide key services that enable program / product outcomes

Partners with operations to enhance operational efficiency to optimize and maximize staff and external partner productivity and value

Educates internal staff and contracted providers on the general and unique needs of populations being served, to ensure adherence to BCBSMNs benefits, medical, and reimbursement policies

Supports enterprise initiatives to enhance the member experience and improve both the quality of care delivered and total cost of care

Represents BCBS to a variety of external stakeholders including provider organizations, customers, advocacy groups and government entities as needed

Other duties as assigned

Accountabilities include the overall value of behavioral health products and services as well as oversight of mental health parity

This role will partner closely with operations leadership to ensure efficient execution of CM product and with P&L leaders to ensure products and programs meet the needs of our clients to support growth

This role will also partner closely with network leadership to ensure products and programs work in synergy with the network strategy to drive maximal value

Establishes rigorous performance measurement and management to maximize value and ensure staff is optimally deployed, and that products and programs achieve their intended outcomes and customer commitments

Ensures talent is in place to improve affordability and member health

Serves as a role model and coach/mentor for ongoing leadership and staff development

Build a culture of engagement, teamwork, psychological safety, and collaboration across the enterprise

Qualification

Health Services ManagementStrategic PlanningLeadership DevelopmentData AnalysisBehavioral Health ExpertiseRelationship ManagementMicrosoft Office ProficiencyCommunicationConflict ResolutionTeam Collaboration

Required

Accepting this position at BCBSMN requires signing an Employee Confidentiality, Intellectual Property Assignment, and Restrictive Covenants Agreement as a condition of employment

8+ years of related professional experience, with 5+ years of management experience. All relevant experience including work, education, transferable skills, and military experience will be considered

5+ years in an applicable leadership position in a health plan or health care delivery serving customers, members, or patients

Ability to establish a comprehensive strategic plan for programs and products

Demonstrated ability to lead people, create high performing teams and develop talent

Ability to organize and manage multiple priorities and budgets

Excellent communication and presentation skills to internal and external audiences

Excellent relationship skills to partner on shared goals with other Blue Cross teams and colleagues as well as with external key influencers

Seasoned judgment, root cause analysis and conflict resolution skills

Proficiency with data and analysis used to monitor products and programs

Demonstrated ability to work with other leaders to create solutions that meet the unique needs of their segments and customers

Candidates must possess high ethical standards and share the organization's commitment to key values

Proficiency with Microsoft Office suite of programs

Able to travel 10 to 20%

High School diploma (or equivalency) and legal authorization to work in the U.S

Preferred

Post graduate education in Health Care Administration, Public Health, or an MBA or experiential equivalent

Experience within care delivery organizations

Active applicable Minnesota license without restriction in field applicable to role

Benefits

Medical, dental, and vision insurance

Life insurance

401k

Paid Time Off (PTO)

Volunteer Paid Time Off (VPTO)

And more

Company

Blue Cross and Blue Shield of Minnesota

Glassdoor4.0

About Blue Cross Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives.

Founded in 1933

Eagan, Minnesota, USA

1001-5000 employees