What are the responsibilities and job description for the Director of Operations - MAHP position at Medical Associates?
Medical Associates Health Plans is looking for a talented leader to fill our Director of Operations on our leadership team!
Where You Will Be Working:
This onsite position is located at Medical Associates Health Plans (MAHP) in Dubuque, Iowa. MAHP is a highly successful regional health insurance company with 50,000 covered lives across multiple lines of business.
Medical Associates Health Plans is provider owned company that collaborates closely with Medical Associates Clinic, a multi-specialty group practice with locations in 3 states. Combined, our 1,100 healthcare and health insurance professionals lead the way in providing quality healthcare and top-notch insurance products in Northeast Iowa, Southwest Wisconsin, and Northwest Illinois.
What You Will Be Doing:
As the Director of Operations, you will serve as a key leader on the MAHP leadership team, setting strategic direction, objectives, and ensuring the health plan is meeting its goals. You will lead health plans operations which includes product design, onboarding of new groups, managing provider contracting and relations, claims, member services and sales operations. This role will also oversee and manage related contracts and vendors.
Skills You Bring:
- Dynamic, resourceful leader who brings an entrepreneurial spirit to deliver health plan initiatives that drive results, persuade and influence others, and adapt to changing business conditions.
- Highly articulate when communicating and builds credibility with interactions; must be able to influence across all levels of the organization, from team to the executive level
- Action oriented, hands-on and with demonstrated experience in an innovative, fast-paced, performance-oriented environment
- Robust understanding of financial performance and business acumen
Benefits Package Includes:
- Single or Family Health Insurance with discounted premium rates for wellness program participation.
- 401k with immediate matching (50% on the dollar up to 7% of pay additional annual Profit Sharing)
- Flexible Paid Time Off Program
- Medical and Dependent Care Flex Spending Accounts
- Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.
Major Responsibilities:
- Lead, Direct, and Support the health plan operations team, ensuring the highest level of service, quality, and compliance in MAHP’s operational delivery across all lines of business. Create standard metrics and performance reporting across areas of responsibility.
- Manage the administrative and back-office sales and account management team, and all related processes, procedures, and tools used to review and update MAHP products, create new products, implement new customers, renew, and advance existing business.
- Oversee the Provider Contracting and Relations team. Ensure MAHPs networks are high quality, meet network adequacy requirements, are physically competitive and align with MAHP strategic goals. Perform network analysis to lead contract negotiations and provide the team with data driven network direction. Develop, maintain, and advance relationships with key providers and facilities.
- Other duties as assigned
Knowledge and Skills:
Experience Ten or more years of progressive healthcare or health insurance leadership experience.
Education Equivalent to a college degree. Masters in Business or Healthcare Administration is preferred.
Interpersonal Skills The ability to motivate or influence others is a material part of the job, requiring a significant level of diplomacy and trust. Obtaining cooperation (internally and/or externally) is an important part of the job.
