What are the responsibilities and job description for the General Manager, Market Development (AZ, NV, Nor Cal) position at SCAN Health Plan?
The Job
To position SCAN Health Plan as a high-quality mission-driven Medicare Advantage Organization in new markets poised for member and financial growth by ensuring a compliant and desirable provider network, competitive product offerings, and a compelling market engagement / management strategy are in place. This position plays a critical role in charting and sustaining SCAN’s success in the short and long-term in new markets by planning, building, optimizing, and representing the SCAN Health Plan’s value proposition and performance. This position reports to the VP of Market Performance, will work cross functionally across all key areas of the company, and will likely be responsible for 1-3 direct reports.
You Will
- Responsible for participating with the VP of Market Performance to set the strategy and drive our most critical initiatives.
- Plan and define SCAN’s ideal place in the market based on thorough and ongoing market demographic evaluation and present qualitative and quantitative findings to senior leaders as required.
- Outline short and long-term strategic goals for each market and map measurable milestones, provide growth and profit projections, and consult with the VP of Market Performance and other Officers as needed.
- Develop a robust pipeline of CINs, IDNs, IPAs, and other medical provider organizations, manage and foster these relationships, and ensure associated contracts are financially viable and produce a desirable network for members that meets adequacy.
- Work across major functional areas such as STARs, Risk Adjustment, Sales, Finance, and others to champion appropriate new market leading and lagging performance indicators, drive market results to optimal levels, and to assist in goal setting activities. Develop Sales and Marketing growth initiatives and broker relationships.
- Work with and support the CMO and Health Care Services in clinical and medical management initiatives that promote cost effective and quality outcomes.
- Actively participate in the annual bid process for assigned markets to provide guidance and perspective on what will drive success in the following CMS plan year.
- Collaborate with internal and external stakeholders to identify and pursue opportunities for service area and product expansions. Achieve positive team results by communicating job expectations; planning, monitoring, and appraising job results, coaching and counseling employees, maintaining policies and procedures, retaining and attracting high performing contributors, and driving employee engagement.
- Participate in civic events and other activities consistent with the organization’s social interests and supports SCAN’s mission. Demonstrates SCAN’s organizational values while performing all responsibilities and in all interactions with stakeholders. Ensures accountability at all levels for areas of responsibility. Fosters a culture of respectful “speaking up” including collaborative debate and exploring multiple opposing views where appropriate.
- Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, and by participating in professional societies.
Your Qualifications
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
Salary : $177,500 - $284,000
