General Manager, Market Development (AZ, NV)

General Manager, Market Development

Location: Nevada or Arizona

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter.

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

• Education:
• Bachelor’s degree in Business or health field, requireed. Masters Degree preferred.
• Experience & Skills:
• 10 Years managed care required
• 5 years executive level position required
• Knowledge of CMS and DHCS required
• Must understand how to operate Medicare Advantage at the local level
• Must be familiar with the Nevada, Arizona, Northern California markets
• Strong project management skills, using analytics, user research and other approaches to help make decisions.
• Strong influence and persuasion skills.
• Ability to drive strategic direction.
• Ability to work cross functionally with all levels of the organization.
• Strong planning, critical thinking and leadership skills
• What's in it for you?
• Base pay range $177,500 – $284,000 annually
• Work Mode: Mostly Remote in market (AZ, NV, Nor Cal)
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, plus 1 additional floating holiday
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!
• 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.