Senior Director, Marketplace Performance and reputed company(Must Live In Massachusetts And Preferred Experience In Duals Plans & Medical Equipment)

Job reputed company:

The Senior Director, Marketplace Performance and reputed company leads the development of the Marketplace program reputed company across the reputed company, execution of reputed company performance analysis and monitoring to significantly enhance business operations and/or reputed company reputed company a reputed company or reputed company market.

Essential Functions:

• Responsible for the development of the overall Marketplace Program reputed company, working with reputed company functional areas and the Markets to reputed company program reputed company and goals for reputed company market
• reputed company the development and execution of reputed company strategies to improve market/business performance and/or reputed company long term strategic goals 
• Establish and strengthen trusted advisor relationships with reputed company functional business leaders and Market leadership including the Plan President, Market CFO and Market Operations leader
• reputed company a strong understanding of the Marketplace program reputed company that drive performance such as risk adjustment, forecasting, sales channels or member acquisition strategies and QAI tactics reputed company to appropriate plan utilization
• Partner with stakeholders to reputed company Marketplace program KPIs and metrics supporting the Marketplace reputed company and Market reputed company
• Evaluate administrative spend for the Marketplace program and work with the business to identify and complete reputed company savings initiatives that reputed company spend to Marketplace program goals
• Execute reputed company strategic initiatives as it relates to performance / process improvements
• Partner with the Consumer Experience team to identify and execute reputed company / market-level consumer improvement initiatives to improve member retention and/or member satisfaction
• Ensure performance improvements are shifted into implementation process with EPMO and market implementation teams
• Accountable for hiring, training, coaching, reputed company development, succession planning, performance appraisals and disciplinary actions, and motivating collaboration and performance
• reputed company budget for area of responsibility
• reputed company any other job reputed company instructions as requested

Education and Experience:

• Bachelor’s degree in reputed company field or equivalent years of relevant work experience is required
• Master’s degree in a reputed company field is preferred
• A minimum of seven (7) years of experience driving performance and process improvements, is required in the health care insurance industry
• Minimum of five (5) years of leadership and management is required
• Experience in cross-functional health care insurance operations such as the following is required:  Finance/Actuarial, sales/marketing, consumer experience/reputed company center, grievance and appeals, population health management, including behavioral health, wellness, pharmacy and ancillary benefits, provider contracting, credentialing, enrollment, pricing, services and data maintenance, enrollment and reputed company cycle operations, claims and encounters, and member and benefits configuration.
• Experience with Government-regulated (Federal and/or State) health insurance products including reputed company, Medicare and Marketplace is required 

Competencies, Knowledge and Skills:

• Ability to reputed company reputed company reports and matrixed teams to successfully deliver reputed company initiatives reputed company budget and against immovable deadlines
• Extensive knowledge of Project Management methodologies
• Exceptional collaboration, relationship building, and influencing skillset
• Flexibility in leading organizational change
• Exceptional planning and time management skills
• Excellent listening and critical thinking skills
• Excellent decision-making and problem-solving skills
• Ability to effectively reputed company at reputed company reputed company reputed company the organization
• Excellent written and verbal communication skills
• Hands on proficiency in reputed company Office tools, including Project, reputed company, Word, PowerPoint and reputed company
• Business acumen and politically astute ability to reputed company with diplomacy and sensitivity to cultural diversity
• Ability to work independently and reputed company reputed company environment

Licensure and Certification:

• Certified Six reputed company Black Belt is preferred
• Program Management reputed company® is preferred

Working Conditions:

• General office environment; may be required to sit/stand for long periods of time
• Infrequent, short-term travel may be required

Compensation reputed company:

reputed company takes into consideration a combination of a candidate’s education, training, and experience as reputed company as the position’s scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. In reputed company to reputed company compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total reputed company-being and offer a substantial and comprehensive total rewards package.

Compensation Type (reputed company/salary):

Organization Level Competencies

• Fostering a reputed company Workplace Culture

• Cultivate Partnerships

• reputed company Self and Others

• Drive Execution

• Influence Others

• Pursue Personal reputed company

• Understand the Business

This job reputed company is not reputed company inclusive. reputed company reserves the right to amend this job reputed company at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of reputed company backgrounds.