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The Medicare Performance Management Lead Director will facilitate and support implementation of the business unit's management process and operating model. This role will assist the Carolinas and Tennessee Medicare Advantage market, in supporting the development and execution of the market strategies, including the development of market level Medicare Advantage product and network strategies, execution of pricing commitments, and management process to ensure development and execution of the plan. Continuously improve management practices to enable collaboration and shared accountability for success.
Job Responsibility:
Facilitate and support implementation of the business unit's management process and operating model
Assist the Carolinas and Tennessee Medicare Advantage market in supporting the development and execution of the market strategies
Develop market level Medicare Advantage product and network strategies
Execute pricing commitments and management process to ensure development and execution of the plan
Continuously improve management practices to enable collaboration and shared accountability for success
Analyze Medicare business performance
Review both financial and medical economic information
Drive execution of pricing commitments and corrective action plans
Create a metrics driven management process
Identify and lead Process Improvement opportunities relating to Medicare Advantage
Manage process for identification of areas to prioritize performance improvement
Review Key Performance Metrics
Help establish targets
Bring segment/product priorities to the market for local execution
Support Local Market General Manager
Develop a project management framework for driving accountability
Develop monthly Performance Excellence agenda and facilitating meetings and follow-ups
Requirements:
10+ years' experience with several of the following methodologies: management consulting, project consulting, business process consulting, financial strategic analysis, mergers and acquisitions, strategic business planning, and/or risk management consulting
Experience with enterprise-wide and/or cross-functional large-scale initiatives with a high degree of complexity
Demonstrated experience successfully implementing change in complex organizations
Demonstrated superior business process, project management and organizational redesign experience
Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, strategic planning, risk management
Demonstrated relationship management skills at the senior level
capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously
Master's degree preferred
Nice to have:
Creating Profitable Partnerships
Collaborating for Results
Developing and Executing Strategy
Communicating for Impact
Engaging and Developing People
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