Director of Health Plan Growth and Administration

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Who We Are:

SEIU 775 Benefits Group's mission is to improve the skills, health and stability of the caregiver workforce through innovation and high-quality benefits and programs.

We partner with workers, employers and industry stakeholders to collectively solve workforce problems through innovation, creativity and an evidence-based approach. Together, we deliver high-quality benefits and services to support a growing caregiver workforce.

We are a nonprofit - passionate about revolutionizing the future of in-home care, and are looking for others to join our smart, collaborative and kind team.

The Details:

Location: Hybrid work Headquartered in Downtown Seattle, remote work possible from AZ, CA, CO, ID, FL, OR, TN, VA, WA.

Work Schedule: Our typical business hours are 8:30-5:00 PT Monday-Friday.

Travel Requirements: Up to 10%

Category: Full-Time, FLSA Exempt, Regular, Non-Union

Physical Requirements: Must be able to sit and stand for long periods of the day.

About the Position: Reporting to the Managing Director of Health Benefits Trust, the Director of Health Plan Growth and Administration is accountable for building and sustaining connections with new participating employers and key stakeholders, developing and communicating a comprehensive health plan strategy and ensuring the smooth operations of the health plan administration including eligibility, enrollment and revenue collection. The Director will identify and seize opportunities that advance access, value and quality of healthcare through internal and external mechanisms and care delivery reform. Success in this position will require close collaboration with the plan administrator, partners, contractors, vendors, participating employers, SEIU 775 and other internal and external stakeholders.

You Will:

• Design and execute a growth and administration strategy to support the development of a new lines of business. The strategy will align with Trust strategic objectives related to increasing equitable access to healthcare, increasing value of care, increasing the health and safety of the served population, and advancing operational excellence;
• Build relationships with internal and external contributors, stakeholders and partners;
• Develop and supervise a team that will manage the delivery of health and wellness benefits;
• Think strategically while also providing leadership, project management, coordination and implementation support related to key program initiatives;
• Develop, execute, and manage a comprehensive department budget;
• Work with the organizations' health plan broker consultant to design health and benefit plans, identify and set premium rates and creatively manage health plan costs and utilization;
• Ensure health plan operations support the delivery of quality services, provide sufficient access to care, and meet the needs of workers;
• Develop, enhance, and maintain department standard operating policies, processes, and practices;
• Utilize healthcare analytics, claims, and utilization data to identify health plan trends and care gaps;
• Develop, test and implement innovative value-based strategies to improve health outcomes and opportunities for program improvement and expansion;
• Develop tools to measure the health plan's ability to increase value, access and quality of healthcare services and the impact of activities that increase member engagement;
• Monitor a range of metrics to increase effectiveness of initiatives;
• Oversee and report, transparently to the board, key aspects impacting this business segment including but not limited to operations, income, expenses and product strategies;
• From time-to-time, perform other duties commensurate with the level of this position.

You Will Need to Have:

Required Leadership Competencies

Managing with Vision and Purpose:

Connect their work and the work of teams they lead to the organization's Mission, Vision, and Values.

Advancing Diversity:

Supports equitable and fair treatment and opportunity for all.

Courage:

Is not afraid to take action when necessary, accepts critical feedback that is shared with the team without being defensive and incorporates feedback into their work.

Strategic Agility:

Sees ahead clearly; can anticipate future consequence and trends accurately.

Decision Quality:

Makes good decisions in the appropriate amount of time based upon a mixture of analysis, wisdom, experience, and judgement.

Building Effective Teams:

Blends people into teams when needed; creates strong morale and spirit in their teams, while creating a collaborative environment.

• Bachelor's Degree or equivalent experience in healthcare administration;
• 5-8+ years of experience in employer benefit plan management, health plan consulting, fully- insured and self-insured plan management and/or health plan administration;
• Knowledge of current research in healthcare utilization, consumer education and engagement and models to reduce healthcare spending;
• 5+ year of experience in large health plan management, strategic planning, complex contract procurement, evaluation and monitoring performance;
• Demonstrated track record of managing and developing teams equitably;
• Demonstrated track record of moving projects from concept to evaluation phase;
• Demonstrated ability to lead teams through complex implementations:
• Strategic agility in problem solving using analytics, experience, and judgement;
• The ability to negotiate with stakeholders and vendors;
• The ability the thrive in a fast paced, autonomous, and ambiguous environment;
• Strong technology skills and fast adoption of new technology; and
• Excellent communication skills including presentation skills.

It Will be Great if You Have:

• Experience working with Taft Hartley trusts;
• Experience working with a Board of Trustee;
• Experience with self-funded insurance plan administration;
• Familiarity with ERISA rules and regulations.

Salary Range:

• $117,172.77 to $159,694.46

Benefits:

• Fully Paid Medical, Dental and Vision;
• 18 days PTO, 15 Sick days, 10 holidays, 1 floating holiday, 2 personal days and 1 week Winter Break;
• Defined Benefit Pension Plan and 401(k) options;
• Fitness, cell phone, internet and furniture stipends

Statement of Affirmative Action

SEIU 775 Benefits Group is proud to be an equal opportunity workplace and is an Affirmative Action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status.