Idaho Executive Director Jobs

Leads operations for a Care Management Center (CMC), Health Plan, Program, or Product to ensure operational success and compliance in meeting clinical, quality, customer, business financial, and employee targets and objectives. May partner with account managers to achieve a high degree of customer service. Ensures cost effective approach to processes and deliverables for assigned business unit, program or product.

• Manages financial performance, operating budget and variances from plan to ensure cost effective delivery of service. Responsible for development and implementation of annual operating budget.
• Directs the delivery of high-quality services and ensures that quality management plans and protocols are implemented and that services are delivered in accordance with policies and procedures. Monitors quality assurance indicators and provides quality oversight.
• Coordinates network provider activities.
• Creates and manages high-performing cross-functional, matrixed team, ensuring staff provide appropriate and efficient services. Continually monitors services and programs to ensure that client needs and contract obligations are being met in accordance with policies and procedures.
• Manages high-risk cases and utilization trends. Provides required management reports to internal and external customers and clients.
• Responsible for developing and fulfilling service level agreement with Account Management.
• Oversees compliance to all operations performance standards. Develops and activates action plans to bring back in compliance when standards are not met.

10+ years experience in healthcare with a clinical and/or operations management focus.
4 years management level experience in the managed healthcare industry required.
Thorough knowledge of managed healthcare principles and call center operations.
Understands financial and quantitative information and has ability to manage operations within budgets.
Ability to identify problems, recognize symptoms and causes and establish and implement solutions.
Ability to develop effective teams, through awareness of opinions, resolving conflicts and building collaboration among all levels in the organization.
Ability to achieve organizational goals through development of effective teams.
Motivates and empowers others to attain personal and team goals.
Demonstrates excellent negotiation and communication skills. Idaho Executive Director 32 Management/Leadership, Operations Bachelors Masters $127,295 $229,105