AVP, Operations (Health Plan Performance)

Northwell Health•New York, NY

About The Position

The AVP for Health Plan Performance will be responsible for driving the performance of our network solution across Northwell Direct’s entire book of business, while also overseeing our most strategic client relationships. Directs the development, coordination and administration of policies, services and programs that optimize health plan performance for Northwell Direct. Collaborates with leadership to identify best practices, develop operational strategies and cost effective solutions. Participates in the development and implementation of financial, operational and strategic planning activities. Facilitates quality improvement initiatives and cross-business unit collaboration. Work with external partners, ensures, governmental bodies and community based organizations to advance the care of at-risk patients.

Requirements

Master's Degree required, or equivalent combination of education and related experience.
10-12 years of relevant experience and 7+ years of leadership / management experience, required.
Experience with health plans strongly preferred.

Responsibilities

Develop the framework to evaluate, monitor, and measure the performance of our network solution for self-funded employers on an ongoing basis, such that it can be applied by strategic account executives and account managers to our existing book of business, driving value and savings for clients and Northwell
Develop and implement strategies and best practices that are focused on maximizing savings and value to the client, while driving greater steering and utilization of Northwell Health facilities and providers, creating a win-win for the client and the health system
Oversee the performance and management of the strategic account executives assigned to Northwell Direct’s largest/enterprise sized accounts, including support of internal and external relationships needed to effectively deliver service and maximize client and health system value
Strategic benefits leader who drives programs and initiatives that support and impact the overall Northwell Direct and Northwell health system goals.
Develops and articulates a long-term strategic vision for areas of responsibility.
Promotes quality and productivity improvements through involvement in the development of improved procedures, process innovations and changes which support the strategic direction of the health system; plans and implements the utilization of information resources to support the strategic direction and operation of the organization.
Researches, develops and coordinates the implementation of strategic plans, policies and standards to maximize programmatic success while managing program expense.
Participates in planning, organizing and coordinating financial policies and practices to control revenues, disburse funds and conserve assets; monitors fiscal operations including, fiscal accounting, reporting and control; billing and payroll; third party reimbursement and contracting; regulatory cost reporting, internal auditing and budget coordination and forecasting.
Collaborates with leadership to identify best practices and deficiencies, develop performance improvement strategies and cost effective solutions; identifies new opportunities, tests new ideas and ensures implementation.
Participates in the planning, design, implementation and support of information systems, networks and departmental applications to improve efficiencies; interprets and standardizes all fiscal and regulatory reporting standards to ensure compliance with government and regulatory reporting and third-party agencies.
Directs the implementation of Human Resources plans to achieve strategic goals and objectives including organizational development, recruiting, compensation, training and development and employee relations.
Directs the management and development of professional contacts and community support through identifying and developing new business initiatives and opportunities.
Represents the business unit with various internal and external partners and manages joint operating committees as needed.
Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.