President & CEO, CHRISTUS Health Plan & Networks

CHRISTUS Health•Irving, TX

About The Position

The President and Chief Executive Officer of CHRISTUS Health Plan and Networks directs the strategic development, growth, and operations of CHRISTUS Health Plan and at-risk Value-Based Care arrangements. The role is accountable for meeting revenue, membership, and operating income objectives; developing key provider affiliations; maintaining influential relationships with the state or states; translating strategic goals into business plans; and building a collaborative team to achieve those goals. Serving as the account manager for the relationship, the President & CEO manages profit and loss, drives overall performance, leads strategic planning, and manages a state-based operation through a matrixed team. The role works with CHRISTUS Leadership Teams, the Health Plan Chief Administrative Officer, and management entities to understand the organization's vision, mission, and strategies and address current and future local-market needs and priorities.

Requirements

Bachelor's degree or equivalent combination of education and experience.
Minimum of 10 years of operations experience in a Medicare/Medicaid, Affordable Care Act (ACA), Medicare Accountable Care Organization (ACO) at-risk managed care environment, or another similar government health plan.
Previous profit-and-loss experience.
Experience in strategic planning and development.
Demonstrated successful leadership in program execution and people management.
Proven leadership in internal and external environments.
Ability to execute short- and long-term growth and profitability targets.
Excellent written and oral communication skills.
Excellent organizational skills.
Excellent training skills.

Nice To Haves

MBA.

Responsibilities

Plan, direct, operationalize, manage, and evaluate health plan and health population management functions performed by CHRISTUS or related personnel.
Carry out supervisory responsibilities in accordance with established policies and applicable laws.
Build the health plan provider network, including hiring and managing local staff.
Assist in defining contract terms and rate adjustments.
Build and manage a compliant member-marketing department when rapid membership growth is not provided by state mandates.
Ensure corporate departments provide excellent service to members and providers.
Help detect service problems and coordinate solutions with the corporate office.
Ensure business operations comply with applicable state and federal laws and contractual obligations.
Understand and administer contracts for all lines of business.
Participate in formulating and administering company policies and developing long-range goals and objectives.
Represent CHRISTUS professionally to customers, regulatory bodies, state departments of insurance, and other business relationships.
Establish and maintain an excellent business reputation.
Monitor state activities, costs, and operations to assess progress toward stated objectives.
Manage profit and loss, drive performance, lead strategic planning, and pursue growth and profitability targets.