AVP, Operations (health Plan Performance)

AVP For Health Plan Performance

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.

Job Responsibility

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.

Job Qualification

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.

Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $140100-$245200/year.

It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.