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Chief Health Services Officer
Banner HealthChief Health Services Officer responsible for operational excellence and clinical performance at Banner Health's Insurance Division. Influences health outcomes for a diverse membership population while advancing innovative programs.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare management, operational execution, and strategic leadership, with a focus on compliance, quality improvement, and financial acumen. Proven ability to develop and implement effective health services programs that enhance member care and operational efficiencies.
Highest-signal resume keywords
Healthcare ManagementOperational Quality ImprovementMedicare And Medicaid Managed CareFinancial AcumenStrategic Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Program DevelopmentQuality ManagementClinical Care ManagementBudgetingForecastingOperational EfficiencyCompliance ManagementHealth Improvement StrategiesMember Care ServicesAccrediting Agency Requirements
Soft Skills
CollaborationLeadershipCommunicationPartnership DevelopmentProblem Solving
Industry Keywords
Administrative Services OrganizationNCQAHEDISMedicareMedicaidClinical ManagementIntegrated Administrative ServicesOperational UnitsHealth Services ProgramsState And Federal Regulations
About the role
Key responsibilities & impact- Direct the operations of the health services department of the Administrative Services Organization (ASO)
- Lead the strategy and direction of health services operations, assuring efficient use of people, services and technology
- Develop and implement strategies that support health services programs focusing on member care services, health improvement and quality outcomes
- Collaborate with the Chief Medical Officer and medical directors to improve operational efficiencies
- Oversee operational execution of clinical care management programs within the ASO
- Ensure compliance with state and federal regulation across all health service operational units
- Set strategic direction and provide leadership in achieving organizational goals
Requirements
What you’ll need- Strong knowledge in management, as normally obtained through the completion of a master's degree in business, healthcare or related field
- Five or more years of increasingly responsible administrative leadership experience in an integrated administrative services environment or large multi-operational, complex environment
- Seven years of director level experience in healthcare management, with at least five years in either managed care utilization, case or a quality management leadership role
- Knowledge of clinical and operational quality improvement processes
- Knowledge of requirements of national/state accrediting agencies, such as NCQA, HEDIS, Medicare (CMS) and Medicaid (AHCCCS)
- Experience in Medicare and Medicaid managed care clinical and utilization management
- Demonstrated successful experience and program development/improvement in health plan clinical management
- Proven track record of partnering with providers, community and organizational leaders to achieve organizational outcomes
- Strong financial and business acumen, including a keen understanding of operational and financial measures that define success, as well as budgeting and forecasting methodologies
Benefits
Comp & perks- Option to participate in a variety of health, financial, and security benefits
- Management Incentive Program as part of your Total Rewards package