Trade Operations Manager
Braeburn
Senior Director, Population Health Strategy and Operations
Capital Blue Cross
full-time
Posted on:
Location Type: Hybrid
Location: Harrisburg • Pennsylvania • 🇺🇸 United States
Visit company websiteSalary
💰 $142,390 - $268,270 per year
Job Level
Senior
About the role
- Lead the development and execution of enterprise-wide population health strategies that drive member quality and cost outcomes.
- Design, build and translate data insights into strategic initiatives and operational plans that support the organization’s long-term goals.
- Serve as a thought partner to senior leadership, helping shape the future of population health through innovation and cross-functional collaboration.
- Accountable for P&L financials inclusive of vendor spend & ROI.
- Leads clinical vendor/partner relationships and oversight functions and accountable for vendor performance, leading contract relations with new & existing vendors/partners.
- Leads Population Health team, working collectively with Care Management, Sales and Marketing, to drive value-added clinical programs though Capital’s ASO employer business.
- Leads a culture and practice of continuous process improvement, especially for business functions that span multiple internal and external stakeholders.
- Strategically develops and adjusts program effectiveness measurement to support internal and external customer reporting and performance management strategies.
- Champion data literacy across the Population Health team, coaching and upskilling staff to better leverage analytics in decision-making.
- Collaborate closely with IT, Informatics, and Analytics teams to ensure strategic alignment, visibility and dependency management across clinical documentation and data platforms.
- Lead cross-functional workgroups to operationalize new models of care with a priority focus on driving MLR improvements to the Medicare Advantage segment.
- Act as a connector between strategy and execution, ensuring that operational and technical teams are aligned with organizational priorities and that dependencies are identified, coordinated and managed.
Requirements
- Must be able to think strategically and lead / motivate individuals within department to drive organizational strategies in the context of rapid change.
- Unwavering commitment to quality programs and data-driven leadership.
- Strong people influence with the ability to engage a wide range of stakeholders in change.
- Ability to identify root causes complex and systemic problems and formulate durable solutions.
- Excellent strategic and managerial skills, including the ability to successfully interact with management and staff at all levels of the organization - including c-suite.
- Ability to multi-task and handle competing priorities without compromising quality.
- Healthcare delivery strategy, program management and administration concepts.
- Experience with modern productivity management and team leadership practices.
- Project management, process improvement, quality improvement, or organizational design.
- Population management programs, goals, strategies, outcomes and experience with the successful implementation of these programs.
- Managed care offerings (Commercial HMO, PPO, POS, EPO and Medicare and Medicaid (CHIP) and how benefits are interpreted delivered and managed).
- Minimum seven years of progressive healthcare leadership experience including new clinical program development and five years management experience.
- Master’s degree in related field.
- You may be responsible for the care, supervision, guidance, or control of children or otherwise have routine interactions with children. Therefore, in accordance with Pennsylvania’s Child Protective Services Law, you must undergo and obtain clearances through comprehensive and regularly updated criminal background checks.
Benefits
- Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisprogram managementprocess improvementquality improvementproject managementpopulation managementfinancial managementvendor managementhealthcare delivery strategyanalytics
Soft skills
strategic thinkingleadershippeople influencestakeholder engagementproblem-solvingmulti-taskingcommunicationcollaborationcoachingchange management
Certifications
Master’s degreeChild Protective Services clearances
