[Remote] Mgr, SHBP Partner Management II

Note: The job is a remote job and is open to candidates in USA. Horizon Blue Cross Blue Shield of New Jersey is a leader in health solutions, dedicated to improving health care quality and member experience. The Mgr, SHBP Partner Management II will strengthen relationships with the New Jersey State Health Benefits program and oversee strategic initiatives in wellness and Direct Primary Care models.

Responsibilities

• Direct and execute strategic plans within the Wellness space, working with outside vendors, ‘Expand Leadership’ and business partners across the enterprise as appropriate.
• Collaborate with key business partners across CBU, HCM and Provider partners to develop strategies for expanding Horizon's Direct Primary Care Medical Home (DPCMH) model with the State.
• Provide thought leadership to all current DPCMH vendors and enable standardization and financial payment models based on clinical outcomes.
• Assess and evaluate performance of the various DPCMH partners and ensure the results are aligned with the contractual agreements.
• Oversee execution of the Communication strategy by working closely with Marketing and Communication Directors to ensure they are aligned with direction from State’s leadership Lead negotiations and engagement process from vendor assessment and SOW development through contract signing and program implementation Lead in presenting strategic recommendations to DPB leadership which are aligned with Horizon’s mission and vision statements.
• Oversee the development of the long-term operating model to support these relationships consistent with their contractual agreements Build and maintain strong relationship with leadership and staff at the State within the DPB and Treasury department.
• Ensure Performance Guarantees and Cost of Care owners are accountable for targets as well adoption of programs that can improve targets Manage, develop and train staff; develop and monitor goals; conduct annual performance reviews, and administers salaries for the staff.

Skills

• Requires a demonstrated success in positions requiring consultative skills and the ability to influence those at senior levels regarding strategy, new concepts or approaches to achieving improved results.
• Requires a minimum of 4 years managing staff.
• Requires a minimum of 10 years work experience, including a minimum of 8 years in the Group Health insurance experience or the health care industry with a proven record of positive client relationships.
• Requires experience in successfully leading cross functional, matrixed teams to achieve long-term objectives.
• Strong analytical skills, including the ability to analyze large data sets, identify insights, and leverage these insights into business decisions.
• Must be proficient in a Windows based environment, including MS Office products (Word, Excel, and PowerPoint).
• Must be results-driven.
• Exhibits an energetic, inquisitive, positive approach to problem solving.
• Solid interpersonal, written, and verbal communication skills required.
• Self-motivated, highly organized individual with strong attention to detail.
• Proven ability to communicate effectively to a wide range of audiences - including executives, department heads and tough customers.
• Demonstrated ability to make decisions with little need for direction and to function effectively as a team-oriented, self-starter working across cross-functional lines.
• Proven ability to ask probing questions and obtain thorough and relevant information.
• Must demonstrate the ability to learn quickly and apply learning to new situations. Must exhibit flexibility to change as appropriate.
• Proven ability to influence without authority.
• Project leadership/management experience a plus.

Education Requirements

• Requires Bachelor degree from an accredited college or university, or relevant experience in lieu of degree.
• Master's degree preferred.

Benefits

• Comprehensive health benefits (Medical/Dental/Vision)
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement

Company Overview

• Horizon Blue Cross Blue Shield of New Jersey is a company that provides health insurance products. It was founded in 1932, and is headquartered in Newark, New Jersey, USA, with a workforce of 5001-10000 employees. Its website is http://www.horizonblue.com.

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