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Vice President, Montana Regional Director at PacificSource

Posted in Other 30+ days ago.

This job brought to you by CareerBuilder

Location: Malta, Montana





Job Description:
Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Position Overview: Serve as a member of the executive management group with the overall responsibilities for all health plan activities in the state of Montana. Manage and supervise local office functions and personnel. Serve as executive leader for issues related to media, legislative, regulatory, business, key provider interactions and community activities. Work with Executive Management Group (EMG) members on the development and implementation of sales, marketing, and communication strategies in commercial and government lines of business and responsible for achievement of PacificSource growth and profitability goals.

Essential Responsibilities:
  • Develop, guide, implement, and maintain sales, marketing, and communications strategic and operational plans in support of the overall mission and business strategy for assigned region.
  • Work with the Regional Sales Manager and SVP of Sales to establish sales strategies, annual sales quotas and success metrics for sales and marketing functions.
  • Monitor critical market developments including delivery system, regulatory, and competitor changes and recommend appropriate action and adjustment of strategic and operational plans as the changes may require.
  • Ensure that all health plan activities are performed in compliance with local, state, and federal regulations and laws governing health insurance.
  • Work with EVP & COO and VP, Provider Network to ensure that provider contracts and networks have the administrative capabilities to meet the requirements of existing and planned products and services.
  • Participate as the PacificSource Executive on community, business, regulatory, and industry boards and associations as necessary.
  • Oversee and coordinate relationships with key provider partners.
  • Work with Provider Network staff to coordinate, prioritize and maximize provider interactions.
  • Maintain awareness of topics critical to provider partners, including operational, legislative and competitive topics that impact providers and may generate strategic opportunities for PacificSource.
  • Work with line of business VP's on the development, implementation, and sales and marketing of Medicare, Medicaid, and Commercial products.
  • Operate region with maximum efficiency, accuracy, consistency and quality of service. Hire, manage and coach direct reports.
  • Complete annual performance reviews, establish objectives and development plans and, in consultation with Human Resources, apply and carry out corrective action plans and terminations, if necessary.
  • Develop and monitor annual department budgets, as appropriate.
  • Coordinate business activities by maintaining collaborative partnerships with key departments.
  • Actively participate as a key team member in EMG meetings.


Supporting Responsibilities:

Coordinate business activities by maintaining collaborative partnerships with key departments. Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned.

Work Experience: Minimum of five years of senior management experience in a healthcare insurance environment, including sales and marketing, internal operations, and provider network operations required. Well-developed relationships within the insurance community required. Previous management experience required.

Education, Certificates, Licenses: Bachelors degree and/or applicable work experience required. Advanced degree preferred.

Knowledge:
  • Must be a versatile, collaborative, business-minded individual with strong organizational management, marketing, sales, and outstanding leadership skills.
  • Project management skills necessary.
  • Established success in participating in a team-oriented work environment.
  • Requires ability to define and prioritize problems and manage workload without direct supervision.
  • Strong research, analytical, organizational, and interpretative skills.
  • Requires some advanced math skills, including basic statistics, and financial analysis skills.
  • Requires excellent verbal and written communication skills; ability to read, analyze and interpret documents, schedules, reports, budgets and correspondence.
  • Ability to develop and deliver presentations and reports; respond to questions from a variety of groups, including brokers, management, boards of directors, employees and vendors.


Competencies
  • Authenticity
  • Building Organizational Talent
  • Coaching and Developing Others
  • Cultivating Networks
  • Customer Focus
  • Empowerment/Delegation
  • Emotional Intelligence
  • Establishing Strategic Direction
  • Leading Change
  • Optimizing Diversity
  • Passion for Results


Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 25-30% of the time.

Our Values
  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for customer service.
  • We practice open communication at all levels of the company to foster individual, team and company growth.
  • We actively participate in efforts to improve our many communities-internally and externally.
  • We encourage creativity, innovation, and the pursuit of excellence.


Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

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