Description

Company: Oak Street Health 
Title: Senior Director, Managed Care Operations
Location: Treehouse

 

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients and communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.

For more information, visit www.oakstreethealth.com.
 
Role Description:

Reporting to the Senior Vice President of Managed Care Operations, the Senior Director of Managed Care Operations (Payer Relationships) leads a team responsible for a portfolio of health plan relationships and drives strategic department initiatives. In this role, they will be responsible for leading  core relationships and operations with health plan partners and managing a team of Sr. Managers, Managers and Associates to achieve strong performance together.  This involves development, socialization, and execution of a 3 year strategic plan for assigned health plans. contracting, ongoing contract administration and relationship management, resolving issues as they arise, and ensuring internal communication and transparency on where we are at regarding our health plan partners. The scope will include a subset of Oak Street's partnerships. In addition, this role will have oversight of driving strategic initiatives on behalf of the managed care operations team. Inherent to this oversight is curation of potential initiatives, impact analysis, and recommendation for prioritization.  

Core Responsibilities:

The Senior Director of Managed Care is responsible for the following leadership and administrative duties:

Team Leadership: Overseeing, developing and retaining a team of Managed Care Senior Managers, Managers, and Associates who support Oak Street and our payer partners day in and day out. The Senior Director will recruit and manage talented leaders and individual contributors ensuring succession planning and career pathing for their team. Owning Payer Partner Strategy:  Effective risk-based partnerships with Medicare Advantage plans are critical for Oak Street's success.  The Senior Director will foster these partnerships through relationship building efforts.  Additionally, the Senior Director will develop, socialize, and drive the three-year strategy for the plan partnership. They will drive excellence in performance through ensuring top-tier joint operating committees (JOCs) and ongoing ad hoc interactions.  Driving Economic Value for Oak Street Health: through the 3 year strategic plan, the Senior Director will drive continuous improvement in OSH contracts and health plan relationships through a deep understanding of deal dynamics. This necessitates close collaboration with Health Plan Finance and a strong understanding of financial concepts that affect deal economics.Development of Strategic Initiative Management and Operationalization: the Senior Director will curate strategic initiatives, lead impact analysis, and drive prioritization and execution on behalf of Managed Care Operations. Inherent to this responsibility is management of team members and collaboration within various departments of Oak Street Health. These departments included, but are not limited to, population health, data support, finance, clinical and field leadership, credentialing, revenue cycle management, and provider services.Organizational Strategy and Collaboration: The Senior Director will also support organization-wide planning and strategy including helping share the managed care perspective and expertise as needed for new site launch improvements, planning for & hiring staff, owning continuous improvement initiatives, and prioritizing SOP, BI development needs, and network management initiatives.   Drive Culture: At Oak Street, we foster a culture of innovation and open dialogue, and we work with urgency. This requires high energy, active listening skills, and a comfort with and commitment to regular change. Our Senior Director is expected to support this culture and set an example for others to follow.Other duties as assigned

 

What are we looking for?
Ideal candidates will satisfy the following:

Executive presence that translates internally and externally. Leadership that is quick to assume accountability and ownership anywhere neededA driven owner with proven ability to work issues to resolution and manage multiple priorities in a structured, project management fashion.Ability to communicate and collaborate effectively – via presentations, verbally, and in emails - with staff, providers, and a diverse group of leaders (internally and at a payer partner)Self-aware and confident in their leadership skills and eager to share those with a fast growing, energetic team BA required, Masters degree (e.g. MBA, MHA, MPH, MSN) preferred.5+ years of experience in Medicare Advantage / managed care or relevant experience within a health plan or health system5+ years of experience in managing a teamCommitted to Oak Street's vision and mission of rebuilding healthcare the way it should beUS work authorizationSomeone who embodies being Oaky

What does being Oaky look like?

Radiating positive energyAssuming good intentionsCreating an unmatched patient experienceDriving clinical excellenceTaking ownership and delivering resultsBeing relentlessly determined

 

Why Oak Street Health?

 

Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission.

 

Oak Street Health Benefits: 

 

Mission-focused career impacting change and measurably improving health outcomes for Medicare patients

Paid vacation, sick time, and investment/retirement 401K match options

Health insurance, vision, and dental benefits

Opportunities for leadership development and continuing education stipends

New centers and flexible work environments

Opportunities for high levels of responsibility and rapid advancement

 

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. 

 

Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health