Regional VP, Market Leader
New York, NY, USA | Bright Health
Industry:Healthcare - Hospitals
Job Description:52 people have viewed this job
Our Markets Team is responsible for assuring the success of Bright Health in matrixed partnership with other Bright Health leaders. The Regional VP, Market Leader has responsibility for assuring the Market Leads and Market Executive Directors are successful in the Markets within the assigned territory.
The specific geographic areas of your assigned region will be subject to change as Bright Health grows but the role currently involvesa combination of leading senior Market Managing Directors and direct Market leadership across Colorado, Arizona, Nebraska, Tennessee, Illinois, Wisconsin, Ohio and New York.
The Market Team provides oversight of and shares accountability with Bright Health’s clinical, quality and growth teams to collectively drive performance in our health plans in each market.
The Regional VP, Market Leader has responsibility for collaborating with other Bright Health leaders and will direct the market-based teams to:
· Manage the strategic partnerships with our Care Partners and top network providers;
· Manage the network performance to deliver affordable, high quality health care;
· Assure the growth and vitality of Bright Health’s insurance products across all Lines of Business.
This role impacts Care Partners and key provider awareness, satisfaction, partnership and clinical effectiveness by ensuring we have a successful approach to supporting the development and implementation of Care Partner/Bright Health quality and clinical programs, panel and attribution growth initiatives and advancing Care Partner primary care delivery models. The role collaborates closely with Bright Health’s internal clinical, analytic and growth teams, as well as our Care Partners and top provider practices, while overseeing a team that is the face of in your market.
Lead the Market Managing Directors and other in-market teams and leaders in overseeing and executing Bright’s Health Plan, Care Partner, and Network provider partnership and performance within your assigned territory.
Develops and ensures execution of a market-wide strategic plan that aligns growth, network, clinical, corporate development, and other market activities taking into account direction and input from Bright Health Plan and other Bright organizational leadership.
Own accountability for driving performance across all markets and Lines of Business in the assigned territory.
a. Network partnership:
Oversee the local Care Partner and network strategy including network development, provider contracting, engagement, renewal
Partner with Health Optimization and Market Success teams to implement programs to maintain positive relationships between the health plan, physicians, hospitals, and practice managers
b. Network performance:
Work closely with the Care Partners and providers in the Markets on day-to-day Bright Health Plan operations across all Lines of Business
Work closely with Care Partners and to Achieve MCR and quality targets
Work closely with Line of Business teams on new market entry strategies, including product launches and market expansions.
Partner with the sales team in executing on distribution and sales initiatives to drive high revenue and membership targets
Work closely with the DOI and Bright Health legal team to ensure compliance
Manage a senior team, helping to develop leaders and achieve objectives across a geographically dispersed team.
Other duties and responsibilities as assigned.
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
Bachelor’s Degree in business, economics, healthcare administration, or a related field is required; MBA is preferred.
Ten (10) or more years of experience in healthcare, ideally inside provider and payer settings, with at least five (5) or more years of experience or knowledge of managed care, network development, or network management.
Seven (7) or more years of experience managing senior level contributors.
Local market knowledge of the healthcare payer and/or provider landscape.
Large project and program management experience.
Familiarity with Individual, Commercial and Medicare products, including development and execution of growth and distribution initiatives.
Experience working with clinical, sales, and product teams to design and implement programs to maintain positive relationships between the health plan, physicians, hospitals, and practice managers.
Ability to work effectively in a matrixed environment and comfort with shared accountability:
Strong collaboration skills to effectively work with the sales team in executing on high revenue and membership targets,
Strong collaboration skills to partner closely with other Bright Health leaders to design and implement programs to maintain positive relationships between the health plan, physicians, hospitals, and practice managers.
Leadership skills that extend cross-functionally, spanning operations, clinical, provider relations, marketing, distribution and sales in such a way that achieves an exceptional experience for members, clinicians and distribution partners.
Strong relationship skills within the healthcare provider space
Results oriented, capable of clearly translating strategic objectives into implementable processes that drive outcomes.
Inspirational, respectful and effective team leadership.
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