GENERAL SUMMARY:
Develops and supports strategies and approaches to increase performance and competitive positioning of HAP's products. Leads and supports high profile initiatives that promote product growth and retention strategies. Ensures that all efforts align with state and federal regulatory requirements set forth in the Patient Protection and Affordable Care Act (PPACA) and Department of Insurance and Financial Services (DIFS) and the Centers for Medicare and Medicaid Services (CMS). Monitors industry trends and competitor offerings and determines the value proposition of new functionality to HAP. Facilitates and documents business requirements development efforts to ensure business needs are met. Serves as the business liaison to technical and vendor partners and ensures that business requirements are fully understood to ensure alignment with delivered solution. Collaborates with business partners that impact HAP products to identify process improvement opportunities, and leads small and larger scale process improvement efforts with defined metrics to measure
outcomes.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Leads and supports high profile initiatives impacting HAP products. Collaborates with impacted business areas including product development, operations, information technology etc., to assess potential system and operational impacts and incorporate feedback. Develops robust, clearly defined and documented business requirements to ensure that business needs are clearly met and represented. Serves as point person in development of business test cases for product specific
initiatives.
Serves as the liaison between the business and technical teams to ensure that business requirements are clearly defined, documented and understood. Actively seeks out input from impacted stakeholders including but not limited to product development, operations, and information technology teams to assess potential system and operational impacts and incorporates feedback.
Supports business case development to determine value proposition of new or enhanced technical solutions. Works closely with operational areas to determine operational efficiencies associated with the new technology and documents findings
in prescribed templates/formats.
Works closely with and actively seeks input from operational leaders to identify process improvement opportunities within their respective areas. Leads and/or supports process re-design efforts with defined metrics to measure improvements
over time. Documents "as is" and "to be" process flows associated with each.
Monitors industry and competitor products, trends, and technical solutions, and determines value proposition to HAP. Identifies trends and patterns, assesses competitive opportunities and recommends new or enhanced solutions for consideration.
Takes ownership of assigned initiatives and serves as a subject matter expert to business area stakeholders. Works with appropriate resources to ensure training and other needed support is delivered to all impacted end users.
Maintains above average knowledge of Health Care Reform, Health Insurance Market and Government Products to ensure that technical solutions/ functionality aligns with regulations and industry trends.
EDUCATION/EXPERIENCE REQUIRED:
Bachelor's Degree in Business, Health Care Management, Health Care Marketing or related field OR an additional sic (6) years of experience in business process redesign/analysis and/or leading projects may be considered in lieu of the education requirement.
Master's Degree in related field considered a plus.
Minimum of three (3) years of project management, process improvement and process documentation in business and/or healthcare field.
At least three (3) years of Managed Care or Insurance experience.
Demonstrated experience in health care or health business organization.
Highly Proficient in MS Office and related applications.
Experience with presentations and public speaking.
Ability to plan, organize, direct and control projects and present complex materials in a clear, concise and persuasive manner.
Excellent analytical, organizational, interpersonal, problem solving, written and verbal communication skills, as well as the ability to apply concepts to practical situations.
Ability to work independently with minimal supervision, within a team environment and handle multiple assignments.
Ability to work collaboratively and professionally with all levels of the organization.
Excellent organizational and time-management skills.
Be a self-starter, engaged and committed to the department's initiatives and goals.
Proficient technical and software skills.
Knowledge of managed care concepts and healthcare industry.
Expertise in project management, time management, and negotiating artfully.
Demonstrated experience in completing multi-faceted projects with precise coordination, collaboration, and timeliness.
Willing to work extended hours based on department's priorities.
Additional Information
Organization: HAP (Health Alliance Plan)
Department: Medicare Products
Shift: Day Job
Union Code: Not Applicable
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan's largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more athenryford.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or making the employee enrollment selection experience easier, it's all about choice. Henry Ford Health has a new approach for its employee benefits program - My Choice Rewards. My Choice Rewards is a program as diverse as the people it serves. There are dozens of options for all of our employees including compensation, benefits, work/life balance and learning - options that enhance your career and add value to your personal life. As an employee you are provided access to Retirement Programs, an Employee Assistance Program (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.
