Director of HIF Projects

Conner Strong & Buckelew; Camden (NJ); In loco; USD 100.000 - 130.000; Tempo pieno

Descrizione del lavoro

Conner Strong & Buckelew seeks a Director of HIF Projects to lead strategic initiatives within the Health Insurance Fund and public entity business. You will own the project portfolio, drive planning, governance, and reporting, and partner with executives to prepare materials for Commission meetings and renewal analyses.

The role requires PMP/Lean Six Sigma or similar, a minimum of 8 years in employee benefits, strong analytics, and the ability to lead cross-functional teams; travel to other

Competenze

• Bachelor's degree in Business Administration or related field preferred.
• 8+ years' experience in employee benefits, health insurance, self-funded plans, or public entity risk pooling.
• 5+ years leading complex, cross-functional projects.
• Experience managing renewals, RFPs, and vendor or carrier relationships.
• Strong working knowledge of self-funded and fully insured health plans, ASO arrangements, stop loss, PBM, and claims reporting.

Mansioni

• Own the HIF project portfolio, including intake, prioritization, scoping, resourcing, and status reporting for all initiatives.
• Develop and maintain project plans with timelines, milestones, dependencies, risks, and owners; establish governance cadence.
• Provide regular updates to the HIF Executive Leadership team and escalate risks with solutions.
• Develop a HIF Training program for new hires.
• Lead projects enhancing data warehouse capabilities, reporting automation, and analytics/AI tools.
• Support preparation of Program Manager reports, renewal analyses, and claims experience summaries for commissioners and member entities.
• Manage projects involving carrier partners, PBMs, TPA, and ASO contracts and invoicing review processes.
• Lead or support RFP processes and cost-containment initiatives; monitor market trends for vendors and products.
• Support initiatives to consolidate smaller Funds where strategically appropriate.

Conoscenze

Project management

Analytical thinking

Communication

Leadership

Presentation skills

Formazione

Bachelor's degree in Business Administration or related field

Strumenti

Power BI

Microsoft Office

Descrizione del lavoro

Department: Employee Benefits – Public Entity and HIF Business

Job Summary

As a key member of the Public Entity and HIF leadership team, the Director of HIF Projects is responsible for planning, coordinating, and delivering strategic and operational initiatives across our Health Insurance Fund (HIF) and public entity book of business. This individual serves as the central point of accountability for HIF related projects as directed by the HIF Executive Officer, The Executive Director and the Senior Director of HIF Operations. This role will also provide support to the Executive Director team as it relates to preparing materials for Commission meetings, assistance with the Budget and Rate renewal process and be a resource for HIF Accounting. This position will work with our internal partners and teams to support our Process Improvement Team while delivering measurable value to member entities and their employees. Providing support to the Executive Director’s team will be a key area of focus.

Job Responsibilities

• Own the HIF project portfolio, including intake, prioritization, scoping, resourcing, and status reporting for all strategic and operational initiatives.
• Develop and maintain project plans with clear timelines, milestones, dependencies, risks, and accountable owners; establish a standard project management framework, templates, and governance cadence for the HIF practice.
• Provide regular updates to the HIF Executive Leadership team, escalating risks and recommending solution upon problem identification.
• Develop a HIF Training program for new hires.
• Lead projects that enhance data warehouse capabilities, reporting automation, and the use of analytics and AI tools.
• Support preparation of Program Manager reports, renewal analyses, and claims experience summaries for commissioners and member entities.
• Manage projects involving carrier partners, pharmacy benefit managers, third-party administrators, and benefits administration partners; including performance guarantees, service level agreements, ASO contract terms, and invoice review processes.
• Lead or support RFP processes and cost-containment initiatives such as reference-based pricing, improved Rx contracts, and out-of-network reimbursement fee schedules, and monitor the marketplace for emerging vendors, products, and trends.
• Support initiatives to consolidate and streamline smaller Funds where strategically appropriate.
• Contribute content to HIF newsletters and strategic communications.
• Ensure projects comply with applicable regulatory requirements, Fund bylaws, and public entity procurement rules.
• Perform other tasks, duties, and functions as assigned from time to time.

Specialized Knowledge or Licenses

• Life and Health License preferred
• Project Management Professional (PMP), Lean Six Sigma, or similar certification required
• Experience with data warehouse, business intelligence, or analytics platforms (e.g., Power BI) and AI-enabled tools required

Requirements

• Bachelor's degree in Business Administration, Health Administration, Finance, Risk Management, or a related field preferred
• Minimum 8 years' experience in employee benefits, health insurance, self-funded plans, or public entity risk pooling, including at least 5 years leading complex, cross-functional projects
• Demonstrated experience managing implementations, renewals, RFPs, and vendor or carrier relationships
• Strong working knowledge of self-funded and fully insured health plans, ASO arrangements, stop loss, pharmacy benefits, and claims reporting
• Knowledge of Public Entity business preferred, including experience with New Jersey or Pennsylvania public entity health insurance funds, joint insurance funds, or municipal benefit programs
• Strong analytical skills with the ability to interpret claims, financial, and utilization data to inform decisions
• Proven ability to manage multiple concurrent projects with competing deadlines and to lead teams through change
• Excellent interpersonal, written, verbal, and presentation skills, including experience presenting to boards or governing bodies
• Proficiency in Microsoft products; Word, Excel, PowerPoint, Teams, and Planner or Project required
• Authorized to work in the United States on a full-time basis without Company sponsorship

Office environment with moderate noise level; able to work flexible hours including evenings, and travel to other Conner Strong & Buckelew and PERMA offices and client work sites as needed.

Salary for this position ranges from $100,000.00 - $130,000.00. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

Conner Strong & Buckelew is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, gender, affectional or sexual orientation, gender identity or expression, national origin, ancestry, nationality, age, disability (physical or mental), marital or domestic partnership or Civil Union status, pregnancy, family medical history or genetic information, atypical cellular or blood trait, military service or any other status protected by law.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Conner Strong & Buckelew’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.