Senior Network Strategy Director

Culinary Health Fund, Unite Here Health; United States; Remote; USD 153,000 - 196,000; Full time

Job summary

Join a forward-thinking organization dedicated to providing high-quality health benefits to workers in the hospitality and gaming industries. As a Senior Network Strategy Director, you will lead innovative contracting efforts, manage a talented team, and collaborate with stakeholders to enhance healthcare delivery. This remote position offers the opportunity to make a significant impact while working alongside a passionate team committed to improving the lives of their participants. If you possess a strong background in healthcare contracting and a desire to drive change, this role is perfect for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off (PTO)

Paid Holidays

Short- & Long-term Disability

Life Insurance

Retirement Benefits

Tuition Assistance

Employee Assistance Program (EAP)

Qualifications

• 10-12 years in healthcare or managed care contracting.
• Strong understanding of ACA, COBRA, HIPAA, and DOL regulations.
• Experience with union or Taft-Hartley Trust Funds is a plus.

Responsibilities

• Lead managed care contracting and vendor administration activities.
• Coordinate with internal and external stakeholders to implement contracts.
• Analyze contract performance and develop alternative solutions.

Skills

Contracting Expertise

Data Analysis

Leadership Skills

Financial Analysis

Interpersonal Skills

Education

Bachelor's Degree in Business

Master's Degree (preferred)

Tools

Contract Management Systems

Data Analysis Tools

Job description

Morgan Consulting Resources, Inc. has been retained to conduct the search for the Senior Network Strategy Director for UNITE HERE HEALTH. This is a fantastic opportunity to join a deeply committed organization that serves 200,000+ workers and their families in the hospitality and gaming industry nationwide.

Location: This is a remote role with a strong preference for candidates in the Chicago area, with 15% to 25% travel to the Aurora, IL office (where the team resides) as well as other sites based on business needs.

About the Organization:

UNITE HERE HEALTH (UHH) is a multi-employer Taft-Hartley Trust Fund governed by a Board of Trustees composed of union and employer representatives.

Mission: UHH’s mission is to provide health benefits that offer high-quality, affordable healthcare to their participants at better value with better service than is otherwise available in the market. UHH believes their success depends on innovation and engaging their participants.

For several decades, UNITE HERE HEALTH has served UNITE HERE! union workers in the hospitality, food service and gaming industries. Their benefits and innovative programs are designed to meet the triple aim of better care, better health, and lower costs while empowering participants to better manage their health and healthcare.

For more information about the organization, please visit: https://www.uhh.org.

About the Position:

Reporting to the Vice President of Healthcare Delivery, the Senior Network Strategy Director is responsible for all managed care contracting and vendor administration (MCVA) activities for the Aurora-based Plan Units. This exciting and important position will work alongside and directly manage a tenured Aurora-based MCVA team as well as work with executive leadership and operational management to develop and manage the MCVA’s strategic goals. Vendors include a wide range of managed care partners (see “External Relationships” below).

This senior director will provide their expertise in innovative contracting which will help UHH explore new opportunities to increase quality and decrease cost. We are looking for someone who loves to research creative ways to build relationships, create and enhance contracts, and who will take the initiative to research and learn markets that are important to UHH so they can become a subject matter expert.

The senior director will shepherd and support the Aurora-based MCVA team that finalizes negotiations; coordinate with internal and external stakeholders to implement contracts; and oversee the management of day-to-day contractual relationships with a wide range of managed care partners (contracted network carriers, vendors, and preferred providers).

Culture: UHH is a very hands-on, fast-paced, flat organization that prides itself in being innovative and progressive. Taking care of their participants is of highest priority.

Ideal candidate: This position requires more than expertise in contracting. Someone who enjoys reviewing and translating data, looking for opportunities in different markets to implement innovative programs for the benefit of the participants and the Fund. Candidates should demonstrate the ability to work with multiple stakeholders internally as well as externally. Knowledge of key markets – Chicago, Boston, New York, New Jersey – is a plus.

Reporting to this position: Sr. Manager of Managed Care Contracting.

Essential Qualifications:

• 10-12 years or more of experience in a healthcare, managed care, or insurance organization
• Excellent understanding of, and experience in leading, contracting efforts of the full range of managed care and healthcare approaches, including innovative models such as risk-sharing arrangements and capitation, as well as more unique and/or direct-provider arrangements
• Working knowledge of current legislative requirements under ACA, COBRA, HIPAA, DOL, etc. as related to health benefits, eligibility, payment, appeals, etc.
• Strong data and financial analysis acumen and experience
• Strong report writing and presentation experience
• Demonstrated strong leadership and interpersonal skills to lead others to achieve results in a team-oriented environment
• Knowledge of and experience working with union, Taft-Hartley Trust Funds or mission-driven non-profit organizations are a plus
• Bachelor's degree in Business, Healthcare Administration, related field or equivalent work experience required (master’s degree preferred)

Salary expectations: The salary range for this position is $153,600 - $195,900. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.

Benefits: UHH rewards great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). Of particular note are excellent retirement benefits through a 401(k) and a robust pension plan.

If you or someone you know has the qualifications for this role, let’s set up a time to talk. Thank you!

Erica Eikelboom, Principal & Executive Search Consultant
Morgan Consulting Resources, Inc.
[e-mail]

POSITION DESCRIPTION

UNITE HERE HEALTH serves 200,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!

The Senior Network Strategy Director is responsible for all managed care contracting and vendor administration (MCVA) activities for the Aurora-based Plan Units. This exciting and important position will work alongside and directly manage a tenured Aurora-based MCVA team, as well as will work with executive leadership and operational management to develop and manage the MCVA’s strategic goals. Vendors include a wide range of managed care partners, including contracted network carriers (especially BCBSIL, Horizon NJ, Tufts, Kaiser Permanente), point solutions (transplant networks, payment integrity), Health Center operators (Premise) and preferred providers/systems (Ascension in Chicago, UPenn in AC).

This Senior Director will provide their expertise in innovative contracting which will help us explore new opportunities to increase quality and decrease cost. We are looking for someone who loves to research creative ways to build relationships, create and enhance contracts, and who will take the initiative to research and learn markets that are important to us so they can become a subject matter expert.

The Senior Director will shepherd and support the Aurora-based MCVA team that finalizes negotiations; coordinates with internal and external stakeholders to implement contracts; and manages day-to-day contractual relationships with a wide range of managed care partners (contracted network carriers, vendors, and preferred providers).

Come and be a part of an organization whose mission is to offer and develop impactful programs and benefits for the underserved and immigrants who make up our membership.

ESSENTIAL JOB FUNCTIONS AND DUTIES

• Employs consultants strategically and engages with experts in the field in order to identify opportunities
• Oversees the MCVA staff for the Aurora-based Plans Units as they administer, coordinate, negotiate, execute, implement and monitor all managed-care vendor contracts
• Helps analyze contract performance from utilization, financial, operational and member service standpoints for the Aurora-based Plan Units and collaborates with the Las Vegas-based Hospitality Plan on their activities
• Analyzes problems, identifies, and develops alternative solutions, projects consequences of proposed actions, and implements recommendation/solutions
• Supervises, leads, and delegates work and coaches, mentors, and develops employees
• Recommends hires and promotions, directs, and evaluates employment decisions for all assigned positions
• Assists with developing and coordinating policies and procedures
• Oversees continued employee training requirements, safety, and quality initiatives
• Demonstrates the Fund’s Diversity and Inclusion (D&I) principles in their conduct with employees; partners with Healthcare Delivery & MCVA leadership and staff to create a safe and inclusive culture with equitable opportunities for success and career growth

ESSENTIAL QUALIFICATIONS

• 10 – 12 years or more of experience in a healthcare, managed care, or insurance organization
• Excellent understanding of, and experience in leading, contracting efforts of the full range of managed care and healthcare approaches, including innovative models such as risk-sharing arrangements and capitation, as well as more unique and/or direct-provider arrangements
• Working knowledge of current legislative requirements under ACA, COBRA, HIPAA, DOL, etc. as related to health benefits, eligibility, payment, appeals, etc.
• Strong data and financial analysis acumen and experience
• Strong report writing and presentation experience
• Demonstrated strong leadership and interpersonal skills to lead others to achieve results in a team-oriented environment
• Knowledge of and experience working with union, Taft-Hartley Trust Funds or mission-driven non-profit organizations are a plus
• Bachelor's degree in Business, Healthcare Administration, related field or equivalent work experience required (master’s degree preferred)
• 15% ~ 25% travel required based on business needs and location relative to MCVA staff