CEO Hometown Health

Position Purpose

Position is accountable for overall Hometown Health strategy development, in context of Renown Health strategic plan, and for operational execution of the health insurance strategy, to expand health insurance product portfolio, enhance profitable growth and retention of membership, ensure overall operational integrity and provide subject matter expertise to distinguish Hometown Health in a competitive marketplace.

Position background to include commercial and government programs, strong operational fundamentals in managed care and insurance operations, throughout; leader will be responsible to demonstrate operational compliance with appropriate local, state and federal regulatory agencies, working with Renown Health Compliance and Legal Departments.

Nature and Scope

Position shall report to the Renown Health Chief Operating Officer, Health Services Division with ongoing interactions with Renown Health Leadership. Position will work closely with Renown Medical Group, Renown population health departments and clinical leaders to advise regarding customer service experiences, network growth needs as well as cost and quality outcomes impacting Hometown customers.

Position will directly support the Hometown Health Governing Board and committees within the Renown Health Governance structure, as requested and informed by the Renown Health President & CEO.

Regular interactions expected with employers, brokers/consultants, regulators, providers, members and other stakeholders.

Position shall provide leadership and ongoing management through direct reporting relationships and Renown Health Support Services relationships to assure excellence in operations and work products generated through Health Plan and related affiliates.

Using discretion and independent judgment, this position directs the development of short and long-range objectives and operating plans for areas of responsibility. This position oversees operations, and the application and implementation of established health network policies and acts as a liaison with medical staff, and departments and the control and effective utilization of physical and financial resources.

Administrative functions include: planning and coordinating activities, program and service evaluation, development of policies and procedures and oversight of quality assurance standards and programs for all areas of responsibility.

This position ensures compliance with all applicable law and regulations governing health care delivery and with all appropriate accrediting inspecting agencies (i.e., CMS, Dept of Insurance, etc.) by continually monitoring the operation of services and programs and initiating changes as necessary.

This position will have responsibility in the supervision of leadership staff over all areas in which they are responsible, including the authority to hire, transfer, suspend, layoff, recall, promote, discharge, assign, reward, or discipline employees. This position is required to use independent discretion and judgment with respect to supervisory and management decisions and recommendations.

Position is charged with recruitment and retention of capable staff and talent base to execute strategy and operations plan and with building and maintaining strong and productive relationships with Renown Health Support Services Leaders.

The position is a key leadership position for the health plan, as well as Renown Health. Position will regularly represent Hometown Health and Renown Health in the community to market, communicate and leverage the value proposition of the health plan to increase the likelihood of existing clients and potential new clients choosing Hometown Health/Renown Health over competitors. The position will participate with organizations outside Renown and be an ambassador to the community for our services.

Throughout, position will be navigating strategic and operational challenges within a dynamic industry and balancing achieving set accountabilities with the constraints of limited resources.

This position does not provide patient care.

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications
Requirements – Required and/or Preferred

Name

Description

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English. Bachelors Degree in Business required and Masters Degree in Business or Healthcare Administration is strongly preferred. Proven experience in a related position may be substituted for academic preparation.

Experience:

Minimum eight years experience in Health Plan senior executive leadership of a health insurance organization, preferably as part of an integrated health system.

License(s):

None

Certification(s):

None

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.