Executive Director / COO (Miami Health Insurance)

• Bachelor’s degree in Business, Healthcare, or related field
• More than 10 years of health care management and/or consulting experience
• 9+ years of health plan operations experience
• Previous provider contract negotiation experience
• Experience in a Project Management Office (PMO)
• Level II Background Check required

Qualifications

• Master’s degree preferred.
• Project Management Certification preferred.
• Previous experience and demonstrated leadership abilities.
• Effectiveness in managing departmental operations and supervising Leaders.
• Ability to effectively implement complex conceptual plans.
• Ability to conceptualize, develop and implement large complex projects.
• Provide dynamic leadership and creative solutions to challenges.
• Ability to demonstrate effective leadership skills, independent judgment, and initiative consistent with NCHS policies and procedures, as well as, healthcare standards associated with the successful operations of the PSN.
• Strong desire for process improvement, staff motivation, and leadership development.
• Prior experience demonstrating interest and engagement in the community as a representative of the organization.
• Ability to recruit, retains, and mentors a strong leadership team.
• Experience in complicated partnership environments including a strong familiarity with hospital and payor relationships.
• Creating and implementing growth strategies with new revenue sources while increasing both patient and physician satisfaction.
• Strong financial acumen and experience in developing and utilizing metrics to set and measure goals/expectations for the Leaders, staff, and the organization as a whole.
• Fundamental understanding and appreciation for the role of primary care within a multispecialty group practice.
• Demonstrated understanding of healthcare reform and healthcare policy.
• Ability to apply effective communication, collaboration, and team-building skills.
• Ability to effectively plan priorities and set reasonable organizational goals and objectives.
• Ability to manage stress and maintain professionalism in high-pressure situations.
• Ability to exhibit a wide degree of creativity and latitude.

• Independently leading large, complex, field-based implementations and serve as the primary market leader and cross-functional teams.
• Driving the team and other program Leaders to own the necessary delivery documents including limited to project plans, issues and action logs, status reporting, and risk mitigation.
• Driving overall implementation across all work streams and overseeing the day-to-day project and program execution; report status, manage risks, and issues; track milestones and deliverables.
• Accountable for the creation and management of project plans for assigned work streams during an implementation.
• Driving the creation of a single program plan across all work streams by identifying and tracking key inter-work stream dependencies.
• Leading senior client discussions, steering committees, and meetings during implementation and ongoing business.
• Analyzing the contractual agreement to define the project scope, goals, timelines, milestones, and deliverables as well as provide oversight for the delivery.
• Articulate the critical path milestones for the overall implementation and ongoing business needs. Hold internal and external parties accountable to the delivery timeframes.
• Develop and maintain key relationships with internal executive stakeholders and delivery partners across the organization.