President & CEO, CHRISTUS Health Plan & Networks in Irving, TX

Summary:

The President and Chief Executive Officer of CHRISTUS Health Plan and Networks directs the strategic development, growth and operations of the CHRISTUS Health Plan and at-risk Value-Based Care arrangements. Overall goals of this position are to meet revenue, membership and operating income objectives, develop key provider affiliations, establish an influential relationship with the state(s), direct and effectively develop strategic goals into specific business plans, and create a successful, collaborative team of people to achieve these goals.

Serving as the 'account manager' for the relationship, managing all aspects of profit-and-loss, driving overall performance, leading strategic planning and managing a state-based operation through a matrixed team. Working closely with the CHRISTUS Leadership Teams, the Health Plan Chief Administrative Officer and any management entities will become familiar with the established vision, mission and strategies of the organization and will build on these to effectively define, articulate and address the current and future needs and priorities of the local market.

Education:

• Bachelor's degree or equivalent combination of education and experience/MBA preferred.
• Excellent written and oral communication skills.
• Excellent organizational skills.
• Excellent training skills.

Experience:

• Minimum of 10 years operations experience in a Medicare/Medicaid, Affordable Care Act (ACA) and/or Medicare Accountable Care Organization (ACO)at-risk managed care environment (or other like government health plan).
• Previous P&L experience required.
• Experience in strategic planning and development.
• Demonstrated successful leadership skills in program execution and people management.
• Proven leadership skills in both internal and external environments.
• Ability to execute to short and long term growth and profitability targets.

Skills:

• Excellent written and oral communication skills.
• Excellent organizational skills.
• Excellent training skills.

Major Responsibilities:

• Ultimately accountable to plan, direct, operationalize, manage and evaluate all health plan and health population management functions located and executed by CHRISTUS or related personnel.
• Carries out supervisory responsibilities in accordance with established policies and applicable laws.
• Builds health plan provider network, including hiring and managing local staff.
• Assists in defining contract terms and rate adjustments.
• Builds and manages a compliant, member-marketing department if rapid membership growth is not provided by mandates in the state.
• Ensures corporate departments provide excellent service to customers, i.e. members and providers. Assists in detecting service problems and coordinating solutions with the corporate office.
• Ensures business operations are in compliance with applicable state and Federal laws and with other contractual obligations.
• Understands thoroughly and administers the contracts for all lines of business.
• Participates in formulating and administering company policies and developing long-range goals and objectives.
• Represents CHRISTUS professionally to customers, regulatory bodies, state departments of insurance, and other important business relationships. Establishes and maintains excellent business reputation.
• Monitors state activities, costs, operations, etc. to determine progress toward all stated objectives.