This position has overall accountability for providing leadership, direction, and administration across The University of Arizona Health Plans (UAHP) long-term care services while maintaining a high level of visibility at Banner Healths Insurance Division. This position is responsible for driving, supporting and modeling a service-oriented culture focused on employee engagement, quality, service excellence, fiscal responsibility, and the overall member experience. Serves as a member of UAHPs executive leadership, building and supporting effective collegial relationships with applicable internal and external constituents and stakeholders and ensuring optimal operating effectiveness and strategic positioning.
Provides leadership and guidance for the implementation, management and/or oversight of all long-term care functions and departments; articulating and demonstrating an expectation for continuous quality improvement, as well as continually supporting and exhibiting company values and service standards. Directs and ensures the effective identification, recruitment, development, and maintenance of sufficient staffing for current and future organizational needs that are capable of fulfilling all AHCCCS contract requirements and in order to achieve goals and objectives. Must ensure that long-term care resource allocation is adequate to achieve outcomes and compliance with State of Arizona contractual and AHCCCS policy requirements. Sets clear expectations and holds team members accountable for producing desired outcomes. Motivates and develops team members and promotes teamwork.
Provides leadership in the achievement of financial and operational performance objectives and expectations including revenue growth, operational margin targets, effective expense management and overall efficiency measures. This includes the use of analytical processes to assure the achievement of initiatives and the implementation of performance improvement opportunities in the areas of operational performance, clinical excellence, member satisfaction and employee engagement.
Functions as an integral member of UAHPs operations leadership teams, serving in an advisory capacity to applicable staff. In collaboration with leadership team members, directs and provides oversight regarding the strategic development, implementation, and maintenance of strong, comprehensive long-term care clinical and/or operational services and programs that meet organizational growth initiatives, the needs of member populations, and regulatory compliance standards. Leads and influences change within the insurance division.
Maintains a service excellence and healing culture with high expectations established for positive stakeholder experiences. This culture should create an environment that results in high employee retention and high member and provider satisfaction. This service excellence culture includes ongoing and meaningful communication with employees to ensure that all staff members are well informed and recognized appropriately. Serves as a leader in developing the Continuous Quality Improvement process, in educating staff and role modeling Service Excellence, and in assisting with cultural transformation.
Provides leadership and actively participates in the development and implementation of long-term care strategic, tactical, program and operational planning, including long-term care procurement activities. Utilizes forecasting and planning processes to identify program development opportunities which achieve desired growth related to capacity and capability of services offered.
Develops and maintains positive relations with employees, members, families, regulatory agencies, community-based organizations, providers, other contractors, and other long-term care stakeholders, ensuring and fostering a high level of collaboration within a highly matrixed team environment in order to coordinate activities, review work, exchange information, and resolve problems. Promotes collaboration among various stakeholders to achieve optimal results. Maintains on-going communication with employees to ensure that the staff is well informed in regards to the strategic direction of UAHPs long-term care program.
Collaboratively develops and implements appropriate quality management model(s), member communication, engagement and outreach, internal and external reporting, program evaluation, and other projects as needed. Ensures the timely creation and submission of all required long-term care regulatory deliverables, including the annual AHCCCS case management plan. Ensures the creation, implementation and compliant maintenance of all required long-term care processes, systems, tracking & trending, policies & procedures, manuals, handbooks, member council, models necessary to support UAHPs long-term care program.
Requires a Masters degree level of knowledge in management, preferably health care administration, coupled with five or more years of increasingly responsible administrative leadership experience in a Managed Long Term Service and Supports (MLTSS) environment, preferably within the state of Arizona.
Proven track record of partnering with regulators, long term care organizations and contracted providers to achieve desired organizational outcomes. Proven experience in leading fiscally sound, profitable, efficient, and responsible health care operations. Strong financial and business acumen, including a keen understanding of operational and financial measures that define success, as well as budgeting and forecasting methodologies, including working knowledge of capital planning and capital investment practices. Knowledge of emerging trends in quality and patient safety. Skilled in coaching and developing direct reports and/or other employees that results in enhanced performance outcomes; setting in pursuing aggressive priorities and goals that demonstrate a strong commitment to overall organizational success; effectively allocating resources in order to accomplish goals and objectives; quickly assessing and assimilating facility and industry financial dynamics in order to act quickly and appropriately to changing environmental factors; negotiating win-win scenarios with outside vendors/partners while representing the organization in the best possible light; developing collaborative and positive relationships with contracted providers, regulators, employees, the community, and/or other applicable parties; measuring and managing work outputs. Excellent human relations, organizational and communication skills are essential. Leadership style and characteristics necessary to effectively perform in this role include: Strong work ethic; results oriented; persuasive; motivational; able to make rational decisions in difficult situations; inspirational; honorable; confident; systems-thinker; innovative; lifelong learner; courageous; high energy; integrity; collaborator; ability to work with teams; good listening; non-volatile; values multiple disciplines; community visibility and leadership; and passionate about continuously improving and providing high-quality care and service excellence to patients, families, employees, and physicians.
Additional related education and/or experience preferred.
Internal Number: 246565
About Banner Health
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.