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Providence Director Product Development in Burbank, California

Description:

Providence is calling a Director Product Development to Providence Southern California Regional Services

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We are seeking a Director Product Development who will be responsible for evaluating, developing and launching new and innovative health care products, assessing payer partnership opportunities, and geographically expanding these products across Southern California. In this role, the Director will play a significant role in achieving value based membership growth and revenue goals. This position will build and manage external relationships with both providers and payers, develop risk structure agreements, negotiate contracts, ensure regulatory compliance and communicate with the regulatory entities, specifically the Department of Managed Health Care (DMHC).

In this position you will:

  • Develop and Implement new product concepts resulting in increased market share and additional volume, revenue and margin

  • Develop and implement innovative contractual relationships resulting in additional membership and margin

  • Provide leadership and influence across the matrixed organization to successfully operationalize new products

  • With the Contracting team, negotiate contracts with partners, payers, new clients, and network providers

  • Summarize complex product opportunities succinctly and share with Medical Group and Hospital leadership to influence the decision making process

  • In partnership with Legal department, ensure new product compliance with applicable regulatory entities

  • Evaluate and lead the implementation of solutions to continuously move the Providence High Performing Network forward

  • Evaluate opportunities to expand product growth to markets surrounding the existing Providence footprint

  • Collaborate with external health systems to expand existing products and launch new market opportunities

  • Own new product relationships end-to-end, through initial scoping, negotiations, launch, and hand off to operations

  • Conduct complex analysis supporting strategy and business development opportunities across the Southern California Region, including, but not limited to Los Angeles, Orange, Riverside, San Bernardino, San Diego and Ventura County

  • Partners with Physician Enterprise, Ambulatory Care Network and other Providence entities to bring additional solutions (i.e. care management) to market

  • Generate innovative new opportunities to grow alternative, non-delivery system, revenue and margin

Qualifications:

Required qualifications for this position include:

  • Master's Degree in Business Administration, Health Administration, Marketing, Engineering or Clinical Science, or related field or related field

  • Demonstrated success in developing and implementing business plans leading to increased market share, meeting organizational objectives and maintaining a high level of customer satisfaction

  • Experienced in overall business strategy and analysis including marketing, quality and financial analytics

  • Demonstrated experience in contract negotiations

  • Demonstrated experience establishing risk based and value based agreements with both payers and providers

  • Experience operating in a regulatory environment and communicating with the Department of Managed Health Care (DMHC)

  • Experience in a regulated environment

  • Knowledge of the health care industry with demonstrated knowledge of health care operations across the continuum of care, health insurance, population heath management and accountable care organizations.

  • Ability to assess the dynamics of physicians, incentives, alignment models, clinical programs and how all interact with the health care delivery system.

  • Demonstrates knowledge of the Southern California market, both providers and consumers

  • Superior knowledge of the regulatory requirements of healthcare insurance, specifically the Department of Managed Healthcare (DMHC)

  • Superior knowledge of managed care contracting

  • Ability to effectively communicate with hospital and medical group executive teams in the development of new networks and products

  • Efficiently and effectively solves complex problems

  • Ability to quickly assess complex business opportunities and turn concepts into actionable project plans

  • Demonstrates ability to drive multiple large scale initiatives across a large matrixed organization leading to the successful completion.

  • Superior analytical ability and quantitative skills with a proven ability to analyze data/reports and extract meaningful information to drive change

  • Personal values compatible with Providence

Preferred qualifications for this position include:

  • Six Sigma/Lean Certification

  • Demonstrated experience in health care operations with a record of successfully implementing initiatives to achieve outstanding results

  • Experience in entrepreneurial or start-up environments

  • Preference will be given to candidates who have worked in an integrated health system similar to Providence

About the Region you will serve.

For nearly 70 years, Providence Health & Services, Southern California, has provided quality and compassionate health care, building on a tradition of excellence, innovation, teamwork and outreach to those most in need.

Anchored by eleven award-winning comprehensive medical centers, Providence provides a full spectrum of care that includes a range of specialties, signature services, outpatient and home care and the well-regarded Providence Medical Institute, a group of physicians and primary and urgent care clinics throughout the greater San Fernando Valley, South Bay and Orange County. Providence is focused on providing the communities it serves with preventive care, education and leading-edge diagnostics and treatment. The organization includes numerous outreach programs. hospice and home care and even our own Providence High School, a Blue Ribbon college-preparatory campus.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Non-Clinical Lead/Supervisor/Manager

Location: California-Torrance

Other Location(s): California-Burbank, California-Irvine

Req ID: 296405

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