Senior Director, Supplemental Benefit Operations

Job Number: 6620

Workplace Type: Fully Remote

Position Title: Sr. Director, Supplemental Benefit Operations

External Description:

Position Summary: 

The Senior Director, Supplemental Benefits Operations is responsible for the day-to-day operations of the Supplemental Benefits team, which includes managing a team of employees, developing and implementing new processes and procedures, and ensuring that the team meets all of its goals and objectives, including providing high-quality and successful benefits to members. The Director will also work closely with other departments within the company to ensure that the Supplemental Benefits team is integrated with the rest of the organization.

The Senior Director, Supplemental Benefits Operations will also lead Alignment Health Plan’s strategy on Supplemental Benefits, Quality, and Experience– establishing and executing strategic roadmaps for Supplemental Benefit partners. These partners include dental, vision, hearing, OTC, or non-emergent transportation benefits, and contribute to the Company’s membership growth, experience, CAHPs and STARS, and overall strategic vision to serve our members. 

Responsibilities:

• Manage a team of employees responsible for the operation of the Supplemental Benefits program
• Develop and implement new processes and procedures to improve the efficiency and effectiveness of the program, while ensuring that members receive high-quality benefits
• Use data analytics to identify trends and patterns in member data, measure the effectiveness of existing programs and services, personalize benefits recommendations to individual members, and reduce fraud and abuse
• Contain vendor costs by negotiating favorable contracts, monitoring vendor performance, and identifying opportunities for cost savings.
• Manage vendor service level agreements (SLAs) to ensure that vendors are meeting their contractual obligations.
• Identify and mitigate vendor risks by conducting due diligence on vendors, monitoring vendor performance, and developing contingency plans in case of vendor failure.
• Assist with risk reduction by developing and implementing risk management policies and procedures, and by conducting regular risk assessments.
• Work with the technology team to identify and request features that are needed to manage the Supplemental Benefits program
• Enable call center agents with technology features needed to manage member experience
• Ensure that the team meets all of its goals and objectives, including meeting all regulatory requirements and providing high-quality and successful benefits to members
• Work closely with other departments within the company to ensure that the Supplemental Benefits team is integrated with the rest of the organization and that members have a seamless experience
• Develop and maintain relationships with key vendors and partners
• Represent the company at industry events and conferences

Supervisory Responsibilities:

Directly oversees department staff in respective units. Carries out supervisory responsibilities in accordance with organization policies and applicable laws.  Responsibilities include training of employees; planning, assigning, and directing work; assisting in the rewarding and disciplining of assigned employees; addressing complaints and resolving problems as they pertain to respective units. 

Required Skills and Experience:

• Bachelor's degree in business administration, healthcare administration, or a related field; Master’s degree preferred
• 5+ years of experience in managing a team of employees
• 5+ years of experience in the Medicare Advantage industry, with a focus on supplemental benefits
• Strong knowledge of Medicare Advantage regulations and best practices for providing high-quality benefits to members
• Experience with data analytics tools and techniques
• Experience with vendor management and contract negotiation
• Experience with risk management
• Experience working with technology teams to identify and request features
• Experience enabling call center agents with technology features
• Excellent organizational and time management skills
• Ability to work independently and as part of a team
• Excellent communication and interpersonal skills

 

 

City: Remote - OR

State: Oregon

Location City: Remote - OR

Location State: Oregon

Community / Marketing Title: Senior Director, Supplemental Benefit Operations

Company Profile:

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].