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We are looking for a Vice President, Health Plan Operations, to join us in leading our organization forward.

McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.

McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive.

As an employee of MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at

https://www.mclarenhealthplan.org

.

MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at

https://www.mdwise.org/

.

Position Summary:

Assumes

responsibility

for

establishing,

directing,

evaluating

and

coordinating

daily

health

plan

operations to meet member engagement performance requirements. This position is part of the Health Plan executive management team and has direct oversight of the member experience in customer service, outreach, marketing, credentialing and project management areas.

In addition, oversees procurement responses, new product implementations and complex initiatives utilizing cross-functional teams to meet strategic objectives.

Responsible for responding to issues involving performance across all areas of call center and member engagement

operations

and

driving

solutions

that

result

in

efficiency

and

better

outcomes

for

our

members.

Lead key strategic initiatives and provide strategic project management direction on for large, complex initiatives

in

order

to

ensure

programs

and

strategies

are

implemented

across

the

health

plan

and

achieve established goals for member and provider satisfaction. Provides

administrative

direction

for

the

operation

of

assigned

departments

and

appraises

the

performance of respective department heads. Builds, develops and manages teams capable of carrying out needed initiatives. Communicates routinely with the Market President, peers, and leadership, concerning policy recommendations and suggested course of action pertinent to the operation of assigned departments. Provides and communicates pertinent information throughout the Health Plan and to the respective governing bodies.

This is a leadership position, with requirements to come onsite, Flint MI, as required by the leader.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

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Qualifications:

Required:

+ Bachelor’sdegreeinbusinessadministration,healthcareorrelatedfield.

+ Five(5)years’experienceinaseniorleadershiprolewithanHMOormanagedcareorganization with demonstrated managerial experience in establishing and overseeing health plan operations including member service and engagement strategies, and direct interaction with health care providers and regulators.Preferred:

+ Master’sdegreeinbusinessadministrationorhealth-relatedfield.

+ Three(3)years’experienceinaprogressivelymoreresponsibleprojectmanagementroleina health care environment. Project Management Professional (PMP) certification preferred.

+ Experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance,reinsurance,EDI,casemanagement,marketing,medicaldelivery,regulatory compliance, claims processing, eligibility, contracting and risk arrangements and actuarialprecepts).