Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan.
As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.
This is a remote position in which we are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
JOB SUMMARY/PURPOSE - Initiates and executes medium to large size programs with a broad focus that meet the needs of the organization, employees and/or customers. Plans, initiates, oversees execution of all elements for assigned programs. Leads the development, implementation, and management of assigned programs and associated projects. Oversees process from planning through transition to operational owner. Works with multiple internal teams, vendors, clients. Responsible for explaining, training, and mentoring the entire organization on the program.
EXPERIENCE/EDUCATION/QUALIFICATIONS - Bachelor’s Degree in a related field or equivalent experience required. - Three (3) years directly related experience in a managed care/health plan/health insurance setting required. - Leadership experience required. - Experience with continuous improvement methodologies preferred (i.e., Lean Six Sigma, Quality Continuous Improvement, Total Quality Management, Business Process Management). - Experience in management principles, practices, policies, procedures and regulations as they relate to assigned program(s) required. - Experience and/or training in computer applications, including word processing and spreadsheet software, required.
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