President HSCSN

The HSCSN President is responsible for assessing, designing and maintaining the most effective management and organizational structure to achieve the best possible results for HSCSN. Responsible for exploring other managed care opportunities in the DC metropolitan area. Responsible for contract negotiation, development and compliance, strategic planning, business development, care coordination team and external provider compliance, productivity, member satisfaction and quality, financial planning and execution, employee relations, provider relationships and community and governmental affairs.

Responsible for establishing and maintaining effective relationships with HSCSN and System operational management, as well as Children's National Hospital.

Minimum Education:

• Graduate or advanced professional degree in management, medicine, health services delivery or related field.

Minimum Work Experience:

• Management experience as COO or senior administrative officer of a health plan, preferably in leading, organizing and managing major projects, clinical and business services and functions.

Required Skills/Knowledge

• Broad and deep understanding of health plan/health care operating systems particularly those operating under a parent organization.

• Working knowledge health care issues, strategies and challenges.

• Demonstrated knowledge of health care reimbursement principles, information systems, cost management, quality improvement and customer service concepts.

Functional Accountabilities

• Participate in the development of the strategic plan and report goals and metrics to parent organization.

• Represents the health plan in its relationships with other healthcare agencies, organizations and groups.

• Perform periodic analyses of the provider network from a cost, coverage, and growth perspective and provide reporting to senior leadership and parent organization evaluating opportunities to expand or change the network to meet organizational goals.

• Contributes as a key member of the senior leadership team and other committees to address the strategic goals of the organization.

• In conjunction with other leadership and medical staff, assess community needs and monitors utilization to ensure that the community is responding to the services provided.

• Reviews, approves and executes health plan contracts.

• Participates in the development of an organizational strategic business plan.

• Develops options and alternatives for the organization over the long term, including but not limited to exploring new managed care opportunities in DC, MD and VA.