Sr. Director of Health Plan Implementations

About Employer Direct Healthcare

Employer Direct healthcare (EDH) is on a mission to transform access to excellent care for the moments that matter most. As the leading provider of surgical benefits for self-insured employers, we bring guided access to high-quality, affordable care for employers, their employees and the family members. We understand and have experienced the challenges of navigating specialized healthcare and we are dedicated to making a change.

EDH is the market leader for Independent Centers of Excellence (CoE). We have challenged the status quo in healthcare by bringing top quality surgeons within reach of all. Our surgeon-first model is the largest and most accessible network (3-4x larger than our peers), which has delivered an ROI 3x our peers. We serve hundreds of self-funded plan sponsors across 1000+ employers, representing over 4 million people across the U.S. We've saved our clients over $700 million since we were founded!

Ultimately, the US healthcare system at-large is flawed. Costs continue to rise while life expectancy stagnates. We are moving the needed on this problem by improving surgery outcomes - making people healthier - and lowering healthcare costs at the same time.

About You:

• You have a drive and AMBITION to tackle big problems. Big problems require big ideas and a team that supports new ideas.
• You CARE deeply for your customers. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
• You thrive in a TEAM ENVIRONMENT. Collaboration is key in innovation and creating change.
• A DIVERSE environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
• You are DETAIL ORIENTED, but more so, focus on the execution of your content while balancing a fast-paced environment.
• You understand that PROGRESS is critical to making change. You take the time to celebrate the small and big wins. Understanding that each improvement to a process helps move towards a greater change.
• INTEGRITY guides you in life. Focusing on the truth versus just giving people the answers they want to hear.

If this sounds like you, we would love to connect to speak further about career opportunities at Employer Direct Healthcare.

Please apply to our role & someone from our HR Team will reach out to help you navigate our interview process.

Senior Director, Health Plan Implementation

The Senior Director of Health Plan Implementation at EDH is a pivotal role responsible for defining EDH’s go-forward health plan implementation process and managing the successful and seamless implementation of new health plan clients into our product ecosystem. This position involves strategic planning, coordinating with various departments, and ensuring a smooth transition for clients from initial contact through full implementation of our services.

Location: Remote | USA | Travel Required

Responsibilities:

• Health Plan Implementation Process Development: as EDH changes the way that we work with health plans there is a need to evolve and update the way we implement them. This person will quickly work to understand our existing processes and will work with the health plan and channel leadership to define how we will do so moving forward to support our next wave of growth.
• Health Plan Implementation and Project Management: This person will lead the implementation process for new health plan clients, ensuring a smooth and efficient transition and activation. Collaborate with the sales team, client success, legal, IT, member services, and all other applicable business units to gather client requirements and ensure a seamless onboarding process for internal and external stakeholders. Advocate for organizational best practices and minimize burdensome customizations/exceptions where possible.
• Upsells and Cross-Sells: Team will lead the implementation process of upsells, cross-sells, and strategic partnerships for existing health plan clients (in collaboration with Partnership Implementation). Work collaboratively with client success and other internal business units to ensure flawless execution for clients, advocating for the organization's best practices.
• Existing Client Changes: Manage the process of transitioning clients to new eligibility vendors or making changes to existing vendor relationships. Ensure minimal disruption to client operations during these transitions. Team will serve as the internal operational point-of-contact for TPAs and clients' vendors.
• Client Relationship Management: Build and maintain strong relationships with clients, serving as the primary point of contact for operational and strategic discussions during onboarding to the company, new products, changes in products, and vendors.
• Performance Metrics: Establish and track key performance indicators (KPIs) related to client operations, regularly reporting on progress, and making data-driven improvements.

Requirements:

• Minimum of 10 years of experience in client operations or a related role (ideally working with health plans), with a proven track record of successfully managing client relationships and driving revenue growth within the healthcare and/or benefits space
• Prior experience managing teams, demonstrating strong leadership and team-building skills.
• Strong understanding of the health plan, third party administrators and employer benefit landscape.
• Excellent communication and negotiation skills.
• Exceptional problem-solving abilities and a proactive approach to addressing client needs.
• Experience with client relationship management software and tools.
• Ability to work collaboratively with cross-functional teams

Strong Candidates will:

• Move Fast: Acting with urgency to respond to client and business needs
• Be Comfortable in a Fast-Paced Environment: that can be challenging but highly rewarding
• Be Good with Numbers: both in how they articulate value propositions but also in how they measure and report success
• Be Strategic Thinkers/Problem Solvers: both in how they work cross functionally, and also in how they build their function and supporting systems/processes
• Be Customer Focused: always looking to understand, advocate for and improve how we engage with our prospects
• Have High Energy and a Positive Outlook: infusing their engagement with prospects and internal teams with positive energy to help achieve our joint goals

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short & Long Term Disability
• Life Insurance
• 401k with company match
• Paid Time Off
• Paid Parental Leave

Employer Direct Healthcare does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.