Mgr, SHBP Partner Management II

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.

• Direct and execute strategic plans within the Wellness space, working with outside vendors, 'Expand Leadership' and business partners across the enterprise as appropriate.
• Collaborate with key business partners across CBU, HCM and Provider partners to develop strategies for expanding Horizon's Direct Primary Care Medical Home (DPCMH) model with the State.
• Provide thought leadership to all current DPCMH vendors and enable standardization and financial payment models based on clinical outcomes.
• Assess and evaluate performance of the various DPCMH partners and ensure the results are aligned with the contractual agreements.
• Oversee execution of the Communication strategy by working closely with Marketing and Communication Directors to ensure they are aligned with direction from State's leadership Lead negotiations and engagement process from vendor assessment and SOW development through contract signing and program implementation Lead in presenting strategic recommendations to DPB leadership which are aligned with Horizon's mission and vision statements.
• Oversee the development of the long-term operating model to support these relationships consistent with their contractual agreements Build and maintain strong relationship with leadership and staff at the State within the DPB and Treasury department.
• Ensure Performance Guarantees and Cost of Care owners are accountable for targets as well adoption of programs that can improve targets Manage, develop and train staff; develop and monitor goals; conduct annual performance reviews, and administers salaries for the staff.

• Requires Bachelor degree from an accredited college or university, or relevant experience in lieu of degree.
• Master's degree preferred.
• Requires a demonstrated success in positions requiring consultative skills and the ability to influence those at senior levels regarding strategy, new concepts or approaches to achieving improved results.
• Requires a minimum of 4 years managing staff.
• Requires a minimum of 10 years work experience, including a minimum of 8 years in the Group Health insurance experience or the health care industry with a proven record of positive client relationships.

• Requires experience in successfully leading cross functional, matrixed teams to achieve long-term objectives.
• Strong analytical skills, including the ability to analyze large data sets, identify insights, and leverage these insights into business decisions.
• Project leadership/management experience a plus.
• Must be proficient in a Windows based environment, including MS Office products (Word, Excel, and PowerPoint).

• Must be results-driven.
• Exhibits an energetic, inquisitive, positive approach to problem solving.
• Solid interpersonal, written, and verbal communication skills required.
• Self-motivated, highly organized individual with strong attention to detail
• Proven ability to communicate effectively to a wide range of audiences - including executives, department heads and tough customers
• Demonstrated ability to make decisions with little need for direction and to function effectively as a team-oriented, self-starter working across cross-functional lines.
• Proven ability to ask probing questions and obtain thorough and relevant information.
• Must demonstrate the ability to learn quickly and apply learning to new situations. Must exhibit flexibility to change as appropriate.
• Proven ability to influence without authority.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Salary Range:

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.