AVP, Commercial Product Operations

Purpose:

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Drive Commercial Growth Through Strategy, Innovation & Operational Excellence. The UPMC Health Plan is seeking a senior insurance operations leader with 10+ years of progressive experience and at least 5 years at the Director level leading large, dispersed teams. The ideal experience includes commercial health plan products, sales operations and enablement, new product development, financial performance, technology/platform oversight, and cross-functional leadership supporting acquisition, implementation, and retention.

The AVP, Commercial Product Operations is responsible for leadership and oversight of UPMC Commercial Product suite of services, including Commercial Fully Insured (CMFI), Administrative Services Only (ASO), Exchange products, and Sales/Retention support and administration. Responsible for the overall management of operational processes, technology platform oversight, financial performance, and communicating with relevant teams/departments across the Insurance Services Division. Ensure Commercial Products have the tools, resources, technologies, and systems/platforms to achieve sales/retention revenue targets and corporate objectives.

This position requires the candidate to work onsite in Downtown Pittsburgh

Responsibilities:

• Collaborate cross functionally to ensure timely, appropriate implementation of new sales/renewal processes to enhance acquisition and retention results.

• Create/enhance the structure/support model of the sales support team to create effective and efficient strategies and long-term goals in the effort to drive the Health Plan/CM Product vision.

• Meet aggressive budgets, targets for all service lines.

• Establish effective business plans and budgets for various service lines.

• Provide account management and maintain relationship with all major accounts.

• Continually evaluate operations of all business lines and service along with development of new services.

• Establish strategic direction.

• Interact with clinical, finance, and other key departments to maximize revenues, reduce expenses (Clinical and Administrative), and generate gross profits.

• Ensure integration and growth by focusing on alignment, product development, implementation and retention of assigned products and services.

• Oversee all aspects of sales support to include Front End/Back End, analysis/compliance and quoting, sales operation (sales reporting, financial analysis, quotas/commissions and install base), and inside sales consultants that support various products.

• IT development and support of product lines.

• Works closely with the VP, ISD on all Sales enabling technologies; prioritizing investments to ensure new sales/renewal productivity.

• Work collaboratively with Clinical, Network and Quality Departments to enhance development and application of training, performance improvement and education programs for Internal and External partners.

• Responsible for keeping up to date on local, regional, and national affairs, policies, and legislation affecting business operation/products.

• Provides counsel to the President, CM Product in implementation strategic initiatives and enabling supporting technologies.

• Responsible for and oversee financial and data analysis/management.

• Oversee the business-critical measurement, implement tracking and reporting processes, and provide analyses.

• Provide thoughtful leadership regarding current customer trends, and objectives.

• Recruit, retain and develop a competent staff.

• Develop and manage relationships across all departments.

• BA/BS from a reputable, accredited institution is required.

• 10+ years of success in leadership positions with progressive management and operations experience in health or general insurance market required.

• Must have a strong understanding of new product development.

• 5+ years of Director-level experience managing a large and dispersed team.

• Ability to collaborate effectively across the organization and establish relationships and efficient processes.

• Must have profound understanding of latest concepts, practices, procedures, and trends in a consumer-driven environment.

• Must possess a working knowledge of all business functions, including media relations and community relations.

• Excellent written and oral communications skills Strong interpersonal and team skills.Licensure, Certifications, and Clearances:

• PA Health and Accident License requiredUPMC is an Equal Opportunity Employer/Disability/Veteran