HealthPartners is currently hiring for a Health Plan Chief Medical Officer. We are a nonprofit integrated care delivery and financing system based in Bloomington, MN. At HealthPartners, you’ll find a culture where we live our values of excellence, compassion, integrity, and partnership. By working together, we will improve health and well-being, create exceptional experiences for those we serve and make care and coverage more affordable. We seek colleagues who wish to help advance diversity, equity and inclusion and foster an environment where everyone feels welcome, included, and valued.
The HealthPartners Health Plan Chief Medical Officer reports directly to the President & CEO, HealthPartners and is accountable for the medical oversight of our health plan to ensure the delivery of high quality, evidence-based, cost-effective medical services and care to our members and patients while contributing to growth and financial sustainability for the organization. This includes engaging in medical and pharmacy coverage policies and benefit design, new products and services, network relationships, and development of health plan growth strategies. This position will support and assure effective working connections across the organization to realize the full potential of combined organizational capabilities, develop new capabilities, and provide strategic leadership to build effective partnerships with contracted providers.
In collaboration with the HealthPartners executive leadership team the Health Plan Chief Medical Officer leads the development of long-term goals for better health and wellbeing for the people served by HealthPartners, affordability of healthcare and coverage as well as supporting internal and external relationships built on trust. The position is responsible for maintaining relationships with regulatory agencies, both state and federal, regarding medical aspects of the health plan and has final and ultimate decision-making responsibilities regarding medical matters for the Health Plan and ensures medical policies are consistent with NCQA and other regulatory accreditation bodies. The position is also responsible for maintaining visibility and involvement in the medical community including Minnesota Community Measurement and organizations nationally, regionally, and state-wide to further goals of improving health, enhancing member experience, and effectively managing cost.
Medical Doctor with an active, unrestricted Minnesota medical license.
Minimum of five (5) years’ experience as a health plan medical director with increasingly responsible assignments.
Minimum of five (5) years of clinical practice experience.
Proficiency with principals of insurance, managed care, evidence-based practice, and medical policy with a philosophy of collaboration and teamwork
Knowledge and experience in principals of population health improvement and quality improvement required.
Excellent interpersonal skills (negotiation, listening and communication skills) characterized by effective interaction with a diverse range of internal and external constituents, stakeholders, affected parties, and audiences.
Demonstrated financial acumen and experience with quantitative financial and clinical results, strategic review, critical thinking, and decision-making skills
Ability to build effective partnerships and influence other leaders and interface with functions at all levels within the organization
Excellent management skills and the ability to coach and mentor staff.
Ability to be a leader in health policy and community affairs.
Ten (10) years of experience with direct patient care strongly preferred.
Advanced Degree in Health Administration, Business Management or Public Health.
Medical Specialty Board Certification
Experience in developing organizational structure, policies, and practice and in the operations of Health Services, Medical Management, Disease Management, Quality, Pharmacy, Behavioral Health, and Appeals and Grievance departments
HealthPartners, an integrated health care organization providing health care services and health plan financing and administration, was founded in 1957 as a cooperative. It's the largest consumer governed nonprofit health care organization in the nation – serving more than 1.8 million medical and dental health plan members nationwide. Our care system includes a multi-specialty group practice of more than 1,800 physicians that serves more than 1.2 million patients. HealthPartners employs over 26,000 people, all working together to deliver the HealthPartners mission.