Senior Director Network Business Operations & Program Management

$144,000 - $180,000/Yr

Unclassified - Jacksonville, FL

Part-time - Senior

Onsite - Jacksonville, FL

About the position

The Sr. Director of Network Business Operations & Program Management at Florida Blue is a pivotal role responsible for establishing the strategic direction for network program management that aligns with the overarching priorities and success criteria of Network Management. This position leads a team comprising Senior Managers and Senior Consultants, who are tasked with executing the daily operations of the business. A key aspect of this role involves analyzing business needs and determining the most efficient and effective ways to develop or modify operations to achieve desired outcomes. The Sr. Director is also responsible for the development and ongoing maintenance of documented Network Programs, ensuring that these programs maximize synergies across various entities, including BCBSA, Commercial Markets, Medicare Markets, New Business Markets, and Vendor Management. In this role, the Sr. Director evaluates operations to ensure that business results are delivered in compliance with corporate policies, regulatory standards, BCBSA requirements, and criteria set by accrediting bodies. Frequent collaboration across all business divisions is essential to execute agreed-upon strategies or programs effectively. The Sr. Director will set the direction for program management goals that align with executive priorities, drive collaboration across divisions, and lead day-to-day operations, including the analysis of business needs. This position requires proficiency in Network Contracting, Network Build/Development, and Provider Reimbursement and payment processes. The Sr. Director will also measure and report on the efficiency of systems and processes used to manage business operations, ensuring that capabilities developed to meet business objectives include the necessary technology for automated governance and accuracy. Understanding industry dynamics and serving as a liaison between senior business leaders and technical teams is crucial for ensuring that business visions and priorities are effectively implemented.

Responsibilities

• Sets direction for program management goals that are aligned to executive priorities and success criteria
• Drives collaboration across business divisions to execute strategies and programs
• Leads the day-to-day operations which includes the analysis of the business needs and determines how operations should be developed or altered to manage and meet the business needs in the most efficient and effective manner
• Measures and reports on efficiency of systems and processes utilized to manage business processes, systems, and tools
• Collaborates frequently across all business divisions to execute business strategies or new or revised programs requiring network business operations and program support
• Effectively leverages people, processes, and technology to drive and enable desired business results
• Develops and attains shared goals with functional business units and IT to create partnerships and joint accountability
• Directs strategic capability investments that progress business strategy and enterprise direction
• Leads the development of business requirements necessary to enable the desired operational outcome to achieve business objectives
• Ensures that capabilities developed to enable business objectives include necessary technology to deliver automated governance and controllership that yield a high degree of accuracy
• Understands the industry and its dynamics as it pertains to business units they support and serves as a liaison between Senior Business leaders/experts and enabling technical teams

Requirements

• Related Bachelor's degree or additional related equivalent work experience
• 10+ years related work experience
• 5+ years direct supervisory/management experience
• Strategic thinking and planning abilities; proven organizational skills and detail-oriented with ability to be flexible and work with ambiguity
• Excellent written and verbal communication skills that scale to all levels of the organization
• High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy
• Demonstrated experience with concepts, theories, and processes of Project Management
• Demonstrated ability to manage people, financial resources, and information
• Strong demonstrated ability to establish, implement, and manage effective work processes and organizational structure
• Must have strong demonstrated ability to provide input and influence into the business plans and strategies
• Knowledge of System Development Life Cycle
• Strong technical and provider data analytical skills

Nice-to-haves

• Experience managing large scale enterprise projects
• Leadership experience in business operations

Benefits

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, Short- and long-term disability programs
• Leave programs to support personal circumstances
• Retirement Savings Plan includes employer contribution and employer match
• Paid time off, volunteer time off, 10 holidays and two flexible Well-Being days
• Additional voluntary benefits available
• A comprehensive wellness program