About Us
McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.
Vice President Health Plan Operations, Michigan
Qualifications:
Required:
Bachelor’s degree in business administration, health care or related field.
Five (5) years’ experience in a senior leadership role with an HMO or managed care organization with demonstrated managerial experience in establishing and overseeing health plan operations including member service and engagement strategies, and direct interaction with health care providers and regulators.
Preferred:
Master’s degree in business administration or health-related field.
Three (3) years’ experience in a progressively more responsible project management role in a health care environment. Project Management Professional (PMP) certification preferred.
Experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, case management, marketing, medical delivery, regulatory compliance, claims processing, eligibility, contracting and risk arrangements and actuarial precepts).
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
