Senior Director of Health Services - Behavioral Health

Senior Director of Health Services - Behavioral Health

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an affirmative action plan, as required by Minnesota law applicable to state contractors. All qualified applications will be considered for employment without regard to any legally protected characteristic.

Position Title: Senior Director of Health Services - Behavioral Health

Location: Hybrid | Eagan, Minnesota

Career Area: Health Services

We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Senior Director of Health Services is responsible for design, strategic planning, evolution, and value delivery of specific Health Services programs and products. The position is accountable for delivering high-value programs and products to BCBSMN customers and for assuring members receive high quality and appropriate clinical care in a timely and cost-effective manner. This role collaborates closely with leaders across all lines of business and business units to ensure programs and products meet the needs of customers and members we serve, and partners with operational leaders to ensure efficient and effective execution.

• Lead, either directly or via their team, the ideation, design, implementation, measurement, and ongoing evaluation of specific programs and products.
• Manage and maintain accountability for the delivery of overall value of specific programs and products.
• In partnership with Operations, ensure programs and products are achieving desired outcomes and meet all applicable regulatory and compliance standards as well as accreditation requirements.
• Partner closely with internal stakeholders and product leaders to ensure strategies are aligned to achieve and maximize value.
• Work with Commercial, Medicare, and Medicaid leadership to ensure programs and products meet the unique needs of their specific member populations and position BCBSMN as a leader in the market.
• Establish department goals and performance metrics that support divisional and enterprise strategic plans, ensuring that the right systems, processes, and measurement/reporting are in place to demonstrate value and effectiveness to customers.
• Manage relationships with and ensure the accountability of external partners/vendors that provide key services enabling program/product outcomes.
• Partner with operations to enhance operational efficiency to optimize and maximize staff and external partner productivity and value.
• Educate internal staff and contracted providers on the general and unique needs of populations being served, to ensure adherence to BCBSMN benefits, medical, and reimbursement policies.
• Support enterprise initiatives to enhance the member experience and improve both the quality of care delivered and total cost of care.
• Represent BCBS to a variety of external stakeholders including provider organizations, customers, advocacy groups, and government entities as needed.
• Other duties as assigned.

• Accountabilities include the overall value of behavioral health products and services as well as oversight of mental health parity.
• This role will partner closely with operations leadership to ensure efficient execution of CM product and with P&L leaders to ensure products and programs meet the needs of our clients to support growth.
• This role will also partner closely with network leadership to ensure products and programs work in synergy with the network strategy to drive maximal value.

• Establish rigorous performance measurement and management to maximize value and ensure staff is optimally deployed, and that products and programs achieve their intended outcomes and customer commitments.
• Ensure talent is in place to improve affordability and member health.
• Serve as a role model and coach/mentor for ongoing leadership and staff development.
• Build a culture of engagement, teamwork, psychological safety, and collaboration across the enterprise.

• Accepting this position at BCBSMN requires signing an Employee Confidentiality, Intellectual Property Assignment, and Restrictive Covenants Agreement as a condition of employment.
• 8+ years of related professional experience, with 5+ years of management experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• 5+ years in an applicable leadership position in a health plan or health care delivery serving customers, members, or patients.
• Ability to establish a comprehensive strategic plan for programs and products.
• Demonstrated…