President HSCSN

Reporting to the HSCSN Board of Directors and Children's National CEO, the HSCSN President is the senior-most leader of Children's National's separately-incorporated health plan. The President also serves as HSCSN CEO to the extent that such title is required under any local, state, or federal healthcare contract or payment program [each a "State Program", collectively "State Programs"], including but not limited to the CASSIP Contract.

The HSCSN President is responsible for assessing, designing and maintaining the most effective management and organizational structure to achieve the best possible results for HSCSN in furtherance of its mission and State Program obligations. Responsible for exploring other managed care opportunities in the DC metropolitan area. Leadership oversight for contract negotiation, development and compliance, strategic planning, business development, care coordination team and external provider compliance, productivity, member satisfaction and quality, financial planning and execution, employee relations, provider relationships and community and governmental affairs.

Responsible for establishing and maintaining effective relationships with HSCSN and System operational management, as well as Children's National Hospital.

Minimum Education:

• Graduate or advanced professional degree in management, medicine, health services delivery or related field.

Minimum Work Experience

• Management experience as COO and/or other senior administrative officer of a healthcare organization, preferably in leading, organizing, and managing major projects, clinical and business services and function,

Required Skills/Knowledge

• Broad and deep understanding of health plan/health care operating systems particularly those operating under a parent organization.

• Working knowledge health care issues, strategies and challenges.

• Ability to coordinate with key operations and clinical leaders to develop and implement action plans to remediate risks/issues resulting from internal monitoring reviews and external audits/compliance actions.

• Demonstrated knowledge and ability in large scale project management, including strategic planning, business planning, financial and market analysis, contract negotiation, team facilitation and creative problem solving.

• Demonstrated knowledge of health care reimbursement principles, information systems, cost management, quality improvement and customer service concepts.

Functional Accountabilities

• Participate in the development of the strategic plan and report goals and metrics relevant to State Programs and missions of HSCSN and its parent organization.

• Informs and advises the HSCSN Board and CEO of the parent organization about current trends, problems, and activities concerning patient access to, and quality of, care.

• Leadership oversight of periodic analyses of the provider network from a quality, cost, coverage, and growth perspective and provide reporting to the Board and CEO of the parent organization evaluating opportunities to expand or change the network to meet organizational goals.

• Contributes as a key member of the parent organization's senior leadership team and other committees to address the strategic goals of the organization

• In conjunction with other leadership and medical staff, assess community needs and monitors utilization to ensure that the community is responding to the services provided.

• Leadership oversight of and execution of health plan contracts

• Perform duties as senior liaison among State Programs, the Board and CEO of the parent organization, as well as external stakeholders.

• Participates in the development of an organizational strategic business plan.

• Develops options and alternatives for the organization over the long term, including but not limited to exploring new managed care opportunities in DC, MD and VA.

• Work with State Programs and parent organization to highlight health plan issues and track resolution progress.

• Ensures financial and operational viability and full compliance with Department of Insurance, Banking, and Securities regulation