Description
Description
Your passion belongs at UNC Health.
Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
UNC Health Alliance is UNC Health’s statewide clinically integrated network, and is the primary vehicle created to transform health care delivery and payment models on behalf of over 8,000 providers, including independent community-based providers and those employed by UNC Health.
UNC Health Alliance works closely with payers, employers, and providers to manage quality, cost and access to care for those living and working in the organization’s service areas.
Summary
The UNC Health Alliance Director of Opportunity Development is responsible for actively participating in and shaping UNC Health Alliance’s overall strategy for regional and statewide clinical integration, payor relationship development, and advanced payment modeling.
The Director will utilize their extensive knowledge of healthcare
delivery, as well as their strategic thought leadership to properly evaluate opportunities and provide thoughtful business recommendations in support of value based contracting and overall organizational planning.
The Director of Opportunity Development works closely with senior leadership to drive the business strategy of UNC Health and UNCHA, fosters effective working relationships with physicians, payers, employer groups and internal stakeholders all working in alignment to generate industry leading outcomes.
The Director is part of a core team that evaluates and executes business development opportunities that drive growth and profitability under value-based care and alternative payment models.
The Director of Opportunity Development will assist in developing and informing the strategic direction of the organization for network growth, partnership affiliations, direct to employer relationships, managed care contracts, joint ventures, and other market expansion opportunities.
The Director will also engage in strategic planning, business development, and external relations functions to support achievement of short and long-term goals.
Responsibilities
Business Development and Strategic Initiatives: Provides leadership for business development and strategic initiatives between UNC Health Alliance and other parties.
Develops and informs the strategic direction of the organization.
Communication and Relationships: Establishes and maintains positive, ongoing relationships with internal and external health care organizations and partners and advances strategic relationships of UNC Health Alliance.
Business Planning: Provides strategic support for a wide range of value based contracting and organizational planning efforts.
Provides business insight into implications of findings, develops business plans, and recommends opportunities for improvement.
Programmatic Administration and Evaluation: Reviews and negotiates payer contracts and terms and analyzes proposals to ensure consistency with strategic objectives.
Manages complex programmatic initiatives and makes recommendations to senior leadership about the implications of program and market development investments.
Strategic Planning: Actively lead and participate in internal and external committees.
Collaborates with representatives throughout the organization to plan, organize and execute strategies with the goal of enhancing financial and quality outcomes, improved service and achieving a high level of customer satisfaction.
Leading People: Leads people toward meeting the organization's vision, mission, and goals.
Provides an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts.
Treats sensitive or confidential information appropriately.
Works to improve and reinforce performance of others.
Delegates assignments, clarifies expectations and holds others accountable for achieving results related to their area of responsibility.
Encourages workforce engagement by building a commitment to excellence.
Works collaboratively toward solutions that accomplish organizational objectives.
Results Driven: Exceeds departmental and organizational goals and customer expectations.
Makes decisions that produce high-quality results by applying knowledge, analyzing problems, and calculating risks.
Delivers high-quality services and is committed to continuous improvement.
Other Information
Other information:
Education Requirements
Bachelor's degree in Business Administration, Finance, Health Administration or related field.
Master's degree in related field highly preferred.
Licensure/Certification Requirements
Professional Experience Requirements:
Requires seven (7) years of relevant experience (e.g., business development, strategy, consulting) including three (3) years in a management role.
Knowledge/Skills/and Abilities Requirements
The successful candidate will be expected to develop and present complex information in an effective and action orientated manner to a wide variety of audiences, including but not limited to, the Health Alliance Leadership Team, Primary Care and Specialty Providers, Senior System Executives, as well as, External Stakeholders.
This position will also provide direction and leadership to employees within the Opportunity Development department and oversee the recruitment and on-going development of employees.
Preferred Experience
4-8 years of experience in value-based care, alternative payment models, and/or managed care as well as experience in Commercial, Medicaid, Episodic, direct-to-employer, and/or Medicare Advantage contracts, preferably in North Carolina.Familiarity and experience working with and analyzing payer data (quality, claims, utilization, customer experience), actuarial principles, forecasting of alternative payment model performance, HEDIS measures, and SDOH data.2-4 years assessing, designing, and negotiating alternative payment models, partnerships, contracts, and contract amendments, preferably in North Carolina.
Job Details
Legal Employer: NCHEALTH
Entity: Health Alliance
Organization Unit: HA Central Administration
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $59.51 - $85.54 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System.
This is not a State employed position.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
All interested applicants are invited to apply for career opportunities.
Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.