Director Commercial Programs
McLaren Health Care, Flint, MI, United States
McLaren Health Plan (MHP) is a managed care organization dedicated to meeting the health care needs of Michigan residents.
Position Summary The Director of Commercial Programs is responsible for operational leadership, regulatory oversight, and strategic performance of the organization’s commercial and employer‑sponsored plan offerings, including administrative services provided to employer groups where the organization serves as a Third‑Party Administrator (TPA). The role ensures effective execution of commercial line‑of‑business strategy, regulatory compliance, operational performance, employer client satisfaction, and cross‑functional program integration.
Location This is a hybrid position with on‑site requirements scheduled in Flint, MI.
Responsibilities
Provide internal subject‑matter expertise and operational leadership for commercial products and employer‑sponsored plan operations.
Align business processes across departments including product development, sales, network management, claims, customer service, compliance, and finance.
Manage unique regulatory, employer client, and competitive market dynamics of the commercial health insurance environment.
Ensure programs operate efficiently, meet regulatory and contractual requirements, and deliver strong performance in member experience, employer client satisfaction, and financial outcomes.
Qualifications
Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, or a related field; or Associate degree with two years of related experience.
Five years of experience in health plan operations, managed care, or health insurance program administration, including three years in a leadership role with direct reports.
Two years of experience working with ACA marketplace requirements and regulatory frameworks.
Preferred Qualifications
Experience working in the state of Michigan.
Additional Information
Schedule: Full‑time
Requisition ID: 26001579
Daily Work Times: 8:30 am – 5:00 pm
Hours Per Pay Period: 80
On Call: No
Weekends: No
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Position Summary The Director of Commercial Programs is responsible for operational leadership, regulatory oversight, and strategic performance of the organization’s commercial and employer‑sponsored plan offerings, including administrative services provided to employer groups where the organization serves as a Third‑Party Administrator (TPA). The role ensures effective execution of commercial line‑of‑business strategy, regulatory compliance, operational performance, employer client satisfaction, and cross‑functional program integration.
Location This is a hybrid position with on‑site requirements scheduled in Flint, MI.
Responsibilities
Provide internal subject‑matter expertise and operational leadership for commercial products and employer‑sponsored plan operations.
Align business processes across departments including product development, sales, network management, claims, customer service, compliance, and finance.
Manage unique regulatory, employer client, and competitive market dynamics of the commercial health insurance environment.
Ensure programs operate efficiently, meet regulatory and contractual requirements, and deliver strong performance in member experience, employer client satisfaction, and financial outcomes.
Qualifications
Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, or a related field; or Associate degree with two years of related experience.
Five years of experience in health plan operations, managed care, or health insurance program administration, including three years in a leadership role with direct reports.
Two years of experience working with ACA marketplace requirements and regulatory frameworks.
Preferred Qualifications
Experience working in the state of Michigan.
Additional Information
Schedule: Full‑time
Requisition ID: 26001579
Daily Work Times: 8:30 am – 5:00 pm
Hours Per Pay Period: 80
On Call: No
Weekends: No
#J-18808-Ljbffr