Associate Director, Health Plans

Associate Director

The University of Southern California (USC) Keck School of Medicine / Office of SVP for Health Affairs is seeking an Associate Director to join its Health Plans team!

The Associate Director, Health Plans manages major components of the University's health and wellness plans and programs. The Associate Director will be responsible for the day-to-day operations alongside the Director of Health Plans Administration of USC's self-funded and fully-insured health plans for faculty, staff and retirees. The position reports to the AVP of Health Plans. Main responsibilities will include plan administration, oversight of operations and strategy of wellness and medical management programs, manage health plan member services and in collaboration with senior leaders monitor plan expenses.

The Associate Director, Health Plans :

• Plans and develops health and wellness program objectives and content. Researches and identifies trends and needs and establishes program directions accordingly. Assesses quality of program operations. Modifies existing program services or creates new program offerings to maintain or enhance program standing. Links program with other relevant departments on or off campus as necessary.
• Serves as a key resource for self-funded health plans and wellness program information. Resolves problems or questions referred by program staff, senior university administrators, or external vendors.
• Develops and recommends program operating and administrative policies. Manages the dissemination, interpretation and application of plan and program policies and recommends approval of exceptions.
• Develops services that achieve a high level of customer satisfaction with emphasis on customer service, highest standards of quality and innovation. Manages and resolves human resource and member claims and plan related issues.
• Plans and conducts quality assurance reviews and recommends changes as appropriate. Develops and maintains automated or manual systems and procedures to facilitate program operations.
• Directs the budget and resource allocations related to health and wellness programs. Manages the financial performance and identifies and implements strategies to reduce costs and improve quality of care and services.
• Develops strategies for communicating and promoting programs to include market research and development, communications materials, and events planning for open enrollment and year-round employee reminders and engagement.
• Performs other related duties as assigned or requested. The university reserves the right to add or change duties at any time.

Job Qualifications

Candidates for the position of Associate Director, Health Plans must meet the following minimum qualifications :

The ideal candidate for the position of Associate Director, Health Plans has the following preferred qualifications :

About USC Health Plans

The University Health Plans department is tasked to oversee all medical, dental, vision and prescription care benefits for the universitys faculty, staff, and their dependents (nearly 19,000 USC benefits eligible employees / 30,000 member lives). Employees may choose from six health insurance coverages options that include PPO, EPO and HMO plan types. Employee contributions vary depending on 5 tiers of salary groupings and number of eligible family members enrolled. The department plays a key role in supporting USC through key initiatives through health plan management, plan design, benefit planning, employee contribution pricing, financing and budgeting, and member services, all while balancing central administrations needs for fiscal discipline. The Health Plans department goals include member education about plan design and features, improving member satisfaction, partnering with Keck providers and plan administrators to establish innovative models to improve quality of care and outcomes, engaging in responsible cost containment efforts, continuous improvement of self-funded medical plan products and experience with USC Premier Care and innovative strategies for wellness offerings to employees.

In addition, the successful candidate must also demonstrate, through ideas, words and actions, a strong commitment to USCs Unifying Values.

The annual base salary range for this position is $104,394.49 $160,000.00. When determining an offer, the University of Southern California considers factors such as the scope and responsibilities of the role, the candidates experience, education, training, key skills, internal peer alignment, applicable laws, contractual requirements, grant funding, and market conditions.

USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.

We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu. Inquiries will be treated as confidential to the extent permitted by law.