Director Commercial Programs

Director Commercial Programs Flint, MI Job Details Full-time 1 day ago Benefits Health insurance Qualifications Affordable Care Act (ACA) Strategic management Management Operations management Managed care Healthcare Administration Improving operational efficiency Performance management Bachelor's degree in business administration Supervising experience Public Health Regulatory affairs Recruiting Bachelor's degree in healthcare administration Bachelor's degree in public health Business Administration Senior level Training Cross-functional collaboration Business Associate's degree Cross-functional team management Leadership 2 years Healthcare compliance Full Job Description About Us McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan's largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio. Director Commercial Programs Michigan, Flint NEW Director McLaren Integrated HMO Group 26001579 McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Director, Commercial Programs, to join in leading the organization forward. MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA). MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

Position Summary:

The Director of Commercial Programs is responsible for the 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). This role ensures the effective execution of commercial line-of-business strategy, regulatory compliance, operational performance, employer client satisfaction, and cross-functional program integration across the organization. The Director serves as the internal subject matter expert and operational leader for commercial products and employer-sponsored plan operations, aligning business processes across departments including product development, sales, network management, claims, customer service, compliance, and finance. This role is responsible for the unique regulatory, employer client, and competitive market dynamics of the commercial health insurance environment. The Director will ensure that programs operate efficiently, meet regulatory and contractual requirements, and deliver strong performance in member experience, employer client satisfaction, and financial outcomes. This is a hybrid position with requirements to come onsite as scheduled, Flint, MI.

Required:

Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field; or Associate degree and two (2) years' job related experience. Five (5) years of experience in health plan operations, managed care, or health insurance program administration with demonstrated experience in commercial health insurance operations, employer-sponsored health plans, and/or TPA services and including three (3) years' experience in a leadership role with direct reports leading or assisting in all phases of effective supervision (i.e., recruitment, performance management, training). Two (2) years of experience working with ACA marketplace requirements and regulatory frameworks.

Preferred:

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 McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.