USC CERPP (Center for Enrollment Research, Policy and Practice)
Associate Director, Health Plans
USC CERPP (Center for Enrollment Research, Policy and Practice), California, Missouri, United States, 65018
Overview
Join to apply for the
Associate Director, Health Plans
role at
USC CERPP (Center for Enrollment Research, Policy and Practice) . Apply Keck School of Medicine Los Angeles, California. 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 Work You Will Do
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. Responsibilities
Plan and develop health and wellness program objectives and content. Research and identify trends and needs and establish program directions accordingly. Assess quality of program operations. Modify existing program services or create new program offerings to maintain or enhance program standing. Link program with other relevant departments on or off campus as necessary. Serve as a key resource for self-funded health plans and wellness program information. Resolve problems or questions referred by program staff, senior university administrators, or external vendors. Develop and recommend program operating and administrative policies. Manage the dissemination, interpretation and application of plan and program policies and recommend approval of exceptions. Develop services that achieve a high level of customer satisfaction with emphasis on customer service, highest standards of quality and innovation. Manage and resolve human resource and member claims and plan related issues. Plan and conduct quality assurance reviews and recommend changes as appropriate. Develop and maintain automated or manual systems and procedures to facilitate program operations. Direct the budget and resource allocations related to health and wellness programs. Manage the financial performance and identify and implement strategies to reduce costs and improve quality of care and services. Develop strategies for communicating and promoting programs, including 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
Minimum Qualifications
Bachelor’s degree 5-7 years of directly related professional and supervisory experience in health insurance programs Preferred Qualifications
Master’s in Business Administration (MBA) or Health Administration (MHA) or related Knowledge and experience in managed health care, including claims processing functionality, benefit coverage, provider network, standard billing requirements, and HIPAA regulations Knowledge and experience in administering an ERISA-governed health plan Familiarity with finance management in healthcare, insurance, and pharmaceutical industries is a plus Strong organizational and project management skills with interpersonal communication skills, both written and verbal, and attention to detail Proficient in Microsoft Office (Excel, Access, PowerPoint, Word, Outlook) About USC Health Plans
The University Health Plans department oversees medical, dental, vision and prescription benefits for USC’s faculty, staff, and dependents (nearly 19,000 USC benefits-eligible employees / 30,000 member lives). The department supports plan management, plan design, benefit planning, employee contribution pricing, financing and budgeting, and member services, balancing central administration with fiscal discipline. Goals include member education on plan design and features, improving member satisfaction, partnering with Keck providers and plan administrators to improve quality of care, cost containment, and wellness offerings for employees. The annual base salary range for this position is
$104,394.49–$160,000 . When determining an offer, USC considers factors such as scope and responsibilities, experience, education, training, key skills, internal alignment, applicable laws, contractual requirements, grant funding, and market conditions. Minimum Education: Bachelor's degree or combined experience/education as substitute for minimum education. Minimum Experience: 3 years. Minimum Field of Expertise: Directly related professional and supervisory experience in area of program specialization. REQ20160798 — Posted June 9, 2025 — Apply.
#J-18808-Ljbffr
Join to apply for the
Associate Director, Health Plans
role at
USC CERPP (Center for Enrollment Research, Policy and Practice) . Apply Keck School of Medicine Los Angeles, California. 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 Work You Will Do
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. Responsibilities
Plan and develop health and wellness program objectives and content. Research and identify trends and needs and establish program directions accordingly. Assess quality of program operations. Modify existing program services or create new program offerings to maintain or enhance program standing. Link program with other relevant departments on or off campus as necessary. Serve as a key resource for self-funded health plans and wellness program information. Resolve problems or questions referred by program staff, senior university administrators, or external vendors. Develop and recommend program operating and administrative policies. Manage the dissemination, interpretation and application of plan and program policies and recommend approval of exceptions. Develop services that achieve a high level of customer satisfaction with emphasis on customer service, highest standards of quality and innovation. Manage and resolve human resource and member claims and plan related issues. Plan and conduct quality assurance reviews and recommend changes as appropriate. Develop and maintain automated or manual systems and procedures to facilitate program operations. Direct the budget and resource allocations related to health and wellness programs. Manage the financial performance and identify and implement strategies to reduce costs and improve quality of care and services. Develop strategies for communicating and promoting programs, including 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
Minimum Qualifications
Bachelor’s degree 5-7 years of directly related professional and supervisory experience in health insurance programs Preferred Qualifications
Master’s in Business Administration (MBA) or Health Administration (MHA) or related Knowledge and experience in managed health care, including claims processing functionality, benefit coverage, provider network, standard billing requirements, and HIPAA regulations Knowledge and experience in administering an ERISA-governed health plan Familiarity with finance management in healthcare, insurance, and pharmaceutical industries is a plus Strong organizational and project management skills with interpersonal communication skills, both written and verbal, and attention to detail Proficient in Microsoft Office (Excel, Access, PowerPoint, Word, Outlook) About USC Health Plans
The University Health Plans department oversees medical, dental, vision and prescription benefits for USC’s faculty, staff, and dependents (nearly 19,000 USC benefits-eligible employees / 30,000 member lives). The department supports plan management, plan design, benefit planning, employee contribution pricing, financing and budgeting, and member services, balancing central administration with fiscal discipline. Goals include member education on plan design and features, improving member satisfaction, partnering with Keck providers and plan administrators to improve quality of care, cost containment, and wellness offerings for employees. The annual base salary range for this position is
$104,394.49–$160,000 . When determining an offer, USC considers factors such as scope and responsibilities, experience, education, training, key skills, internal alignment, applicable laws, contractual requirements, grant funding, and market conditions. Minimum Education: Bachelor's degree or combined experience/education as substitute for minimum education. Minimum Experience: 3 years. Minimum Field of Expertise: Directly related professional and supervisory experience in area of program specialization. REQ20160798 — Posted June 9, 2025 — Apply.
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