Looking for a way to influence the health and healthcare of many?
If so, we'd love to hear from you! Our mission-driven organization is focused on the"Triple Aim" - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans.
UNITE HERE HEALTH serves 100,000+ workers and 220,000 covered lives in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!
Integrity Must be trustworthy and principled when faced with complex situations
Ability to build positive work relationships Mutual trust and respect will be essential to the collaborative relationships required
Communication Ability to generate concise, compelling, objective and data-driven reports
Teamwork Working well with others is required in the Fund's collaborative environment
Diversity Must be capable of working in a culturally diverse environment
Continuous Learning Must be open to learning and skill development. As the Fund's needs evolve, must be proactive about developing new areas of expertise
Lives our values Must be a role model for the Fund's BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect)
Maintains current knowledge of the local market(s). Engages with healthcare organizations in the Chicago area to play a role in improving the delivery of cost-effective, quality healthcare in the region.
Identifies and develops a strategy for healthcare delivery programs suitable for the region.
Develops relationships with union and employer trustees with interests in the region.
Coordinates the interests of a diverse set of stakeholders from trustees to Clinical and Operations staff to ensure the plan functions as intended and is appropriately adjusted when necessary.
Coordinates benefit design changes, in consultation with the Medical Director, Aurora Healthcare Delivery support team and trustees.
Fund's point person in the relationship with the AMITA system as a preferred provider. This includes coordinating stakeholders and acting as a liaison to the UHH Chicago Health Center.
Help design outreach work with participants and coordinates outreach efforts with Care Coordination staff in the Chicago office (Nurse Case Manager and Health Promoters):
Helps identify and design programs to address identified needs (e.g. diabetes program)
Helps develop educational campaigns designed to empower members (e.g. use of Primary Care Physicians, Emergency Room/Urgent Care Centers, chronic condition self-management programs) and oversee Health Promoters assigned to do this work.
Works closely with Heath Resource Team to integrate messages and interactions with participants
Participates in vendor issues (contracting, implementation, monitoring, and relationships) in consultation with Aurora Healthcare Delivery support team. Plays a significant role in negotiations with managed care vendors and works directly with key vendors.
Meets regularly with other Regional Directors and Aurora Clinical Team to share knowledge, get feedback, develop common programs, and otherwise advance Fund's healthcare delivery agenda. Works with Fund clinical staff to develop and monitor provider quality, healthcare outcomes and measurements. Plays an integral role on the future of the organization and must be able to participate in a strategic vision discussion that defines and communicates a longer-term vision and strategy to achieve superior results.
Participates in development of communications executed by Aurora.
Participates in activities associated with new business development.
Plans, analyzes, and evaluates programs and services, operational needs, and fiscal constraints.
Supervises, leads, and delegates work and coaches, mentors, develops employees.
Analyzes problems, identifies and develops alternative solutions, projects consequences of proposed actions, and implements recommendation/solutions.
Recommends hires and promotions, directs and evaluates employment decisions for all assigned positions.
Assists with developing and coordinating policies and procedures.
Responsible for the oversight of continued employee training requirements, safety and quality initiatives.
Performs other duties as assigned within the scope of responsibilities and requirements of the job.
Performs Essential Job Functions and Duties with or without reasonable accommodation.
Years of Experience and Knowledge
Minimum of 5 ~ 7 years of direct experience required of progressive management experience in a healthcare delivery system, managed care, Taft-Hartley, or benefits administration environment.
Minimum 5 ~ 7 years of functional management experience required.
Working knowledge and experience in understanding trends influencing the future of health care, including marketplace dynamics, experience assessing health care programs and systems.
Working knowledge of the following areas: utilization review, disease and case management, provider contracting, physician profiling, pharmacy and therapeutic programs, outcomes measurement, and performance improvement.
Working knowledge of current benefit legislation, (e.g., Employee Retirement Income Security Act (ERISA), Department of Labor (DOL), IRS, Consolidated Omnibus Budget Reconciliation Act (COBRA), Health Insurance Portability and Accountability Act (HIPAA), etc.)
Substantial experience with low wage and immigrant workers is preferred.
Education, Licenses, and Certifications
Bachelor's degree in Public Health, Healthcare Administration or related field or equivalent work experience required.
Preferred Master's degree in Public Health, Healthcare Administration or related field.
Skills and Abilities
Intermediate level Microsoft Office skills (PowerPoint, Word, Outlook).
Intermediate level Microsoft Excel skills.
Preferred fluency (speak and write) in Spansh.
10% ~ 15% travel. Primary office is in the Fund's Chicago office with one day a week on average spent in the Aurora office. Occasional travel to northwest Indiana.
Strong written and verbal skills.
Significant leadership skills, including:
Demonstrates leadership qualities that reflect the Fund's mission, vision and values.
Successfully manages complex situations demonstrating flexibility and maturity in an environment that experiences rapid growth and change.
Collaborative relationship building and interpersonal skills.
Must possess the required technical background/ability to train and supervise assigned personnel.
Must have results oriented focus, including ability to set goals and manage to expectations.
Project management skills
Exercise empathy, sensitivity, and tact while balancing the business needs of the Fund.
Demonstrate strong track record in improvement of value of plan benefits, in terms of both cost and quality.
Evaluate, analyze and provide feedback regarding leadership initiatives.
Communicate effectively with leaders who have less technical background and less time for detail.
Deliver presentations in a professional and effective manner to a variety of audiences.
Manage competing deadlines and multiple projects in a fast-paced environment.
Unite Here Health