Health Alliance Plan (HAP) is a regional health plan headquartered in Detroit. Our mission: “to enhance the health and well-being of the lives we touch.” HAP excels in delivering award-winning disease management, wellness and community outreach programs, and highly personalized customer service.
Provides executive leadership to the underwriting department to meet or exceed profitability targets, revenue requirements and market share expectations consistent with organizational goals and objectives.
Collaborates closely with Chief Financial Officer, Chief Marketing Officer and others within the Sales and Marketing areas in the development of strategies to meet membership and revenue targets through effective products, pricing and market segmentation. Responsible for pricing and financial bid related activities for HAP's Medicare Advantage programs and all of the functions of the Underwriting Department.
Represents HAP interests and values in the community and as a senior executive, seeks to enhance and be responsible for business development and expansion through strong interpersonal relationships and service excellence. Represents HAP in various HFHS forums and activities.
Bachelor's Degree in Finance, Economics or Business Administration or a related field is required.
Minimum of seven (7) years of experience in health insurance or health plan underwriting.
Five (5) years of progressive management experience.
Capable of both strategic thinking and concrete, disciplined execution.
Must be familiar with applicable standards, regulations, laws, and other requirements for a health plan operating in multiple lines of business.
Internal Number: 184523
About Health Alliance Plan (HAP)
Health Alliance Plan (HAP) is a nonprofit, regional health plan headquartered in Detroit.
Our mission: “to enhance the health and well-being of the lives we touch.”
HAP excels in delivering award-winning disease management, wellness and community outreach programs, and highly personalized customer service.
Henry Ford Health System Alignment:
• HAP is a subsidiary of Henry Ford Health System, one of the national’s leading health care systems and a proud recipient of the 2011 Malcolm Baldrige National Quality Award for performance excellence and innovation.
• HAP serves an important role in promoting system integration and care coordination and acts as a catalyst in forming innovative patient care, community, business and economic partnerships. As the voice of the customer, HAP partners with HFHS to improve quality while maintaining a focus on value, affordability and accessibility.
• HAP has more than 1,300 employees in Detroit, Southfield, Flint and Grand Rapids.
• We serve more than 650,000 members through six product lines:
o Group Insured Commercial: PPO, EPO and HMO; Health Engagement programs offer employees incentives to adopt a healthier lifestyle.
o Indi...vidual: HAP Personal Alliance PPO, HSA and Short-Term health plans are for individuals and families not covered through employer health insurance.
o Medicare Solutions: HAP Medicare Solutions offer PPO and HMO plans, prescription drug plans, and Medicare Supplement plans for individuals and employer-sponsored retirees.
o Medicaid: HAP Midwest Health Plan has about 10,000 Medicare and Medicaid enrollees.
o Self-Funded: HAP and ASR Health Benefits offer competitive options for Michigan companies and health and welfare funds seeking to self-fund their health benefit costs.
o Network Leasing: Statewide PPO network that can be administered by Third Party Administrators and Welfare Funds