Associate Director, Health Plans

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 Universityu2019s 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 USCu2019s 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: u00b7 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. u00b7 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. u00b7 Develops and recommends program operating and administrative policies. Manages the dissemination, interpretation and application of plan and program policies and recommends approval of exceptions. u00b7 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. u00b7 Plans and conducts quality assurance reviews and recommends changes as appropriate. Develops and maintains automated or manual systems and procedures to facilitate program operations. u00b7 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. u00b7 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. u00b7 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: u00b7 Bacheloru2019s degree u00b7 5-7 years of directly related professional and supervisory experience in health insurance programs The ideal candidate for the position of Associate Director, Health Plans has the following preferred qualifications: u00b7 Masteru2019s in Business Administration (MBA) or Health Administration (MHA) or related. u00b7 Knowledge and experience in managed health care. General understanding including but not limited to: claims processing functionality, benefit coverage, provider network, standard billing requirements; and HIPPAA regulations. u00b7 Knowledge and experience in administering an ERISA governed health plan. u00b7 Familiarity with finance management in healthcare, insurance, and pharmaceutical industries a plus. u00b7 Good organizational and project management skills, demonstrated strong interpersonal communication skills, both written and verbal and detailed oriented. u00b7 Proficient experience using Microsoft Office, including advanced knowledge in Microsoft Excel, Access, PowerPoint, Word and Outlook. About USC Health Plans The University Health Plans department is tasked to oversee all medical, dental, vision and prescription care benefits for the universityu2019s 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 administrationu2019s 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 USCu2019s Unifying Values (. The annual base salary range for this position is $104,394.49 u2013$160,000.00. When determining an offer, the University of Southern California considers factors such as the scope and responsibilities of the role, the candidateu2019s experience, education, training, key skills, internal peer alignment, applicable laws, contractual requirements, grant funding, and market conditions. #LI-AW1 Minimum Education: - Bachelor's degree - 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

Created: 2025-12-05