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Associate Director, Health Plans
4 weeks ago
Associate Director, Health Plans Join to apply for the Associate Director, Health Plans role at University of Southern 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. Key Responsibilities Plan and develop health and wellness program objectives and content, researching trends and needs, and aligning program directions accordingly. Serve as a key resource for self‑funded health plans and wellness program information; resolve problems or questions from staff, senior administrators, or external vendors. Develop and recommend program operating and administrative policies, manage dissemination, interpretation, and application of plan and program policies, and recommend approval of exceptions. Develop services that achieve high customer satisfaction with a focus on quality and innovation; manage and resolve human resources and member claims and related issues. Plan and conduct quality assurance reviews and recommend changes; 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 financial performance and identify strategies to reduce costs and improve quality of care and services. Develop strategies for communicating and promoting programs, including market research, communications materials, and event planning for enrollment and year‑round employee engagement. Perform related duties as assigned or requested. The university reserves the right to add or change duties at any time. 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 field. Knowledge and experience in managed health care, including claims processing, benefit coverage, provider network, billing requirements, and HIPAA regulations. Experience administering an ERISA‑governed health plan. Familiarity with finance management in healthcare, insurance, and pharmaceutical industries. Strong organizational and project management skills, excellent interpersonal communication skills, both written and verbal, and attention to detail. Proficiency in Microsoft Office, including advanced Excel, Access, PowerPoint, Word, and Outlook. About USC Health Plans The University Health Plans department oversees all medical, dental, vision, and prescription care benefits for the university’s faculty, staff, and their dependents (nearly 19,000 eligible employees / 30,000 member lives). Employees may choose from six health insurance coverage options, including PPO, EPO, and HMO plans. The department supports USC through key initiatives in plan management, design, benefit planning, employee contribution pricing, financing, budgeting, and member services, while balancing fiscal discipline. Goals include member education, improving satisfaction, partnering with Keck providers, establishing innovative models, engaging in responsible cost containment, continuous improvement of self‑funded products, and innovative wellness strategies. In addition, the successful candidate must demonstrate a strong commitment to USC’s Unifying Values. Compensation The annual base salary range for this position is $104,394.49 – $160,000.00, determined by scope and responsibilities, candidate experience, education, training, key skills, internal peer alignment, applicable laws, contractual requirements, grant funding, and market conditions. Minimum Education: Bachelor’s degree or combined experience/education as a substitute. Minimum Experience: 3 years. Minimum Field of Expertise: Directly related professional and supervisory experience in the area of program specialization. Job ID: REQ20160798 | Posted Date: 07/25/2025 #J-18808-Ljbffr
