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Director, Operations Strategy in Southfield, MI at AF Group

Date Posted: 3/13/2018

Job Snapshot

Job Description

COBX Senior Health Services


This position is responsible for planning, organizing, and monitoring the coordination processes for Senior Health Services Operations areas including Claims, Finance, Compliance, Project Management Office, Provider Governance, Pharmacy operations, Network Strategy directly as well as coordinating with key Matrix partners at BCBSM and COBX. This position will interact routinely with Company executives, directors, and managers, as well as with other subsidiaries. This position will work closely under the direction of the Chief Operating officer to create a strategy framework to ensure the delivery of a best in class operating model. The position will also oversee operations functions including annual budget, department metrics and department scorecard reporting thus ensuring optimal departmental workflow and efficiency by leading quality improvement efforts.


  • Drives alignment of long and short term strategic goals with departmental and administrative budgets. Oversees budget development, creation, management, and optimization to achieve superior outcomes.
  • Coordinates office activities for the department executive. Prioritizes and follows up on information and requests to and from executive(s). Updates executive on current issues as necessary.
  • Develops plans and strategies to drive health care affordability while continue to increase value, as it pertains to administrative cost levers.
  • Establishes service delivery and performance measures.
  • Ensures all services upon which Senior Health Services depends are fully enumerated in stated Service Level Agreements; ensures oversight forums are developed to manage relationships and services; establishes expectations and ensures they are met relative to dashboarding and reporting requirements of service providers and vendors.
  • Drives accountability and authentic commitment to inclusive environment in support of objectives.
  • Conceptualizes and develops potential new ideas/opportunities for improvements or new business development by proactively assessing the impact of emerging industry, economic & competitive trends and benchmarks.
  • Works to define and establish strategic objectives and goals for Senior Health Services.
  • Coordinates/orchestrates strategic projects or commitments.
  • Provides independent leadership and execution of special projects initiated within Senior Health Services included but not limited to those with high strategic impact and visibility.
  • Proactively identifies issues with potential to impact the successful execution of initiatives. Oversees the development, monitoring and mitigation planning for the Senior Health Services risk profile in partnership with Enterprise Risk Management teams. Ensures risk mitigation plans are robust, planned, and executed to close risks.
  • Coordinates and develops strategic business unit reviews.
  • Supports definition, development, and deployment of a cross functional engagement model and engagement strategies.
  • Drives effectiveness and organization within Advantage Solutions.
  • Engages in root cause analysis for issues and opportunities with potential to impact organizational objectives
  • Supports new and existing business development opportunities and activities.
  • Facilitates completion of annual and long-term plans.
  • Develops and maintains critical path project inventory
  • Drives development of communications (written and verbal); develops power points, drafts talking points, and demonstrates ability to succinctly convey key messages (strategic, financial, and operational).
  • Works with leaders to develop innovation capabilities and resources to source ideas and move solutions to implementation as required. Connects with key resources to develop ideas, best practices, and ensure diversity of thought in development of innovative solutions.

    This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.


    Directly supervises exempt and non-exempt staff in accordance with company policies and applicable Federal and State Laws. Responsibilities include but are not limited to effectively interviewing, hiring, terminating, and training employees; planning, assigning and directing work; appraising performance; rewarding and counseling employees; addressing complaints and resolving problems; supporting and encouraging the engagement process.



    Bachelor's degree in Business, Communications, Finance, or a related field. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.


    A minimum of ten years multi-faceted experience in the health insurance industry, or relevant business experience which provides the necessary skills, knowledge and abilities. Five years strategic solution development experience required. One year of leadership experience required.


  • Thorough knowledge of health insurance products and processes.
  • Demonstrated leadership abilities and ability to work independently in the research, planning, development, and implementation of corporate projects.
  • Ability to appropriately manage resources, budgets, issues, and risks for the successful completion of projects.
  • Highly resourceful with strong emotional intelligence, discretion, self-motivation, and strong analytical skills.
  • Ability to anticipate the issues and opportunities affecting the company.
  • Ability to manage multiple priorities, establish work flows, and meet necessary deadlines.
  • Ability to effectively exchange information clearly and concisely, present ideas, report facts and other information, respond to questions, and employ active listening techniques.
  • Ability to apply the principles of independent, logical, analytical thinking to define problems, collect data, establish facts, and draw valid conclusions.
  • Ability to comprehend the consequences of various problem situations and determine resolution or referral for appropriate decision-making.
  • Ability to establish rapport and maintain effective working relationships with both internal and external customers.
  • Ability to interact with others to build consensus and get decisions implemented.
  • Ability to work with and empower others on a collaborative basis to ensure success of unit team.
  • Ability to effectively present budgetary and/or cost information, and respond to questions as appropriate.
  • Strong organizational and creative abilities.
  • Excellent project and time management skills.
  • Ability to manage and prioritize multiple tasks.
  • Ability and proficiency in the use of computers and company standard software specific to position.


    Work is performed in an office setting with no unusual hazards. Occasional travel required.

    The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.

    We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.

    Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled