Job Description

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

* Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

* Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

* Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

* Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Skills / Requirements

JOB SUMMARY: 
The Chief Strategy and Innovation Officer (CSIO) is responsible for leading the implementation of the company's strategy and innovation efforts by formulating robust, cost-effective measures, and results-focused outcomes that drive alignment, and monitoring the execution of the strategies against plan. Responsible for assisting the President and CEO with aligning the strategy with the organization's innovation portfolio and roadmap in order to drive top line growth. 

JOB SPECIFICATIONS AND CORE COMPETENCIES:
 

  • Partner with the President and CEO to develop the short- and long-term strategic plans, innovation initiatives, and affordability (cost-savings) programs for the organization.  Develop and implement a comprehensive innovation strategy that aligns with Community Health Choices mission to provide affordable, high-quality care. Oversee the execution of all strategic plans.  
    Responsible for executive oversight of strategic plans for major departments in the organization. Monitor mid-year and annual progress, milestones, and achievements in alignment with the organization's pillar goals and objectives.
     
  • Develop strategic and robust plan for Community's project management function and executive level oversight of all Board relations functions.  
    Conduct in-depth analyses of healthcare trends, technologies, and policies to identify opportunities for innovation and enhance service offerings. Partner with clinical, operational, and financial teams to integrate innovative solutions into existing processes and improve overall care delivery.  
    Perform outside-in thinking and cultivate meaningful relationships with providers, community organizations, external business partners, and regulatory entities to drive collaboration and support for innovation initiatives for the organization. 
     
  • Establish and track KPIs to assess the impact of innovation efforts and ensure ongoing improvement in health outcomes and affordability. Oversee the budget for innovation initiatives, ensuring effective allocation of resources for maximum impact.
    Actively contributes to achievement of division goals, as identified in
    Department's annual business plan, including specific departmental process
    improvement plans, and other duties as assigned.

    Reports to Position Title: President, CEO/HMO
    Employees Supervised Titles: Director, Project Management and Board Relations; Vice President or Senior Director, Innovation and Vice President or Sr. Director, Affordability


    QUALIFICATIONS: 
  •  Education/Specialized Training/Licensure: Master's degree in healthcare or business Administration or related field required.
  • Work Experience (Years and Area): 15 years of experience in the healthcare industry, with a focus on managed care, innovation, and affordability strategies required.
  • 5+ years of experience in leading innovation and business transformation strategy and initiatives a senior or C-Suite level required.
  •  Management Experience (Years and Area): 5 years management experience at senior level (senior director, vice president)

    Software Proficiencies: MS Office

    Job Family/Job Title Competencies
    Attention to Detail
    Problem Analysis
    Creative Thinking
    Results Oriented

Application Instructions

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