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Horizon Healthcare Innovations (HHI)
Head of Consumer Engagement
Newark, NJ

Client Snapshot:
As part of their commitment to Making Healthcare Work, HBCBSNJ is continually exploring innovative ways to improve the quality and value of health care for their members. In order to accelerate these efforts, they made a significant organizational change and commitment. Specifically, they formed a new subsidiary company, Healthcare Innovations Inc., whose purpose is to develop and pilot innovative, quality enhancing care delivery models with health care providers.

They decided to create a new company to provide a focus on innovation and the development of new models. This will also ensure that the company’s existing efforts to work with health care providers continues to receive the focus required.  

The need for new approaches is evident from the unsustainable health care situation facing our nation. As a nation we now spend 17% of our gross domestic product (GDP) on health care, and this spending is growing two-three times faster than overall inflation, as measured by the consumer price index (CPI). Despite spending more than twice as much per capita on health care than any other nation, the United States lags behind in many health measures including life expectancy and infant mortality.

Search Overview:
Given the complexity of the health care system today, the organization sees an opportunity to change the payment and delivery of care to include; improvements in the financing arrangements for physicians and hospitals to better align incentives among all stakeholders (i.e., physicians, hospitals, insurers); greater focus on primary care and care coordination; greater adoption of electronic medical records (RMRs); emphasis on quality, clinical outcomes and the practice of evidence-based medicine in reimbursement; and broader engagement of patients and plan sponsors in programs for preventative health and managing chronic conditions. The payment models are expected to create rewards for value rather than volume-driven approaches – an important factor in improving clinical outcomes and reducing costs.

The position reports to the President of the company.

Top Search Requirements

The Director Consumer engagement provides overall direction and leadership for the vision of consumer engagement models. This person has a deep understanding of consumer motivation and behavior and the ability to design and develop programs to help consumers actively take charge of their health. This person will make day to day decisions regarding project planning, work activities, and resources management, providing multiple work streams with critical expertise and support. This person will work full-time on blueprinting efforts and pilots.

  • Leads creation of detailed end-state blueprint designs for consumer engagement.
  • Identifies and recommends high impact opportunities for consumer engagement initiatives.
  • Defines information flow, benefit design & consumer incentives necessary for consumer engagement.
  • Identifies high-level core systems, processes, resources, and capabilities required to support portfolio of consumer engagement initiatives.
  • Works closely with Operations team to ensure initiatives are designed in a manner such that flawless execution is possible, and long-term capabilities are built to support pilots.
  • Monitors consumer engagement design outcomes through data analysis and presents findings and recommendations.
  • Provides ongoing support to individual pilot teams to develop consumer-facing pilots and provide relevant content knowledge to inform overall pilot design.

BNG Placement – Jay Driggers, MBA, Marketing Intelligence; BBA, Marketing, Summa cum Laude

Horizon Healthcare Innovations Inc.
(HBCBSNJ) Director, Consumer Engagement

Previous:

WellPoint, Inc.
Director, Customer View Point & Stratagies

Hartford Financial Services
Director of Marketing, Small Property & Casualty
Director of Voluntary Business, Group Benefits Div.
Asst. Director, Market Insight, Group Benefits Div.

ACNeilsen, BASES
Associate Manager, U.S. Client Services