Sr. Med. Dir for Affordability

We need to produce HTML fragment with sections: About the role, Responsibilities, Requirements (or Qualifications), Skills, Benefits, Pay, Schedule. Only include sections that have real content. We must not repeat job title as heading. Must not include Job ID etc. Remove boilerplate, EEO, etc. Preserve all substantive info. We need to parse the posting. Key sections: - About The Role: paragraph describing role. - Job Responsibilities: list of bullet points (the "What You'll Do" section). We need to extract bullet points. - Education/Experience: "What You Bring" list of requirements. - Additional Licensing, Certifications, Registrations: list. - Knowledge, Skills, And Abilities: list. - Travel %: mention travel within NJ/NY/PA required as needed. - Why Horizon?: paragraph about culture. - Salary Range: $240,200 - $334,110 plus description. - Benefits: list of benefits: Comprehensive health benefits (Medical/Dental/Vision), Retirement Plans, Generous PTO, Incentive Plans, Wellness Programs, Paid Volunteer Time Off, Tuition Reimbursement. - Disclaimer about employees must live in certain states: maybe include as a note? It's substantive but maybe not a section; could be a paragraph. We must not include boilerplate like disclaimer about job summary not comprehensive, etc. But we need to preserve substantive info; the disclaimer about job summary not comprehensive is boilerplate? It appears multiple times. Probably we should remove those generic disclaimers. However the "Disclaimer: Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware." is specific; we should keep that. Also "Travel %: Travel within NJ/NY/PA required as needed." is specific. We need to decide which headings to use: About the role, Responsibilities, Requirements (maybe combine Education/Experience and Additional Licensing?), Skills (Knowledge, Skills, And Abilities), Benefits, Pay, Schedule (if schedule info present? Not really; only travel). There's no explicit schedule (full-time/part-time). So we should not create Schedule section unless present. So omit Schedule. We may combine Requirements and Qualifications into one section "Requirements". Could also have "Qualifications". The instruction: use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose which to include. We'll include About the role, Responsibilities, Requirements, Skills, Benefits, Pay. Possibly also a "Travel" note could be under Requirements or a separate note; but we can include it as a paragraph under Requirements or as a separate "Travel" but not a heading. Probably include as a paragraph under Requirements. We must not invent or summarize away detail. Must preserve all substantive info. Thus we need to extract each bullet point exactly as in posting. Let's extract: About The Role paragraph: "Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About The Role The Senior Medical Director for Affordability is a physician leader and the clinical lead for Horizon BCBSNJ’s medical cost optimization (MCO) efforts. This leader is accountable for identifying, investigating, and launching MCO programs in collaboration with the MCO strategy and execution teams. They provide support and expertise to proactively outreach to, and address inquiries from, providers, facilities, clients, medical societies, and others on MCO initiatives. They provide clinical support for all Horizon BCBSNJ teams related to MCO programs." But note the "About The Role" heading appears twice? Actually the text includes "About The Role" then description. We'll output a

About the role

and then a

with that description (excluding the heading duplicate). Ensure we keep all content. Now Responsibilities: list after "Job Responsibilities:" then bullet points separated by periods? Actually they are sentences separated by periods but no explicit bullet characters. We need to treat each sentence as a list item? The instruction: Use

• for any list of duties/requirements/benefits. The posting has "Job Responsibilities:" then a series of sentences separated by periods. We should split into items. Let's extract each responsibility: 1. Define a multi-year Medical Cost Optimization (MCO) strategy to drive affordability based on Horizon BCBSNJ experience, external data, competitive intelligence and implement this strategic vision, in collaboration with the MCO Strategy Lead. 2. Partner with leadership across Horizon BCBSNJ business units to identify MCO opportunities and drive progress toward operational process improvements to ensure continual, measurable improvement of the quality, compliance, and speed of execution of MCO initiatives. 3. Work collaboratively with the Clinical Analytics, Medical Economics, Finance, and other teams to source and validate the sizing and clinical efficacy of MCO business cases. 4. Oversee tracking, analysis and reporting of data related to MCO to support the building of business cases, ROI analyses and measurement of progress toward MCO goals. 5. Direct MCO work to guide opportunity and solution evaluation and prioritization using the principles of the MCO Committee governing framework to ensure achievement of multi-year affordability, quality, and clinical outcome targets. 6. Facilitation of, and participation in, MCO Committee meetings. 7. Facilitate prioritization of MCO solutions in need of funding through the CPLT and DRIVE processes. 8. Partner with the Medical Cost Action Planning (MCAP), Finance and Actuary teams on tracking and reporting of enterprise MCO and MCAP performance. 9. Communicate MCO strategy, activity and results across HNS and the enterprise. 10. Communicate MCO efforts externally to network providers and their respective trade organizations. 11. Educate Horizon BCBSNJ staff on MCO tools, strategies, and programs. 12. Manage, develop and train staff; develop and monitor goals; conduct annual performance reviews, and administers salaries for the staff. Note: "administers" maybe typo but keep. Now Requirements/Education/Experience: list after "Education/Experience: What You Bring". Items: - Requires an MD or DO with a current unrestricted license to practice medicine. - Requires American Board of Medical Specialties (ABMS) board certification. - Requires a minimum 5 years of clinical practice experience. - Requires a minimum of 3 years of experience in managed care/medical management. - Requires proficiency working with a Windows based environment including MS Office products. - Requires 3 years of management experience. - Requires knowledge of clinical operations within a managed care organization. - Requires experience with utilization management, quality, payment integrity, case management, and/or medical policy. - Requires knowledge of medical cost optimization. - Requires broad clinical skills to understand medical issues. Now Additional Licensing, Certifications, Registrations: - Active, unrestricted MD or DO license required, NJ license preferred. - No CMS sanctions or sanctions by other regulatory agencies or boards. - Must be board certified by a specialty recognized by the American Osteopathic Association or the American Board of Medical Specialties. Now Knowledge, Skills, And Abilities: List items (each sentence starting with a capital letter, maybe separated by periods). Let's extract: - Be adept at influencing and challenging senior management and staff. - Manage, and lead through influence, in a highly matrixed environment. - Developing Self and Others – Must be able to develop staff and leverage team capabilities for optimal outcomes. - Communicate with Impact – Must be able to present and interact with senior leadership as necessary. - Adaptability – Must be able to tailor communication and messages to diverse audiences. - Executive Presence - Advocates for the organization, inspiring confidence among peers regarding reliability and capability, inspiring senior leadership expectations on potential for outstanding outcomes and achievements. - Develop Horizon BCBSNJ staff’s competences related to medical cost optimization (MCO) and executive decision-making skills. - Requires the ability to exercise independent judgment in making decisions. - Requires the ability to interpret and apply state and federal regulations, hospital and provider contracts and medical policy to provide guidance related to MCO. - Must have effective verbal and written communication and presentation skills and demonstrate the ability to work well within a team. - Requires a proven ability to innovative, be goal oriented, possess strong critical thinking skills, and exercise sound judgment. Note: "Requires a proven ability to innovative" maybe grammar but keep. Now Travel %: "Travel within NJ/NY/PA required as needed." Now Why Horizon? paragraph: "At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you!" Now Salary Range: "$240,200 - $334,110 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case." Now Benefits list: "Horizon also provides a comprehensive compensation and benefits package which includes: Comprehensive health benefits (Medical/Dental/Vision)Retirement PlansGenerous PTOIncentive PlansWellness ProgramsPaid Volunteer Time OffTuition Reimbursement" Note there is no punctuation between items; we need to split. Items: Comprehensive health benefits (Medical/Dental/Vision), Retirement Plans, Generous PTO, Incentive Plans, Wellness Programs, Paid Volunteer Time Off, Tuition Reimbursement. Now Disclaimer about employees must live in certain states: "Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware." We should include that as a paragraph maybe under Requirements or separate note. Could be a short p. Now we must not include boilerplate like "This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job." That appears multiple times; we should remove. Also remove EEO etc. Now decide sections: - About the role (h3) with paragraph. - Responsibilities (h3) with ul li. - Requirements (h3) maybe combine Education/Experience, Additional Licensing, Travel, and maybe the residency requirement. Could split into Requirements and Qualifications but we can just have Requirements covering all. - Skills (h3) for Knowledge, Skills, And Abilities. - Benefits (h3) with ul. - Pay (h3) with p. We should not include Schedule. Now ensure we preserve all substantive info: include the "Why Horizon?" paragraph maybe as a separate section? Could be under About the role? But it's separate motivational. Could be a section "About Horizon" but not in list. The instruction says use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but says use those for section headings. It might be okay to add other headings but better to stick to those. The "Why Horizon?" is descriptive; we could incorporate into About the role paragraph or as a separate p after About the role but before Responsibilities. Probably better to add a paragraph after About the role under same heading? But the heading is About the role; we could add two paragraphs: one about role