Intensive care nurse role at Johanniter - Kliniken Hamm focusing on the comprehensive care of critically ill patients. Collaborating with a multidisciplinary team and engaging in emergency care situations.
About the role
- RVP Medicare Market President overseeing fiscal, operational, and regulatory management for Medicare health plans in the West region. Collaborating with growth partners and leading strategic initiatives.
Responsibilities
- Manage the health plan(s) P&L to include revenue, cost management/Cost of Care, SG&A, and forward-looking product growth opportunities
- Collaborate with growth partners in the execution of service deliverables
- Manage the resolution of escalated issues
- Lead the annual bid strategy, process, and submission
- Oversee and participate in medical management
- Collaborate with HSO and Carelon on clinical Models of Care
- Oversee marketing, retention, experience, and product growth strategies
- Drive provider collaboration and engagement in the areas of service and Payment Innovation
- Ensure compliance and performance management in collaboration with the Compliance team
- Oversee state SMAC (DSNP) contract requirements for regulatory reporting
- Nurture alliance and other external partnership relationships
- Collaborate with peer Commercial and Medicaid Presidents on key growth strategies
- Hire, train, coach, counsel, and evaluate performance of direct reports
Requirements
- Requires a BA/BS degree in a related field
- Minimum of 12 years of related experience
- 8 years of experience in government sponsored health insurance programs
- Prior leadership experience
- Previous experience in managing P&L's in large complex matrixed organizations (preferred)
- Experience developing and/or submitting Medicare Advantage bids (preferred)
- Previous experience managing value-based provider relationships (preferred)
- Previous Medicaid and/or Dual Eligible experience (preferred)
- Experience/expertise in managing cost of care and trend (desired)
- Prior experience and/or expertise in driving Star performance (desired)
- Master’s degree preferred
- Travel may be required
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- medical benefits
- dental benefits
- vision benefits
- short and long term disability benefits
- wellness programs
- financial education resources
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