Hybrid VP, Medicaid Clinical Economics – Quality

Posted last week

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About the role

  • Provide strategic and operational leadership for clinical effectiveness within the Medicaid segment.
  • Integrate Medical Economics, Clinical Insights, and Quality to deliver improved health outcomes.
  • Optimize medical cost management and drive program performance.
  • Partner with segment leaders and cross-functional teams to develop evidence-based strategies.
  • Oversee the creation and tracking of performance scorecards and financial metrics.
  • Direct population health strategy and guide pharmacy and care management strategies.
  • Oversee quality management, including compliance with Medicaid requirements and regulatory standards.
  • Build, mentor, and lead multidisciplinary teams across analytics, economics, and quality functions.
  • Serve as a strategic advisor to the executive team for actionable business insights.

Requirements

  • Bachelor’s Degree/Master’s degree or Ph. D preferred
  • 5+ years leadership experience
  • 10+ years relevant healthcare analytics or clinical operations, including Medicaid
  • Proven track record of integrating medical economics, quality, and clinical insights to drive measurable outcomes.
  • Strong grasp of Medicaid policy, quality measurement, population health, and value-based care.
  • Demonstrated ability to influence senior leaders and build alignment across diverse functions.
  • Decisive, action-oriented leadership style — thrives in complexity and ambiguity, executes with urgency.
  • Must reside or be willing to relocate to either Louisville, KY or Tampa, FL

Benefits

  • Health insurance
  • 401(k) matching
  • Remote work options

Job title

VP, Medicaid Clinical Economics – Quality

Job type

Experience level

Lead

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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