RVP I & Pres Medicaid Health Plan (PS29928)
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- Business Development/Planning
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- PS29928 Requisition #
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- Nov 19, 2019 Post Date
Join the leadership team of the South Carolina Medicaid health plan, a Medicaid Alliance between Anthem and BCBS of South Carolina. Medicaid Alliance is one of the fastest growing businesses at Anthem. The South Carolina Medicaid Health Plan Executive leads health plan operations for the longest-standing Medicaid partnership. With investments to support growth, this position affords the opportunity for the right candidate to grow the health plan from $400M to $1B, while serving some of the neediest South Carolinians. In the South Carolina Medicaid plan, we do well by doing good..
The Health Plan Executive will lead and manage the operational, administrative, fiscal, and team leadership objectives of the Health Plan. The Health Plan Executive will also represent Anthem in all related partnership matters. Primary duties may include, but are not limited to:
• Manages a team of over 60 health plan staff and coordinates activities with shared-service enterprise partners for over 100 shared-service staff.
• Oversight of the operating gain, growth, cost of care commitments, revenue and quality goals.
• Collaborates with shared services support to achieve Health Plan objectives and regulatory requirements.
• Ensures contract compliance, strong health plan culture of impeccable compliance, and maintains oversight of risk management programs.
• Manages customer and regulatory relationships, across Anthem, partner, and state stakeholders.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.
• Orchestrates governance and collaboration between Anthem and BCBS partner.
Qualifications:
Requires a BA/BS in Business, Healthcare Administration or related field; 12 years relevant experience, including 8 years’ experience in government sponsored health insurance programs; leadership experience; or any combination of education and experience, which would provide an equivalent background.
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AnEqualOpportunityEmployer/Disability/Veteran
Hires, trains, coaches, counsels, and evaluates performance of direct reports. Requires a BA/BS in Business, Healthcare Administration or related field; 12 years relevant experience, including 8 years experience in government sponsored health insurance programs; leadership experience; or any combination of education and experience, which would provide an equivalent background. Master’s degree preferred. Travel may be required
