the smart solution for Houston jobs

VP of Market Medicaid LOB

Company: Healthcare/Hospitals/Clinics, Houston, TX
Location: Houston
Posted on: February 15, 2019

Job Description:

Helps set strategy and drives the profitability of a single state or market segment with revenues above $100M with overall responsibility for network development, provider relations, marketing and potentially sales. Provides leadership in all facets of the business including planning, assistance with the day to day management of state operations, project and initiative leadership, as well as organization development. This role will facilitate problem identification, solution development, and initiative implementation as well as facilitate and make critical decisions on behalf of the Senior Team. The Market VP is an integral part of the Senior Leadership Team and works collaboratively with the Leadership Team, Company Corporate Senior Leadership and others as required.

Essential Functions: Key role supporting market on effective medical management, financial, compliance and quality through effective network contracting and long-term approach to successful partnerships with key providers. Matrix responsibility for overall success of the market. Provides day-to-day leadership for network development, provider relations, marketing and potentially sales Critical role in achieving business results within the assigned market Recognized as a senior member of Company’s team in the market and responsible for establishing and maintaining key relationships with providers, hospitals, and community organizations. Oversees the development and maintenance of a viable provider network to ensure the health care needs of Company members. Develops and manages provider contracts and partnerships to achieve quality and cost management objectives. Works closely with providers to enhance relationships and maximize their ability to effectively manage the cost of medical delivery. Owns and manages special projects assigned by the health plan that may interface across multiple functional areas of Company, and liase with external stakeholders or consultants as needed. Recommendations carry considerable weight in budget decisions impacting their market. Provides leadership and direction to the management team to ensure the organization's strategic plan is translated into tactical goals and objectives that guarantee performance objectives are met or exceeded. Assists and leads where appropriate, with aspects of state and federal government relationships, including dealing with regulators, as necessary, to establish and continue effective working relationships. Ensures that all state and federal regulations are met. Performs other duties as assigned. This position is contingent upon the bid award in the state of Texas to Company Health Plans, Inc. Candidate Education: Required A Bachelor's Degree in a related field with 10 years of directly related experience with 5 years of previous management experience. Preferred A Master's Degree in a related field with 5 years of directly related experience with 3 to 5 years previous management experience Preferred or equivalent work experience Candidate Experience: Required 10 years of experience in managing a P&L in a health care environment; government programs and managed care experience Required 5 years of management experience Candidate Skills: Advanced Ability to lead/manage others Advanced Ability to influence internal and external constituents Advanced Ability to analyze and interpret financial data in order to coordinate the preparation of financial records Advanced Ability to drive multiple projects Advanced Ability to lead/manage others in a matrixed environment Advanced Ability to represent the company with external constituents Advanced Demonstrated analytical skills Advanced Demonstrated interpersonal/verbal communication skills Advanced Demonstrated leadership skills Advanced Demonstrated negotiation skills Advanced Knowledge of healthcare delivery Advanced Other Extensive technical/functional expertise with strong management skills to coordinate broad function areas Licenses and Certifications: Technical Skills: Required Intermediate Microsoft Excel Required Intermediate Microsoft Outlook Required Intermediate Microsoft PowerPoint Required Intermediate Microsoft Word

Keywords: Healthcare/Hospitals/Clinics, Houston, TX, Houston , VP of Market Medicaid LOB, Executive , Houston, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

Southwest Regional Sales Manager
Description: Client is a global energy company that manufactures and markets products and services to utilities and other industries in a wide range of process and environmental applications. With combined sales of (more...)
Company: Zillifro & Associates
Location: Houston
Posted on: 02/23/2019

Quality Coordinator (RN) - Quality Management
Description: HCA Houston Healthcare Southeast Pasadena, TXQuality Coordinator RN Quality Management.Nestled in the heart of the historic land where Texas won itsindependence, HCA Houston Healthcare Southeast offers (more...)
Company: HCA Houston Southeast
Location: Pasadena
Posted on: 02/23/2019

Advertising Marketing and Commerce - Consumer and Industrial Products, Retail - Manager
Description: Advertising, Marketing and Commerce - Consumer and Industrial Products, Retail - Manager The Consumer industry is focused on serving the changing consumer, who has rapidly evolving needs, behaviors (more...)
Company: Deloitte
Location: Houston
Posted on: 02/23/2019

Underwriting Director, Excess Casualty - Energy
Description: Job Description Everest Insurance, a member of Everest Re Group, Ltd., has an opportunity available, due to the continued growth of our Insurance segment, for an Underwriting Director, Excess Casualty (more...)
Company: Everest National Insurance Company
Location: Houston
Posted on: 02/23/2019

Workday Payroll Manager - Houston
Description: PAYROLL MANAGER Prepares, documents and disburses payroll checks, payroll taxes and employee benefit payments. Evaluates current systems, and recommends and develops operating efficiency improvements. (more...)
Company: FRG Technology Consulting
Location: Houston
Posted on: 02/23/2019

Lead Test Data Engineer/Test Data Manager__Houston, TX
Description: Hi, Hope you are doing great Please find the below job description and let me know your interest ASAP Position - Lead Test Data EngineerTest Data Manager Location - Houston, TX Type- Contract Job description- (more...)
Company: Sysmind, LLC
Location: Houston
Posted on: 02/23/2019

Branch Manager - Chase Private Client Branch Location - West University - Houston, TX
Description: At JP Morgan Chase, we have an obsession for helping our customers, taking care of our employees, a strong commitment to diversity and inclusion, building relationships, and delivering extraordinary customer (more...)
Company: JPMorgan Chase
Location: Houston
Posted on: 02/23/2019

Restaurant Manager - Great Opportunity for New College Graduate
Description: Job DescriptionGreat opportunity for Servers, Bartenders, Restaurant Managers, Kitchen Managers or Bar Managers Award-Winning Nationwide Casual Dining Restaurant Concept has immediate openings for Restaurant (more...)
Company: ResourceOne
Location: Houston
Posted on: 02/23/2019

Director of Nursing
Description: HCA has been recognized as a World's Most Admired Company in the Health Care Medical Facilities Industry by Fortune Magazine. The Ambulatory Surgery Division of HCA operates and jointly owns with physicians (more...)
Company: Physicians ASC LLC
Location: Houston
Posted on: 02/23/2019

Sales Manager
Description: OverviewEvery day is an opportunity for our associates to deeply connect with people in a profound and personal way. Our associates are the core of our mission and we know that offering them genuine rewards (more...)
Company: Brookdale Senior Living
Location: Houston
Posted on: 02/23/2019

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Houston RSS job feeds