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Highly regarded integrated health plan is searching for a Health Plan President to oversee plan’s business covering the greater Orlando area, and 20,000 lives.  The Health Plan President will have full P&L responsibility, and oversee a team of about 100, with 4 direct reports.  He or she will be the key point of contact for all Medicaid/Medicare products and services and government entities.
 
Requirements for Health Plan President:
 
  • Bachelor’s degree in business, nursing or related field.  Advanced degree preferred
  • 10+ years experience in managed care with Medicaid and Medicare experience
  • 8+ years management level experience, with P&L responsibilities in the managed healthcare industry, which includes health plan operations
  • Thorough knowledge of managed healthcare principles and an understanding of the US healthcare marketplace, issues and trends.
  • Deep understanding of financial and quantitative information and a track record of accomplishment in managing operational budgets
  • A track record of accomplishment in developing effective teams, resolving conflicts and building collaboration among all levels in the organization.
  • Proven negotiation skills.
 
The Health Plan President will:
  • Manage financial performance, operating budget and variances from plan to ensure cost effective delivery of service.
  • Develop and implement annual operating budget.  
  • Oversee compliance for all operations performance standards, develop and manage action plans to bring back to compliance when standards are not met.
  • Develop service level agreements with account management.
  • Direct administrative and infrastructure operations activities which could include lease negotiations, staffing plans, supervision of non-clinical staff, telephone systems, etc.
  • Oversee all area clinical and operations staff including recruitment, hiring, promotion 
  • Direct the delivery of high-quality services within the site and ensuring quality management plans and protocols are implemented and services are delivered in accordance with policies and procedures.
  • Monitor quality assurance indicators and provides quality oversight.
  • Manage high-risk cases and utilization trends.  
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