VP, Medicare Duals (Remote within the US) - Molina Healthcare
Kenosha, WI
About the Job
Job Summary
As the leader for Molina’s Medicare - Medicaid product (Duals), this position has P&L, business strategy, sales distribution and provider network responsibility for all products, as well as any future Markets and products that may be developed and marketed. This leader will have responsibility for managing relationships with internal partners who support this product, as well as external vendors who provide support, develops infrastructure, standards, and policies and procedures.
Job Responsibilities
+ Lead financial performance of plans to meet membership, earnings, and quality targets. Take appropriate actions to increase revenue, leverage resources, manage and/or minimize expenses and drive medical expense initiatives to deliver on the business plan.
+ Lead industry, market and competitive research and analysis to inform and shape recommendations.
+ Foster highly productive working relationships that enable close collaboration with Molina Medicare Segment Leadership Team as well as Market Plan Presidents, key corporate, functional, and business unit leaders
+ Recruit and retain top talent, strengthen overall team performance, and prepare team members for roles of increased responsibility.
+ Design and execute compliant Provider contracting/management strategies to maintain market-competitive networks to support profitable growth for all products.
+ Evaluate variation in performance across competitors and markets to uncover sources of opportunity to drive additional growth, and also to anticipate potential drivers of disruption.
+ Oversee the team to drive market strategy, evaluate opportunities to expand geographically (taking Medicaid footprint and membership into account) and eliminate roadblocks. Oversee annual CMS bid pricing and recommendation.
+ Partner closely with the Product leadership to identify and communicate the need for improvements and changes in Molina’s products and services, with consideration for Medicaid benefits (including value-adds).
+ In partnership with senior leadership, determines the annual implementation of Molina’s Duals product strategic plan.
+ Has oversight over Molina's Duals operations as they relate to compliance, operations, Stars, risk adjustment, network Design, and quality.
+ Development and maintenance of regulatory relationships as they pertain to Molina’s Duals line of business and State partnership with Medicaid Plan Presidents.
Job Qualifications
The ideal candidate will have deep experience in the Insurance industry, with a proven track record of hitting financial targets established by the enterprise and growing the business and contributing to the growth of other lines of business on an annual basis. The right candidate will be a strong leader of people with proven success in expanding and elevating the capabilities and performance of the team.
In addition to the above, the following professional qualifications and personal attributes are also recommended:
+ Well-developed and broad knowledge of the healthcare ecosystem, with a track record of identifying industry, market, and competitor trends to offer insightful implications for the greater business.
+ Proven ability to build high-performing teams by identifying, cultivating, and motivating top talent from inside and outside of the organization.
+ A proven thought leader who drives a future-focused agenda, helps advance organizational thinking about our Medicare Advantage businesses, works with business units to build strategies from present to future state, and anticipates changes and disruption to see opportunities for the future.
+ Ability to work through tumultuous or ambiguous scenarios successfully.
+ Proven ability to manage the complexity associated with dual population specifically LTSS benefits
+ Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences.
+ Current or recent experience in a large, highly matrixed company (i.e., Fortune 150), with proven ability to influence leaders and key stakeholders in such an environment.
+ Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome.
+ Current or recent experience in the healthcare or insurance industry leadership role is highly desirable, but not required.
+ Bachelor’s degree is required. Advanced degree (MBA) preferred.
+ Bachelor’s degree and at least 15 years of deep Medicare and Medicaid (LTSS) experience.
+ Strong analytical skills.
+ Strong interpersonal, influencing and communication skills with an ability to interact effectively with stakeholders and regulators, to include virtual, matrixed leadership experience and the ability to effectively manage and build relationships within the enterprise and the business.
+ Proven ability to manage a diverse and geographically dispersed workforce.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
As the leader for Molina’s Medicare - Medicaid product (Duals), this position has P&L, business strategy, sales distribution and provider network responsibility for all products, as well as any future Markets and products that may be developed and marketed. This leader will have responsibility for managing relationships with internal partners who support this product, as well as external vendors who provide support, develops infrastructure, standards, and policies and procedures.
Job Responsibilities
+ Lead financial performance of plans to meet membership, earnings, and quality targets. Take appropriate actions to increase revenue, leverage resources, manage and/or minimize expenses and drive medical expense initiatives to deliver on the business plan.
+ Lead industry, market and competitive research and analysis to inform and shape recommendations.
+ Foster highly productive working relationships that enable close collaboration with Molina Medicare Segment Leadership Team as well as Market Plan Presidents, key corporate, functional, and business unit leaders
+ Recruit and retain top talent, strengthen overall team performance, and prepare team members for roles of increased responsibility.
+ Design and execute compliant Provider contracting/management strategies to maintain market-competitive networks to support profitable growth for all products.
+ Evaluate variation in performance across competitors and markets to uncover sources of opportunity to drive additional growth, and also to anticipate potential drivers of disruption.
+ Oversee the team to drive market strategy, evaluate opportunities to expand geographically (taking Medicaid footprint and membership into account) and eliminate roadblocks. Oversee annual CMS bid pricing and recommendation.
+ Partner closely with the Product leadership to identify and communicate the need for improvements and changes in Molina’s products and services, with consideration for Medicaid benefits (including value-adds).
+ In partnership with senior leadership, determines the annual implementation of Molina’s Duals product strategic plan.
+ Has oversight over Molina's Duals operations as they relate to compliance, operations, Stars, risk adjustment, network Design, and quality.
+ Development and maintenance of regulatory relationships as they pertain to Molina’s Duals line of business and State partnership with Medicaid Plan Presidents.
Job Qualifications
The ideal candidate will have deep experience in the Insurance industry, with a proven track record of hitting financial targets established by the enterprise and growing the business and contributing to the growth of other lines of business on an annual basis. The right candidate will be a strong leader of people with proven success in expanding and elevating the capabilities and performance of the team.
In addition to the above, the following professional qualifications and personal attributes are also recommended:
+ Well-developed and broad knowledge of the healthcare ecosystem, with a track record of identifying industry, market, and competitor trends to offer insightful implications for the greater business.
+ Proven ability to build high-performing teams by identifying, cultivating, and motivating top talent from inside and outside of the organization.
+ A proven thought leader who drives a future-focused agenda, helps advance organizational thinking about our Medicare Advantage businesses, works with business units to build strategies from present to future state, and anticipates changes and disruption to see opportunities for the future.
+ Ability to work through tumultuous or ambiguous scenarios successfully.
+ Proven ability to manage the complexity associated with dual population specifically LTSS benefits
+ Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences.
+ Current or recent experience in a large, highly matrixed company (i.e., Fortune 150), with proven ability to influence leaders and key stakeholders in such an environment.
+ Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome.
+ Current or recent experience in the healthcare or insurance industry leadership role is highly desirable, but not required.
+ Bachelor’s degree is required. Advanced degree (MBA) preferred.
+ Bachelor’s degree and at least 15 years of deep Medicare and Medicaid (LTSS) experience.
+ Strong analytical skills.
+ Strong interpersonal, influencing and communication skills with an ability to interact effectively with stakeholders and regulators, to include virtual, matrixed leadership experience and the ability to effectively manage and build relationships within the enterprise and the business.
+ Proven ability to manage a diverse and geographically dispersed workforce.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Source : Molina Healthcare