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Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.
Position Overview
The Vice President of Medicare and Individual is a member of PacificSource’s Executive Management Group charged with building, overseeing, and driving the success of our Medicare and Individual lines of business. This role is responsible for building and executing a profitable growth strategy for both lines of business. The Vice President of Medicare and Individual will be the subject matter expert, champion, and senior leader with direct responsibility for Medicare Advantage, Dual Special Needs Plan (DSNP), and Individual segments (on and off exchange) and corresponding accountability for profit and loss (P&L), strategic planning, and execution against strategies.
Essential Responsibilities:
* Manage the P&L for the line of business.
* Develop and execute a strategic plan and annual work plan for the Medicare and Individual lines of business.
* Provide strategic leadership for lines of business across the organization.
* Develop and lead a governance model that ensures alignment and execution of the work necessary for both lines of business working across intersecting departments, matrixed relationships, and external parties.
* Ensure both lines of business meet all Centers for Medicare and Medicaid Services (CMS) and state regulatory and contractual requirements.
* Maintain an enterprise view of PacificSource while establishing Medicare and Individual priorities, consistent with a deep understanding of the attributes required for success in government-regulated and publicly subsidized health care programs.
* Build and maintain relationships with PacificSource’s Medicare and Individual provider partners, brokers, regulators, and other internal and external stakeholders.
* Ensure that critical initiatives and projects are adequately planned, resourced, and executed.
* Develop strategic business partnerships with internal departments and leaders.
* Maintain optimal alignment and visibility for Medicare and Individual initiatives at all levels of the company.
* Supervise departments and employees, and manage, coach, motivate, and guide employees.
* Conduct market research, competitive analysis, and financial assessments.
* Support the organization’s commitment to diversity, equity, inclusion, and belonging.
* Work closely with the Compliance Department to ensure policies comply with regulations.
* Closely monitor policy, legislative and competitive developments.
* Represent PacificSource externally in community, state, regional, and industry forums.
* Lead the enterprise organization as a member of the Executive Management Group.
* Responsible for hiring, staff development, coaching, performance reviews, and corrective actions.
Supporting Responsibilities:
* Meet department and company performance and attendance expectations.
* Follow the PacificSource privacy policy and HIPAA laws and regulations.
* Perform other duties as assigned.
SUCCESS PROFILE
Work Experience:
Minimum of ten years of related experience, including at least five years in a leadership capacity in managed care. Experience with direct profit and loss accountability, strategic planning, marketing/communications, sales, product development, and managing teams required.
Education, Certificates, Licenses:
Bachelor’s degree required with a focus in health care administration, business, public policy, public health, or a related field preferred. Master’s degree or other advanced degree strongly preferred.
Knowledge:
Advanced knowledge of Medicare, the Medicare Advantage program, and CMS required, along with deep understanding of the key attributes, competencies, and strategies for success.
Competencies:
* Authenticity
* Establishing strategic direction
* Customer focus
* Leading change
* Empowerment/delegation
* Building organizational talent
* Coaching and developing others
* Passion for results
* Cultivating networks
* Emotional intelligence
* Optimizing diversity
Environment:
Work remotely and inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time.
Skills:
Accountable leadership, Business & financial acumen, Developing Networks, Driving initiatives, Empowerment, Influential Communications, Inspirational Leadership.
Our Values:
* We are committed to doing the right thing.
* We are one team working toward a common goal.
* We are each responsible for customer service.
* We practice open communication at all levels of the company.
* We actively participate in efforts to improve our many communities.
* We actively work to advance social justice, equity, diversity and inclusion.
* We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements:
Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials.
Disclaimer:
This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position.
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