Medicaid Plan President (Florida - Onsite)
Sentara Health
- Tallahassee, FL
- Permanent
- Full-time
- Strategic Leadership: Develop and implement a strategy for the health plan's growth and success, ensuring alignment with Florida's Medicaid program regulations and addressing the unique needs of the underserved population.
- Medicaid Expertise: Possess a deep understanding of Florida's Medicaid program framework, including eligibility criteria, financing models, provider network management, and program regulations.
- Operational Excellence: This position involves leading a management team of direct reports and shared services staff and managing within a matrix environment. This position is accountable for all aspects of plan operations, ensuring quality, cost-effectiveness, and a positive member experience.
- Financial Oversight and Sustainability: Oversee the financial health and sustainability of the Medicaid plan. Manage budgets, revenue projections, resource allocation and ensure fiscal responsibility and compliance with regulations.
- Advocacy and Collaboration: Advocate for Medicaid program improvements and access to quality healthcare for underserved communities. Collaborate with government agencies, community stakeholders, and healthcare providers to enhance program effectiveness.
- Member Services Excellence: Ensure exceptional member experiences and satisfaction. Lead efforts to address member concerns, resolve issues promptly, and provide accessible support resources.
- Compliance and Policy: Ensure strict adherence to all federal and Florida state Medicaid regulations, including data privacy and security measures. Proactively monitor legislative changes and adapt strategies accordingly.
- Growth and Innovation: Actively pursue growth opportunities through market expansion.
- Public Image: Serve as the public face of the organization, fostering community partnerships and engaging media to promote the importance of Medicaid and its role in improving public health outcomes.
- Bachelor's degree in related field required
- Master's degree in Business Administration, Public Health, Healthcare Administration, or a closely related field preferred
- 10+ years of progressive leadership experience in the healthcare industry, with a minimum of 5 years at a senior executive level within a Medicaid managed care environment.
- Demonstrated success in strategic planning, financial management, operations optimization, and regulatory compliance.
- Thorough understanding of Florida's Medicaid program, policies, and healthcare delivery systems.
- Exceptional communication, interpersonal, and negotiation skills, with the ability to build trust and consensus among diverse stakeholders.
- Unwavering commitment to promoting health equity, addressing social determinants of health, and improving the health and well-being of Medicaid beneficiaries.
- Master's Level Degree
- Bachelor's Level Degree
- Government Program Operations 5 years
- Health Insurance Plans 5 years
- Medicaid 5 years
- Related 5 years
- Active Learning
- Active Listening
- Communication
- Complex Problem Solving
- Coordination
- Critical Thinking
- Judgment and Decision Making
- Leadership
- Learning Strategies
- Marketing
- Mathematics
- Mgmt of Financial Resources
- Mgmt of Material Resources
- Mgmt of Staff Resources
- Microsoft Excel
- Microsoft Word
- Monitoring
- Negotiation
- Persuasion
- Project Management
- Quality Control Analysis
- Reading Comprehension
- Science
- Service Orientation
- Social Perceptiveness
- Speaking
- Systems Analysis
- Systems Evaluation
- Technology/Computer
- Time Management
- Troubleshooting
- Writing