Vice President of Medicare

Responsibilities

• Develop and execute short- and long-term strategic plans that drive growth and performance of Medicare Markets. A main focus of role is to create a sustainable and stable Medicare Advantage program.
• Influence activities for Star improvement and risk adjustment optimization to ensure that the maximum benefit is derived with minimized provider and member abrasion.
• Foster strong local relationships (e.g. regulators, navigators/enrollment assistors). Maximize Medicare value proposition through partnerships with key matrix organizations (network, contracting, medical management, distribution, account management, product, etc.).
• Communicates clearly and persuasively to build support for initiatives, engaging both internal and external stakeholders.
• Manages and guides direct reports and the division toward accountable, goal-oriented outcomes aligned with enterprise strategy.
• Required Skills and Experience
• Accepting this position at BCBSMN requires signing an Employee Confidentiality, Intellectual Property Assignment and Restrictive Covenants Agreement as a condition of employment.
• Minimum of a bachelor's degree in business, healthcare, or related field equivalent experience.
• 10 years in market management, product management or segment strategy role, Medicaid, or Medicare.
• 7 years owning and managing P&L in healthcare or 5 years minimum P&L ownership in Medicare.
• 3 years market leadership within assigned market(s), strongly preferred in Medicare business with deep knowledge of Star/Quality and Risk adjustment programs.
• High school diploma (or equivalency) and legal authorization to work in the U.S.
• Preferred Skills and Experience
• Demonstrated track record of ownership and achievement of bottom-line results by managing well-crafted strategic plans.
• Demonstrated experience leading/owning membership / financial forecasting.
• Developed expertise in Contracting, Product, Provider Relations and Medical Management such that incumbent can leverage support needed to deliver the right customer solution.

Benefits

Additional Information

About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. The Impact You Will Have The Vice President of Medicare owns the growth and revenue strategy and execution. Serves as an executive leader for Medicare and Value Performance, helping guide and support the organization's overall direction. This executive will be a market leader who represents the Medicare business in the market and develops relationships that support growth, distribution, and partnership strategies. This individual is accountable for the P&Ls of Medicare plans with a strong focus on achieving membership and operating margin performance. The VP will develop, execute, and manage the product strategy, end-to-end performance management, and overall strategic plan objectives for existing and future expansions of the Medicare markets. In addition to leading the Medicare P&L, the VP will drive cross-enterprise influence to ensure quality and risk adjustment strategic goals are delivered upon in all lines of business.

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