Strategic Advancement Associate Vice President

2 days ago


Boston, Massachusetts, United States CLevelCrossing Full time
Job Summary

We are seeking a highly experienced and strategic leader to join our team as an Associate Vice President of Strategy Advancement. This individual will be responsible for leading our Care Management programs, including predictive models, engagement strategies, and intervention support. They will also oversee Utilization Management, including Policy, Appeals & Denials, and integration with Claims adjudication.

Key Responsibilities
  • Develop and execute strategic plans to meet HGB and Medical Management strategic objectives and key results.
  • Lead cross-functional teams to advance HGB and/or Medical Management objectives.
  • Identify opportunities to improve the beneficiary experience, operational performance, and/or financial performance.
  • Meet contract deliverables and contract performance guarantees at a 99% rate on a monthly basis.
  • Develop leading operational metrics to ensure contract deliverables and performance guarantees are met.
Requirements
  • Bachelor's Degree.
  • Graduate degree in relevant field, business or health care administration preferred.
  • 10 years of leadership experience in Government Contracts, Business Development, Management, Medical Operations, or other relevant/related experience.
  • Experience in Military or Government healthcare preferred.
What We Offer

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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