Executive Director of Health Plan Operations

2 days ago

Baltimore, Maryland, United States MedStar Health Full time
Job Summary

The Vice President (VP) Executive Director is a visionary leader responsible for the long-term success and sustainable growth of MedStar's Maryland health plan. This role requires a passionate advocate for health equity, coupled with strategic expertise in navigating the complexities of the Medicaid program and leading the organization through dynamic regulatory and healthcare environments.

Key Responsibilities
  • Program Management: Develops department goals, objectives, policies, and procedures, ensuring compliance with business unit policies and procedures and governmental and accreditation regulations.
  • Financial Management: Oversees the financial health and sustainability of the Medicaid health plan, managing budgets, revenue projections, resource allocation, and ensuring fiscal responsibility and compliance with regulations.
  • Leadership and Management: Selects, trains, orients, and assigns department staff, develops standards of performance, evaluates performance, and conducts performance management planning.
  • Regulatory Compliance: Ensures strict adherence to all federal and Maryland state Medicaid regulations, including data privacy and security measures, and proactively monitors legislative changes and adapts strategies accordingly.
  • Strategic Planning: Develops and implements a strategic planning process that results in a vision for MedStar Family Choice consistent with MedStar Health's strategic plan, and defines the specific operational strategies required to accomplish those organizational goals and objectives.
Requirements
  • Education: Bachelor's degree in Business Administration, Public Health, Health Administration, or related field required; Master's degree preferred.
  • Experience: 10+ years of progressively responsible experience in healthcare, deliver systems, or health plan in a senior role, ideally with a managed care organization required; successful experience with more than one organization is preferred.
  • Knowledge, Skills, and Abilities: Proficient problem-solving, including being able to identify and resolve complex problems, such as developing innovative solutions based on extensive knowledge of managed care; excellent verbal and written communication skills.

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