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Market President CHC

2 months ago

Newtown Square, Pennsylvania, United States AmeriHealth Caritas Full time
About the Role

AmeriHealth Caritas is seeking a seasoned healthcare executive to lead our Community Health Choices (CHC) programs as Market President. This strategic leader will provide vision and operational expertise to drive the success of our CHC initiatives in Pennsylvania.

Key Responsibilities
  • Develop and implement sound business plans and strategies to support the growth and success of our CHC programs.
  • Provide leadership direction and vision to CHC, ensuring the achievement of financial, membership, and plan goals.
  • Cultivate influential relationships with regulators and key stakeholders to establish AmeriHealth Caritas' presence and brand recognition in the market.
  • Develop strategic plans, budgets, and management action plans to drive business growth and profitability.
  • Ensure compliance with all relevant federal, state, and local regulations.
  • Monitor and analyze the changing landscape to recommend programs and policies that address the evolving needs of our participants.
  • Work collaboratively to ensure back-office functions meet the requirements of the CHC contract(s).
  • Strive to ensure the overall level of quality for delivery of medical services meets or exceeds industry standards and state requirements.
  • Provide personal leadership that encourages associate productivity and responsiveness to the needs of current and prospective members, providers, and other community and regulatory customers.
Requirements
  • Bachelor's Degree in Business Administration or related field.
  • 5+ years of operational experience in Medicaid/Medicare/LTSS.
  • 10+ years of progressive responsibility in business or government, with health care management experience required.
  • Previous experience in a health plan leadership role preferred.
  • Leadership experience in Medicaid, disability-related programs, and/or Long-term Service & Support required.
What We Offer
  • A competitive salary and benefits package.
  • A comprehensive benefits package, including flexible work solutions, remote options, hybrid work schedules, and more.
  • A dynamic and supportive work environment that values diversity, equity, and inclusion.