Market President Ohio

Amerihealth Caritas•,

4d•Hybrid

About The Position

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement. Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you. Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.

Requirements

Bachelor’s Degree. BA/BS Business or related Health Care industry.
5+ years operational and leadership experience in Medicaid/Medicare/LTSS.
Progressive responsibility in Business or Government, health care management experience required.

Nice To Haves

Master’s Degree preferred.

Responsibilities

Provide the strategic vision and operational expertise to successfully lead AmeriHealth Caritas health plan in the Ohio market.
Be a proactive, strategic, and decisive leader who demonstrates a commitment to ensuring that our members have access to high quality health care services.
Cultivate AmeriHealth Caritas Ohio’s presence and brand recognition through establishing influential relationships with regulators and key stakeholders and by developing partnerships with key providers, associations, and community leaders.
In collaboration with corporate stakeholders, lead the strategic development, growth, and operations of the local health plan including market quality improvement and member retention strategies.
Demonstrate a deep understanding of the Ohio Medicaid managed care market and possess the qualities that support our core values and mission which will result in successful achievement of financial, membership, and plan goals.
Demonstrate proven results in formulating and implementing business plans and strategies to ensure profitable operations, meet short-term objectives, and support long-term growth, success, and competitive position in the market.
Be accountable for full profit and loss responsibility and develop and implement adequate measures to meet the fiscal needs of the company and maintain an effective system of budgetary control.
Monitor and analyze the changing Medicaid landscape and recommend programs and policies to proactively address the changing needs of the membership.
Identify State and/or product-specific priorities and determine the appropriate strategic approach that will drive business growth and differentiate AmeriHealth Caritas Ohio in the market.
Work collaboratively with enterprise operations to ensure all back office functions are exceeding the requirements of the contract(s).
Strive to ensure the overall level of quality for delivery of medical services meets or exceeds appropriate industry standards and state requirements.
Provide leadership that encourages associate productivity and responsiveness to the needs of current and prospective members, providers, and other community and regulatory customers.
Ensure programs are established and monitored to comply with all relevant federal, State, and other local regulations.
Foster and build a collaborative partnership with a cross functional internal team and external constituents/stakeholders.
Work with and provide strategic leadership to the network team to develop and implement value-based programs with key providers that drive quality outcomes and reduce the total cost of care.
Build a best-in-class team that reflects the AmeriHealth Caritas culture and supports the health plan.