Medicare Market President- Northeast Markets

Centene Corporation

3d•$250,000 - $480,000

About The Position

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Responsible for the growth and performance of the assigned Medicare region to meet membership, pre-tax earnings, quality, network performance, provider experience and compliance goals. Develop and execute strategic plans and foster internal and external partnerships with key stakeholders to ensure strong operating performance, innovative solutions, and quality outcomes for members and providers. A "roll up the sleeves" executive who understands and can develop a market nuanced strategy while also leading and organizing a multi-disciplinary, cross functional and cross line of business team to achieve results. Results oriented, strong communicator, culture builder, organized and disciplined. Leads by example with authenticity, accountability, sensitivity and results orientation. Responsible for the overall P&L management for the market/region, including management of clinical, financial, and key operational performance. Responsible for developing a market specific, cross-functional operating plan that includes specific initiatives, key performance indicators, dependencies, milestone delivery dates and owners as well as a governance process to ensure both transparency to and the accomplishment of the business’ strategic imperatives. Lead the expansion and on-going support and performance of value-based care and innovation with providers. Provides leadership direction and vision to innovate and improve the performance of the business. Monitor and analyze the changing landscape and recommend strategies and programs to proactively address the changing needs of the members. Manages and drives quality initiatives aligned with continuous performance improvement towards STAR outcomes. Responsive to the needs of current and prospective members, providers and regulatory partners. Provides leadership direction, and overall vision to maintain and improve the performance of the business (revenue, membership, brand recognition and outcomes). Build collaborative and effective partnerships with internal and external stakeholders to become a thought leader in support of the Medicare product in the local market communities. Identify the appropriate strategic approach to drive business growth and differentiate the product in the assigned market. Works collaboratively with shared services and market leaders to ensure that Medicare enterprise-wide networks, quality and risk, clinical, operational, financial and leadership expectations are met. Provides effective staff leadership, with particular attention to effective organizational structure, recruitment, mentoring, culture, and ongoing organizational leadership. Performs other duties as assigned. Complies with all policies and standards.

Requirements

Bachelor’s degree in business or related discipline; MBA preferred.
Minimum 12 years progressively responsible leadership experience in the insurance/managed healthcare industry, including executive management with profit and loss accountability.
Experience leading senior management teams that successfully implement the company’s goals including financial and customer objectives.

Responsibilities

Responsible for the growth and performance of the assigned Medicare region to meet membership, pre-tax earnings, quality, network performance, provider experience and compliance goals.
Develop and execute strategic plans and foster internal and external partnerships with key stakeholders to ensure strong operating performance, innovative solutions, and quality outcomes for members and providers.
Responsible for the overall P&L management for the market/region, including management of clinical, financial, and key operational performance.
Responsible for developing a market specific, cross-functional operating plan that includes specific initiatives, key performance indicators, dependencies, milestone delivery dates and owners as well as a governance process to ensure both transparency to and the accomplishment of the business’ strategic imperatives.
Lead the expansion and on-going support and performance of value-based care and innovation with providers.
Provides leadership direction and vision to innovate and improve the performance of the business.
Monitor and analyze the changing landscape and recommend strategies and programs to proactively address the changing needs of the members.
Manages and drives quality initiatives aligned with continuous performance improvement towards STAR outcomes.
Responsive to the needs of current and prospective members, providers and regulatory partners.
Provides leadership direction, and overall vision to maintain and improve the performance of the business (revenue, membership, brand recognition and outcomes).
Build collaborative and effective partnerships with internal and external stakeholders to become a thought leader in support of the Medicare product in the local market communities.
Identify the appropriate strategic approach to drive business growth and differentiate the product in the assigned market.
Works collaboratively with shared services and market leaders to ensure that Medicare enterprise-wide networks, quality and risk, clinical, operational, financial and leadership expectations are met.
Provides effective staff leadership, with particular attention to effective organizational structure, recruitment, mentoring, culture, and ongoing organizational leadership.
Performs other duties as assigned.
Complies with all policies and standards.