About The Position

Health Plan Value Creation & Business Outcomes Own and continuously refine a Health Plan value creation roadmap aligned to payer priorities, including medical cost containment, administrative efficiency, member experience, regulatory compliance, and growth across government and commercial lines of business Improved Star Ratings, HEDIS, CAHPS, and quality outcomes through data-driven, digital, and member engagement solutions Collaborate with internal and external partners to co-create differentiated Health Plan solutions that scale across lines of business Build and execute multi-year account strategies that expand wallet share through demonstrated improvements in cost, quality, member experience, and regulatory performance

Requirements

  • Minimum 10 years leading full-cycle, virtual and geographically dispersed sales organizations with annual revenues exceeding $50M, including P&L accountability
  • Minimum 10 years in the health plan or payer industry, with deep understanding of revenue models, cost and margin levers, and regulatory dynamics
  • Demonstrated success building and sustaining C-suite relationships and serving as a trusted advisor driving enterprise-level change
  • Minimum 10 years selling IT, digital, or technology-enabled services to healthcare clients, with a strong focus on business outcomes
  • Proven experience in financial forecasting, growth strategy, and translating complex solutions into measurable business value
  • Direct involvement in value-based care, regulatory compliance (CMS, HEDIS, Star Ratings), or core administration modernization initiatives
  • Experience delivering analytics, automation, AI, or cloud-enabled transformation for payer organizations
  • Experience across Commercial, Medicare Advantage, Medicaid, or specialty lines of business
  • Proven ability to lead multi-disciplinary teams using onsite/offshore delivery models
  • Recognized ability to influence payer strategy, deliver industry insights, and co-create innovative, market-relevant solutions

Responsibilities

  • Health Plan value creation roadmap aligned to payer priorities
  • Improved Star Ratings, HEDIS, CAHPS, and quality outcomes
  • Collaborate with internal and external partners to co-create differentiated Health Plan solutions
  • Build and execute multi-year account strategies

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What This Job Offers

Job Type

Full-time

Career Level

Executive

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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