Senior Vice President Medicare and Medicare Advantage
- Salary
- $376.7K–$517.9K
- Hiring from
- United States
- Work type
- Remote
- Posted
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Location: Remote with 25% travel required
Salary: $376,655-$517,900. The expected compensation range for this position is from the minimum to the midpoint of the pay grade. Actual compensation will be based on factors such as experience, education, and organizational fit. This position is eligible for participation in the annual bonus program.
- Design and execute technology-enabled clinical care management programs across acute and ambulatory settings that systematically lower the total cost of care, hyper-focusing on initiatives that achieve maximum value—both for attributed Medicare beneficiaries and broader, non-attributed patient populations.
- Optimize and direct ACO/MSSP programs, providing physician-level insights, TIN optimization, KPI performance and growth.
- Lead accurate, compliant and audit-ready risk adjustment to accurately reflect patient acuity.
- Design quality and outcomes initiatives, with a proven track record of advancing Medicare Advantage Star ratings and population health improvement.
- Drive performance across Commercial and alternative value-based care contracts by interfacing with payors and executing on key operational levers.
- Articulating a clear strategic point of view on the evaluation and integration of third-party enablers to scale delivery.
- Partner with and influence regional, market and hospital level leaders and internal managed care teams to drive strategic alignment, investment with ROI, and population health team sustainability.
- Support high-stakes contract negotiations, and cultivate enduring payer relationships throughout the contract lifecycle.
- Provide an authoritative executive presence in advocacy efforts, translating near- and long-term legislative and regulatory shifts into forward-looking and compliant care delivery models.
Licensure / Certification / Registration
- Required Credential(s):
- None Required.
Education
- Bachelor's degree with 10 years of applicable cumulative job specific experience required, with 5 of those years being in leadership/management.
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