Healthcare VP Managed Care & Health Plan Programs

Company: Clinical Management Consultants
Location: Richmond
Posted on: March 26, 2025

Job Description:

A leading health system is seeking a Healthcare VP Managed Care & Health Plan Programs to join their team!
The Healthcare VP Managed Care & Health Plan Programs will be employed by a large, fully integrated health system known for their acute care hospitals, specialty clinics, and health plan providers to members and patients across the mid-atlantic and southeast. -
The Healthcare VP Managed Care & Health Plan Programs will support the Health Plan division, which serves over 1 million members, primarily in Florida and Virginia.
With a focus on Utilization and Case Management within Government Programs, the Healthcare VP Managed Care & Health Plan Programs will ensure Clinical Care Coordination, Case Management, Behavioral Health Disease Management and Utilization Management and Clinical Pharmacy Management are maintained in accordance to state and federal regulations through strategic operational leadership that ensures high-quality clinical support programs and services drive positive health outcomes for members.
The Healthcare VP Managed Care & Health Plan Programs will have previous experience overseeing the Health Plan's Government Programs including Clinical Care Service Programs with a focus on Medicaid, Medicare, Long-Term Support Services, and Medicare Dual Special Needs Plan. Ideally the Healthcare VP Managed Care & Health Plan Programs will have previous case management or utilization management experience, along with a clinical background in nursing, counseling, or social services.
The Healthcare VP Managed Care & Health Plan Programs will live in an area that offers a captivating coastal lifestyle with a perfect balance between urban conveniences and natural beauty. With its miles of pristine sandy beaches, residents can enjoy a wide range of water activities, from swimming and surfing to boating and fishing. The area boasts a relaxed and family-friendly atmosphere, with excellent schools, safe neighborhoods, and a strong sense of community. The suburbs provide a peaceful retreat from the city while still offering easy access to a vibrant downtown area, featuring a diverse culinary scene, lively entertainment options, and unique local shops. Outdoor enthusiasts can explore the nearby state parks, nature reserves, and hiking trails, immersing themselves in the region's breathtaking landscapes. Additionally, the city's growing economy provides ample job opportunities, making it an attractive destination for professionals seeking a thriving career and a high quality of life.
An opportunity to work for a fully integrated Healthcare Organization as their Healthcare VP Managed Care & Health Plan Programs does not come around often. Plus, this health system is prepared to offer the Healthcare VP Managed Care & Health Plan Programs a comprehensive compensation package and an opportunity to work alongside a diverse, team-oriented group of individuals all dedicated to delivering exceptional patient care for a rapidly growing organization. Don't wait, learn more and apply today.

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