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Coventry Health Care

VP, GM (Medicare/Medicaid) Job


Job Information

Posted:

Thursday, December 20, 2012

Modified:

Tuesday, February 12, 2013

Division:

30000 - 30000 - Altius Health Plans

Location: 

South Jordan Utah US

Job ID:

19150 (Coventry Health Care Job ID)

HireDiversity Job ID:

3529941

Job Text

Description:
 
Altius Health Plans is an organization of people dedicated to serving the health care needs of our community.   We foster team involvement, encourage continuing education, and reward success.  At Altius Health Plans, we strive to maintain an organization with energetic, growth-minded, and loyal employees who are continually challenged to make a difference. 

 

Join a team that offers the family feel of a local organization with the support and resources of a Fortune 500 company!  We offer a competitive salary, a comprehensive benefits package, tuition reimbursement, and a 401(k) plan with company match and immediate vesting, and excellent growth opportunities.

 



GENERAL SUMMARY


Top operations job with oversight for Medicare and/or Medicaid within a single or multiple site health plan. Responsible for the development and execution of the annual operating plan, including profit and loss accountability. Provides day-to-day oversight for operation of the Medicare/Medicaid health plan including Sales, Marketing, Provider Relations, Network Development, Utilization Management and Quality. Ensures compliance with applicable state, federal and regulatory requirements through the development, implementation and maintenance of departmental policies and procedures in coordination with the Medicare/Medicaid Compliance and Legal Departments.

 

ESSENTIAL RESPONSIBILITIES


- Responsible for the overall financial performance of the Medicare and/or Medicaid plans within the market.
- Directs managers and/or directors of specific functional areas as assigned. Functional areas may include operations, sales, marketing, provider relations, network development, utilization management, and/or quality improvement. Coordinates and monitors functional integration of these areas in cooperation with corporate departments to achieve planned business results.
- Oversees and directs activity in the key areas of contracts and communications.
- Directs all departments in the development, implementation and maintenance of policies and procedures to ensure compliance with the State and Federal regulatory requirements.
- Responsible for the plan performance related to all required Federal audits.
- Responsible for the management and organization of plan activities at the health plan.
- Monitors budget in assigned function areas and takes corrective action.
- Recruits, develops, and motivates staff. Initiates and communicates a variety of personnel actions including, employment, termination, performance reviews, salary reviews, and disciplinary actions.
- Performs other duties as required.Qualifications:

JOB SPECIFICATIONS


- Bachelor’s degree or equivalent experience. Master’s degree preferred.
- Significant (10+ years) management experience required.
- Previous health plan experience preferred.Altius Health Plan is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.

Job: Executive/Senior Level Officials and Managers
Primary Location: South Jordan, UT, US
Organization: 30000 - Altius Health Plans
Schedule: Full-time
Job Posting: 2012-12-20 00:00:00.0
Job ID: 1212725

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