Market President, Blue Cross Complete
Posted on: November 10, 2019
Job BriefMarket President for Blue Cross Complete, Southfield
MIYour career starts now. We?re looking for the next generation of
health care leaders.At AmeriHealth Caritas, we?re passionate about
helping people get care, stay well and build healthy communities.
As one of the nation's leaders in health care solutions, we offer
our associates the opportunity to impact the lives of millions of
people through our national footprint of products, services and
award-winning programs. AmeriHealth Caritas is seeking talented,
passionate individuals to join our team. Together we can build
healthier communities. If you want to make a difference, we?d like
to hear from you.Headquartered in Philadelphia, AmeriHealth Caritas
is a mission-driven organization with more than 30 years of
experience. We deliver comprehensive, outcomes-driven care to those
who need it most. We offer integrated managed care products,
pharmaceutical benefit management and specialty pharmacy services,
behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.Blue Cross
Complete of Michigan is contracted by the state of Michigan to
provide medical services to eligible Medicaid and Healthy Michigan
Plan beneficiaries in 32 counties. Blue Cross Complete of Michigan
is an independent licensee of the Blue Cross and Blue Shield
Association.Our mission and values
We help people get care, stay well and build healthy communities.
We have a special concern for those who are poor. Our values:
Advocacy, care of the poor, compassion, competence, dignity,
diversity, hospitality and stewardship.Our history
Blue Cross Complete of Michigan, LLC, has served Medicaid-eligible
residents in Livingston, Washtenaw and Wayne counties since 2007.
In January 2016, our service area expanded to include 29 additional
counties.The Market President will provide the strategic vision and
operational expertise to successfully lead the Blue Cross Complete
(BCC) Health Plan.? In this role, the Market President will be a
proactive, strategic, and decisive leader who demonstrates a
commitment to ensuring that our members have access to high quality
health care services. The Market President is responsible for
cultivating AmeriHealth Caritas' presence and brand recognition
through establishing influential relationships with key
stakeholders and by developing partnerships with key providers,
associations, and community leaders.? Relationship development with
the state?s Medicaid agency is essential.? The Market President
will lead the effective and efficient operations of this Health
Plan directly and/or indirectly overseeing Medical Affairs,
Provider Network Management, Provider Network Operations, Quality,
Population Health, Marketing and/or Community Outreach, Compliance
and Regulatory Affairs, Community Investment and Legislative
affairs, HR, Finance and Information Services.? In collaboration
with these corporate and regional stakeholders, this executive will
lead the strategic development, growth, and operations of the
health plan starting with capture planning and RFP response
development.? The Market President will demonstrate a deep
understanding of the defined state?s Medicaid market and possess
the qualities that support our core values and mission which will
result in successful achievement of financial, membership, and plan
?The Market President that leads the AmeriHealth Caritas Health
- Formulate and implement business plans and strategies to ensure
profitable operations, meet short-term objectives, and support
long-term growth, success, and competitive position in the
- Be accountable for full profit and loss responsibility and
develop and implement adequate measures to meet the fiscal needs of
the company and maintain an effective system of budgetary
- Monitor and analyze the changing Medicaid landscape and
recommend programs and policies to proactively address the changing
needs of the membership.
- Identify State and/or product-specific priorities and determine
the appropriate strategic approach that will drive business growth
and differentiate AmeriHealth Caritas in the marketplace.
- Work collaboratively with Enterprise Operations to ensure all
back office functions are exceeding the requirements of the
- Strive to ensure the overall level of quality for delivery of
medical services meets or exceeds appropriate industry
- Provide personal leadership that encourages employee
productivity and responsiveness to the needs of current and
prospective members, providers, and other community and regulatory
- Ensure programs are established and monitored to comply with
all relevant federal, State, and other local regulations.
- Foster and builds a collaborative partnership with a cross
functional internal team and external
- Build a best-in-class team that reflects the AmeriHealth
Caritas culture and supports the line of business.
- Ability to collaborate, navigate and work in a complex matrixed
- Bachelor?s Degree (BA/BS Business or related/Health Care
- Master?s Degree preferred.?
- Clinical background beneficial, but not required.
- 5-10 years of operational experience in
- 10 or more years' progressive responsibility in Business or
Government, health care management experience required; previous
experience in a health plan leadership role preferred.
- Credibility, knowledge, and experience working within the state
we are awarded strongly preferred.
- Demonstrated knowledge and experience in a leadership role in
corporate or health plan operations including enrollment, member
services, provider relations, regulatory compliance, contract
negotiations, quality, government relations, and medical management
- Experience working in a matrixed environment strongly
preferred. Understands how to collaborate, navigate and work within
a structure with many direct and indirect reporting relationships;
while still being the one accountable for the overall P&L of
the plan.??#SP1BackShareApply Now
Keywords: AmeriHealth, Southfield , Market President, Blue Cross Complete, Other , Southfield, Michigan
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