Eve Crane & Associates Inc.©

Managed Health Care Recruiters

Example job description



JOB DESCRIPTION:

The President & Chief Executive Officer is responsible for the overall direction and administration of programs and services provided by the health plan. Implement programs that are in alignment with Company strategic plan.

This seasoned executive will provide day-to-day leadership and management of the health plan that mirrors the company's mission, vision, and core values. Oversee programs and service areas of the health plan through supervision of management staff. Ensure that the overall level of quality for delivery of medical services meet or exceed appropriate standards. Ensure fiscal well-being of the health plan.

Required:
•10-plus years progressive healthcare experience in managed care industry; preferably with exposure to Medicaid products
•5-plus years management-level experience.
•Bachelor’s Degree in Health or Business or related discipline
•Strong presentation skills (verbal and written).
•Project management.
•Financial modeling.
•Business development and implementation.

Preferred:
•Previous NCQA experience working with NCQA standards.
•Knowledge of managed care culture and philosophy, plus Medicaid billing practices.
•Strong analytical and reasoning abilities.
•Experience and knowledge of regional area of operations.
•Master's Degree in healthcare-related field.


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