President

Communityplans; Milwaukee (WI); On-site; USD 260,000 - 380,000; Full time

Job summary

Chorus Community Health Plans, based in Milwaukee, Wisconsin, seeks a visionary President to lead the health plan's strategic direction, financial stewardship, and operational excellence.

The role requires deep Medicaid managed care experience, strong governance with external partners, and the ability to align health system initiatives with payer strategies; you will engage with boards and oversee budget, contracts, and care delivery.

Qualifications

• Bachelor’s degree in business management, public administration, health administration, public health, or related field.
• Master’s degree strongly preferred.
• Minimum ten years of experience as a seasoned healthcare executive with appropriate managed care experience.
• Leadership and strong strategic, financial, and operational acumen.
• Extensive knowledge of Medicaid managed care.

Responsibilities

• Develops short and long term business plans, strategies and operational policies focused on excellence in health plan operations, quality and service.
• Directs the development and implementation of strategies and related business plans to ensure achievement of goals and financial solvency.
• Oversees enrollment, revenues, and medical and administrative expenses to ensure budget projections are met.
• Collaborates with Government Relations and legal teams on health plan issues to advocate for policy and legislative changes.
• Provides updates to the Board of Directors on a quarterly basis regarding status of projects and performance.

Skills

Leadership

Strategic thinking

Financial acumen

Healthcare management

Medicaid expertise

Education

Bachelor’s degree in business/public administration/health administration

Master’s degree strongly preferred

Job description

Chorus Community Health Plans (CCHP) is a not-for-profit, provider-owned health plan headquartered in Milwaukee, Wisconsin. Owned by Children’s Wisconsin, the plan was established to improve the health and well-being of underserved populations. Chorus is rooted in a mission-driven approach focused on advancing health equity, strengthening community partnerships, and delivering high-quality, cost-effective care to its members.

CCHP focuses on serving Wisconsin residents enrolled in the BadgerCare Plus (Medicaid) program, serving over 100,000 members. The Plan offers affordable, high-quality health care coverage available in 68 Wisconsin counties. CCHP also supports children in out-of-home care through the Care4Kids program, offering access to care and additional resources for these at‑risk members.

The organization provides tools and resources that help members understand and manage their health care benefits and support their social needs, including online access to plan details and educational program information. Chorus emphasizes supporting members at every stage of life with services that help them make confident decisions about their health.

An affiliate of Children’s Wisconsin, CCHP brings trusted health insurance coverage to communities throughout the state of Wisconsin. Chorus partners with clinical providers and community resources to provide members access to preventive, physical, dental, and behavioral health services through a broad network of providers.

Chorus Community Health Plans is committed to operational excellence, regulatory compliance, and continuous quality improvement. The organization prioritizes strong provider partnerships, data-driven decision-making, and member-centered service delivery. Its culture reflects a collaborative, purpose-driven environment grounded in accountability, compassion, and a shared commitment to improving the health of Wisconsin communities.

Children’s Wisconsin

Children’s Wisconsin is a nationally ranked, freestanding, pediatric health system based in Milwaukee. Children’s Wisconsin is the region’s only independent healthcare system dedicated solely to the health and well-being of children. It offers a wide range of care and support for children of all ages. The $1.9 billion health system has a comprehensive service offering, a health plan, ambulatory facilities with 49 locations throughout the state and a strong academic partnership with the Medical College of Wisconsin. Its services include medical care, dental care, child and family counselling, foster care, adoption, social services, child advocacy and injury prevention. Children’s Wisconsin cares for every aspect of health — physical, social, mental and dental. It is a community of 7,500 dedicated team members that share an unwavering passion to care for kids.

Children’s Wisconsin provides care and services through a variety of clinical, digital and community settings throughout the state. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults aged 0–21 throughout the Wisconsin region. Services include:

• Specialty care
• Primary care
• Mental and behavioral healthcare
• Child and family counselling
• Dental care
• Community health services
• Foster care and adoption
• Child advocacy services
• School-based services
• Family Resource Centers
• Child abuse prevention and evaluation
• Safety and injury prevention

Children’s Wisconsin has hospitals located in Milwaukee and the Fox Valley. The Milwaukee campus offers comprehensive clinical services and is the base for the Children’s Research Institute. The Milwaukee hospital offers a Level I children’s surgery center, an ACS-verified pediatric Level I trauma center, which is one of two in the state, a Level IV neonatal intensive care unit, and a 72-bed pediatric intensive care unit. The Milwaukee hospital is one of the nation’s leading pediatric facilities, earning top ratings from U.S. News & World Report and others.

Extending beyond its clinical footprint, Children’s Wisconsin advances child well‑being through a strong focus on community health and prevention, addressing the social and environmental factors that influence lifelong outcomes for children and families. Through its affiliated health plan, Chorus Community Health Plans, the organization supports coordinated access to medical, behavioral health, and community‑based services for children enrolled in Medicaid and foster care programs, including those with complex medical and social needs. This integrated approach strengthens continuity of care, promotes family stability, and reinforces Children’s Wisconsin’s broader mission to improve health equity and outcomes for children across the state.

Mission, Vision & Values

Vision:The children of Wisconsin will be the healthiest in the nation.

Mission: CARE: Caregiving, Advocacy, Research, Education

Values and Guiding Behaviors

Children’s Wisconsin’s five values guide and inspire the organization. The guiding behaviors describe how it pursues its mission and vision. These actions demonstrate the passion of Children’s Wisconsin team members and shows how much they care for and about children, families, and each other.

Purpose – We act in service of children and families.

I focus on what matters most to children and families.
I am passionate about providing the safest, highest quality and most equitable care and services.
I hold myself and my colleagues accountable for high performance and resource stewardship.

Collaboration – We work together to care for and about children, families and each other.

I respect and value diverse backgrounds, styles and perspectives.
I invite and recognize the strengths and contributions of others.
I include people in decisions that impact them.

Integrity – We build confidence and trust in all interactions.

I assume positive intent and treat others with respect, equity and compassion.
I listen for understanding and communicate openly and honestly.
I follow through on commitments and decisions.

Health – We are at our best.

I make choices to achieve balance and well‑being at work and at home.
I cultivate a sense of belonging through connection, appreciation, respect and care.
I am aware of my own moods and cast a positive shadow.

Innovation – We commit to improvement with breakthrough ideas and solutions.

I learn from children, families, colleagues and the community.
I embrace curiosity and change through the open exchange of feedback and diverse perspectives.
I create an environment where it is safe to learn from experiences and try new things.

The Opportunity

Position: President, Chorus Community Health Plans

Reporting Relationship: Marc Cadieux, Senior Vice President and Chief Financial Officer of Children’s Wisconsin

The President of Chorus Community Health Plans provides strategic leadership and operational oversight for the organization, setting the vision, direction, and strategies required to achieve the health plan’s mission, long‑term goals, and financial sustainability. The President will be part of the Children’s Wisconsin CEO’s senior leadership team.

The president will have the following essential responsibilities:

• Develops short and long term business plans, strategies and operational policies and procedures focused on excellence in health plan operations, quality and service.
• Directs the development and implementation of strategies and related business plans to ensure achievement of the health plan’s goals and objectives while maintaining financial health solvency of the health plan.
• Approves the annual budget and ensures financial viability of the approved budget.
• Directs the overall operations, develops and implements company policies and procedures, and establishes short- and long-range goals, objectives, and plans.
• Monitors enrollment, revenues, and medical and administrative expenses to ensure budget projections are being met. Takes necessary actions if budget projections are not being met.
• Oversees the contractual relationship between the health plan and health plan sponsors and with government regulators, including the Wisconsin Department of Health Services (DHS), the Office of the Commissioner of Insurance (OCI), and the Centers for Medicare and Medicaid Services (CMS), including contractual compliance and issue resolution.
• Develops reimbursement strategies for negotiation and implementation with contracted providers.
• Reviews and approves the clinical and quality plans, care management programs, and partnerships to address social drivers of health.
• Collaborates with the Government Relations and legal teams on health plan issues to advocate for policy and legislative changes.
• Provides updates to the Board of Directors on a quarterly basis regarding the status of current and future projects, strategic plans, and overall financial and non-financial results of operations.
• Oversees human resources responsibilities for team members which may include interviewing and selection of new employees, promotions, staff development, performance evaluations, and compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee engagement and morale.
• Responsible for understanding and adhering to the Children’s Organizational Code of Ethics and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Children’s business.
• Collaborate and partner with leaders across Children’s Wisconsin to seek out opportunities to align System and health plan strategic initiatives to ensure an integrated system of care.
• Establish effective relationships with external stakeholders, including providers, government partners, community organizations, vendors and members to fulfil the mission of the health plan.
• Monitors enrollment, revenues, and medical and administrative expenses to ensure budget projections are being met. Takes necessary actions if budget projections are not being met.
• Identifies capital needs of the health plan.

Year One Critical Success Factors

• Position organization for growth, operational and financial success
• Prioritize integration efforts and serve as key linkage between the Health System and Health Plan
• Assess systems, processes and organizational structure and identify any needed solutions
• Engage and inspire team members and colleagues by leading through mission, vision and values.
• Demonstrate a high level of collaboration.
• Make sound operational and financial decisions.

The Candidate

Experience and Professional Qualifications

The President of Chorus Community Health Plans must possess a combination of education, experience and leadership qualifications to successfully manage the strategic, operational and financial responsibilities required for this position. The right candidate will have a history of growing a health plan and ideally leveraging and collaborating with a health system to assist in this growth. The ideal candidate will have the following professional qualifications required for the role:

• A bachelor’s degree in business management, public administration, health administration, public health, or a related field. Master’s degree strongly preferred.
• Minimum ten years of experience as a seasoned healthcare executive with appropriate and relevant managed care industry experience. With this experience must have demonstrated:
• Leadership and strong strategic, financial, and operational acumen.
• An extensive and broad knowledge of healthcare ideally gained within a health plan environment.
• An understanding of the operational aspects of a health plan including contracting, medical management, provider/member relations, and claims administration.
• Leadership aligned to Children’s Values.
• Extensive leadership experience in Medicaid managed care.
• Proven ability to work with TPAs and/or BPOs through KPIs, SLAs, and disciplined performance oversight.
• Mastery of Medicaid MLR/ALR management, encounter data quality, rate setting and actuarial/risk adjustment dynamics.
• Skilled at aligning payer and provider strategies, leading value-based care, and collaborating with clinicians.
• Experience reporting to both health plan and health system boards, with strong strategic communication skills is ideal but not required.
• Ability to influence and collaborate with health system provided finance, HR, IT, legal,