Senior Health Plan Growth & Strategy Executive

BLEHEALTH

Pomona (CA)

On-site

USD 126,000 - 154,000

Full time

8 days ago
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Benefits offered by this job

Performance-based compensation
Executive leadership role

Job summary

BLEHEALTH, LLC is seeking a Senior Vice President of Health Plan Growth & Strategy to lead growth across Medicaid/Medicare contracts and strategic partnerships. You will shape payer contracting strategy, expand market presence, and drive long‑term business development with health plans, providers, and government programs.

You will build executive relationships, develop a formal business‑development pipeline, and forecast opportunities while leading negotiations that optimize value and outcomes

Qualifications

  • Bachelor's degree required.
  • Advanced degree in healthcare administration, business, public health, or related discipline preferred.
  • Approximately 10+ years of progressive healthcare leadership, managed‑care, payer, population‑health, business‑development, or contracting experience.
  • Demonstrated experience working with Medicaid managed care organizations.
  • Strong understanding of healthcare payer‑provider relationships.
  • Experience developing or negotiating healthcare contracts.
  • Demonstrated record of generating new healthcare business.
  • Strong executive communication and presentation skills.
  • Ability to communicate effectively with health‑plan executives.
  • Experience developing strategic partnerships.
  • Strong understanding of healthcare reimbursement and managed‑care economics.
  • Ability to analyze new healthcare markets.
  • Willingness to travel for health‑plan meetings, conferences, and market‑development activities.

Responsibilities

  • Develop and execute BLEHEALTH's comprehensive health plan growth strategy.
  • Identify and pursue new contracting opportunities with Medi-Cal, Medicaid, Medicare Advantage, health systems, physician organizations, and government programs.
  • Build relationships with senior executives and decision-makers within targeted organizations.
  • Establish BLEHEALTH as a preferred partner for population health, care management, and community-based services.
  • Develop executive-level relationships with health plan leaders and network executives.
  • Represent BLEHEALTH at executive meetings, conferences, and strategic partnership discussions.
  • Maintain ongoing relationships and develop a formal healthcare business-development pipeline.
  • Identify opportunities before formal RFPs are released when possible.
  • Maintain accurate pipeline forecasting and provide regular reports to the CEO.
  • Lead the business strategy surrounding health plan contract negotiations.
  • Work with legal, finance, compliance, operations, and clinical leadership.
  • Evaluate reimbursement models, performance requirements, service expectations, quality, geographic scope, and financial risk.

Skills

Executive leadership
Payer contracting
Relationship building
Executive communication
Strategic partnerships
Market expansion
Revenue leadership
Contract negotiations

Education

Bachelor's degree
Advanced degree preferred

Job description

BLEHEALTH, LLC is seeking a Senior Vice President of Health Plan Growth & Strategy to lead growth across Medicaid/Medicare contracts and strategic partnerships. You will shape payer contracting strategy, expand market presence, and drive long‑term business development with health plans, providers, and government programs.

You will build executive relationships, develop a formal business‑development pipeline, and forecast opportunities while leading negotiations that optimize value and outcomes

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