Senior Vice President - Hawaii

Contexture; Honolulu (HI); Hybrid; USD 153,000 - 177,000; Full time

Job summary

Contexture Hawaii seeks a Senior Vice President to lead statewide operations, business development, and policy initiatives. You will direct strategic execution, financial performance, and stakeholder engagement for Hawaii’s HIE program, with a focus on growth and sustained partnerships across government and health partners.

The role is Hawaii-based with residency required; hybrid work is available, and you will oversee complex programs, budgets, and multi-state coordination as needed.

Qualifications

• Minimum 10+ years of progressively responsible leadership experience in business development, government affairs or public policy within healthcare or health IT.
• Bachelor's Degree in Business Administration, Healthcare Administration, Public Policy or related field; Master's preferred.
• Strong preference for candidates with deep Hawaii-related experience and relationships with state/federal leaders.
• Proven budgets, contracts, grants management, and financial performance oversight.
• Demonstrated people leadership including hiring, coaching and performance management.

Responsibilities

• Lead state-based strategic leadership for Hawaii with accountability for strategy, growth, policy and relationships.
• Identify opportunities and oversee business development, partnerships, and state-focused contracts across healthcare and data exchange.
• Direct government affairs, public policy, and regulatory advocacy aligned with enterprise priorities.
• Cultivate executive relationships with Hawaii providers, payers, and community partners; represent the company publicly.
• Oversee state programs, grants, and government contracts from inception to completion; ensure compliance and outcomes.
• Manage budgets and financial performance; ensure discipline while supporting growth and sustainability.
• Provide executive leadership across teams; recruit, onboard, develop and manage performance; drive state KPIs.
• Travel as required within Hawaii and to partner states or conferences; after-hours as needed.

Skills

Public policy

Healthcare industry knowledge

Executive leadership

Strategic planning

Stakeholder management

Budget management

Regulatory experience

Communication skills

Education

Bachelor's degree in Business Administration or Public Policy

Master's degree in Public Policy or Healthcare Administration

Tools

Microsoft Office

Excel

Word

Project

Visio

Job description

SENIOR VICE PRESIDENT - HAWAII

Job Code: SVPHI

Reports To: Chief Growth Officer (CGO)

Base Location: Hawaii Only

Work Status: Hybrid/Physical Office

Minimum Starting Monthly Range: $13,750

Hiring Range (Monthly Pay): $13,750 - $15,833

Full-time / Part-time: Full-time

Exempt / Non-Exempt: Exempt

Risk Designation: High

Summary

The Senior Vice President (SVP) of Hawaii serves as the senior executive leader with authority and accountability for all business operations, performance, and stakeholder relationships within Hawaii for Contexture’s multi-state health information exchange (HIE) organization. This role is responsible for advancing the organization’s mission, growth, and sustainability within the state by directing strategy execution, financial performance, operational excellence, and market engagement.

Acting as the primary executive representative for the state, the SVP oversees all business-related activities, including revenue growth, customer and partner relationships, regulatory alignment, government relations, community engagement and state-specific Contexture programs and initiatives. The SVP advances alignment of statewide priorities with enterprise strategy, ensures value delivery to participants and community partners, and drives measurable outcomes that support both regional success and the organization’s multi-state objectives.

This position is based in Hawaii and requires local residency in Hawaii. Our strategic flexibility allows for local work from home opportunities.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Duties and Responsibilities include the following:

State-Based Strategic Leadership

• Serve as the primary executive leader for the organization within Hawaii, accountable for strategy, growth, policy, programs, and relationships.
• Develop and implement a comprehensive state-level business development and growth strategy aligned with organizational mission, enterprise goals, and market realities.
• Partner with the Chief Growth Officer and peer State Senior Vice Presidents to ensure alignment on priorities, metrics, and enterprise-wide initiatives.
• Monitor and analyze state-specific healthcare market dynamics, regulatory developments, and competitive landscapes to drive strategic decision-making.

Business Development & Revenue Growth (State Focus)

• Identify, pursue, and secure business opportunities, partnerships, and contracts across healthcare, data exchange and social determinants of health (SDOH) domains.
• Oversee Sales, Account Management, Community Development, SDOH, and Government Affairs activities within Hawaii.
• Collaborate with enterprise teams and other state SVPs to develop integrated, scalable solutions while retaining responsiveness to state needs.
• Represent the organization at state and regional industry events, conferences and convenings.

Government Affairs, Policy & Advocacy (State Focus)

• Lead and execute government affairs and public policy strategy, aligned with enterprise advocacy priorities.
• Direct executive branch lobbying and advocacy, including pursuit of regulatory or administrative outcomes.
• Serve as the senior relationship manager for state and county agencies, including the Hawaii Department of Health and Med-QUEST, the Hawaii Legislature and other policymakers in Hawaii.
• Identify, analyse and summarize state and federal legislation and regulations impacting the organization’s operations in the state providing recommendations to executive leadership and Legal.
• Draft state-focused policy materials including legislative comments, op-eds, policy proposals, formal correspondence and internal briefings.

Stakeholder & Community Engagement (State Focus)

• Cultivate and maintain executive-level relationships with Hawaii healthcare providers, payers, health plans, Native Hawaiian health organizations, technology partners, community-based organisations, academic institutions and government entities.
• Represent the organization as the senior spokesperson for Hawaii in public forums and multi-stakeholder settings.

Program, Contract & Project Management (State Focus)

• Oversee the direct operations of all state-specific programmes, grants and government contracts.
• Lead cross-functional teams to manage contracts from inception through completion ensuring scope, performance, compliance and outcomes.
• Ensure development of business cases, scopes of work, budgets, timelines, metrics and deliverables.

Financial Management & Accountability

• Develop and manage department budgets forecasts and financial performance metrics in partnership with the Chief Growth Officer and Chief Financial & Human Resources Officer.
• Oversee revenue attainment, spending, contract compliance and necessary financial adjustments.
• Ensure fiscal discipline while supporting growth, innovation and sustainability within Hawaii.

People Leadership & Management

• Promote and uphold the company's core values by consistently demonstrating ethical leadership fostering a positive organisational culture and ensuring all business decisions align with the established principles and mission of the company.
• Provide executive leadership and daily management of teams including varying levels of staff positions.
• Lead recruitment onboarding, performance management and professional development to maintain high-calibre staffing.
• Establish team goals and performance metrics that align state outcomes with enterprise KPIs.
• Lead effectively across both direct and matrixed reporting relationships.

Other

• Travel as required throughout Hawaii including regular inter-island travel to the Neighbor Islands as well as travel to partner states and other out-of-state locations extended hours and overnight travel may be necessary.
• Perform other related duties as assigned.

Skills

• Exceptional written and oral communication skills senior level experience as a public spokesperson and advocate.
• Deep understanding of the healthcare industry public policy health information technology data exchange and data privacy including market dynamics regulatory environment and emerging trends in business models drivers and technology adoption both nationally and specific to Hawaii.
• Thorough knowledge of a diverse range of Hawaii healthcare organisations and entities including providers accountable care organisations and health plans.
• Proven ability to translate complex legal regulatory and policy issues for diverse audiences.
• Executive presence with strong relationship-building negotiation and partnership development skills.
• Demonstrated success leading high-performing multidisciplinary teams across complex state environments.
• Strategic results-oriented leader with strong business and financial acumen.
• Expertise in strategic planning program execution and cross-functional collaboration.
• Exceptional communication skills both written and oral experience as a public spokesperson and advocate ability to analyse and articulate complex issues and to communicate them to a variety of audiences.
• Excellent interpersonal skills and the ability to develop effective collaborative working relationships with internal and external personnel at all levels from a variety of disciplines.
• Advanced proficiency with Microsoft Office and related tools Excel Word Project Visio.

Education/Experience

• Minimum of 10+ years of progressively responsible leadership experience in business development government affairs or public policy within healthcare health IT data exchange or SDOH sectors.
• Bachelor's Degree in Business Administration Healthcare Administration Public Policy or a related field required.
• Master's Degree preferred MBAMHA or Master's in Public Policy or Healthcare Administration.
• Strong preference for candidates with deep experience in Hawaii and relevant regional government and healthcare environments.
• Extensive experience working with healthcare state and federal leaders and agencies Native Hawaiian health organisations and community partners.
• Proven experience managing budgets contracts grants and financial performance.
• Demonstrated people leadership experience including hiring coaching and performance management.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job the noise level in the work environment is usually moderate.

The position may require occasional availability for after-hours work outside of regularly scheduled hours.

The position may require periodic driving to and from clients interisland travel to the Neighbor Islands and travel to conferences and/or events in Hawaii and on the mainland.

This position is expected to be exposed to process or handle sensitive information including but not limited to Protected Health Information (PHI) Personally Identifiable Information (PII) financial information etc as such the holder of this position is expected to comply with all applicable laws regulations organisational policies and compliance expectations.

Physical Demands

• Frequent communication and information exchange.
• Regular movement within the office to access equipment and materials.
• Ability to remain stationary for extended periods approximately 50% of the time.
• Continuous use of computers and office equipment e.g keyboard monitor printer.
• Frequent handling of materials up to 10 lbs occasional handling up to 30 lbs.

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Note

This job description is not intended to be an exhaustive list of all duties responsibilities and/or qualifications associated with the job.

Benefits

Contexture provides a comprehensive benefits package for details please request a Benefit Summary from our Benefits Department.

Equal Opportunity Employer

We do not discriminate on the basis of age race color religion sex sexual orientation gender identity national origin disability status as a protected veteran or other status protected by law or regulation.