Senior VP, Medicare Advantage & Market Growth

E2E Alignment Healthcare USA, LLC; California; Presencial; USD 198.000 - 297.000; Tempo integral

Resumo da vaga

Alignment Health is seeking a senior executive to lead Medicare Advantage market strategy in Orange County. You will drive growth, optimize P&L, and coordinate cross-functional teams across Sales, Product, Network, Contracting, Finance, and Compliance.

You will own market performance, ensure STARS and quality targets, and deliver on revenue, enrollment, and provider partnerships while maintaining regulatory compliance. Strong leadership and communication are essential.

Qualificações

• Minimum 12 years of progressive leadership in Medicare Advantage, managed care, or related fields.
• Ability to turn strategy into plans with RACI governance and measurable outcomes.
• Expert knowledge of Medicare Advantage economics, STARS, RAF, and medical cost.
• Ability to influence senior executives and matrixed teams without direct reporting authority.

Responsabilidades

• Lead the annual Orange County Medicare Advantage business plan aligning market commitments with enterprise strategy and market president's direction.
• Own daily execution of approved plans for revenue, medical expense, MLR, membership, quality, risk adjustment, and provider economics.
• Establish a formal RACI for each market initiative with clear ownership and communication.
• Drive local growth, retention, and market development in collaboration with Sales, Product, Marketing, and provider leadership.
• Lead initiatives to improve STARS and quality outcomes and to ensure compliant risk adjustment and revenue integrity.

Descrição da vaga

Alignment Health is seeking a senior executive to lead Medicare Advantage market strategy in Orange County. You will drive growth, optimize P&L, and coordinate cross-functional teams across Sales, Product, Network, Contracting, Finance, and Compliance.

You will own market performance, ensure STARS and quality targets, and deliver on revenue, enrollment, and provider partnerships while maintaining regulatory compliance. Strong leadership and communication are essential.