Vice President, Medical Management

Harvard Pilgrim Health Care Inc

$240,000.00 -$290,000.00 py
**
Lead medical management transformation
Develop multi-year strategy
Oversee um program design and implementation
** Harvard Pilgrim Health Care Inc is seeking a Vice President of Medical Management to lead and transform their medical management operations, focusing on improving care access and reducing costs. The ideal candidate will have extensive leadership experience in healthcare, particularly in medical management, with a deep understanding of regulatory compliance and a commitment to diversity and inclusion. **

Job Summary

  • The Vice President of Medical Management is responsible for leading and transforming the medical management of in-patient, ambulatory and post-acute settings.
  • This leader analyzes market trends and dynamics to identify opportunities and is responsible for developing and executing a multi-year strategy that aligns with the company's vision and goals.
  • Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage, Retirement plans, Paid time off, Employer-paid life and disability insurance with additional buy-up coverage options, Tuition program, Well-being benefits.

Matching Summary

Match Score: 75

** Harvard Pilgrim Health Care Inc is seeking a Vice President of Medical Management to lead and transform their medical management operations, focusing on improving care access and reducing costs. The ideal candidate will have extensive leadership experience in healthcare, particularly in medical management, with a deep understanding of regulatory compliance and a commitment to diversity and inclusion. **

Salary

$240,000.00 -$290,000.00

Skills & Requirements

Must-have

  • Lead medical management transformation
  • Develop multi-year strategy
  • Oversee UM program design and implementation
  • Drive cost savings initiatives
  • Ensure regulatory compliance
  • Develop clinical platform strategy

Nice-to-have

  • Foster culture of innovation
  • Promote continuous improvement
  • Build internal programs and workflows
  • Commitment to DEIA and Health Equity

Key Requirements

  • Advanced degree in related field
  • 10-15 years progressive business and leadership experience
  • 10+ years leadership experience supervising high-level professionals
  • Experience in leading and transforming medical management
  • Demonstrated success with clinical system strategy and automation

Work Rights

Not specified

Tailored Resume

Cover Letter