Deep understanding of medicaid managed care principles
State and federal regulatory compliance expertise
P&l management and financial acumen
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Highmark Health is seeking a Senior Vice President (SVP) of Medicaid to oversee the strategic direction and operational execution of their Medicaid & D-SNP business. This role demands extensive experience in Medicaid, strong leadership capabilities, and a commitment to improving healthcare solutions for vulnerable populations.
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Job Summary
The Senior Vice President will develop and execute a comprehensive strategic plan for the Medicaid business aligned with Highmark's mission.
This role requires overseeing financial performance including enrollment, revenue management, cost control, and profitability while maintaining strong state partnerships.
The successful candidate must lead a high-performing team to deliver innovative healthcare solutions to vulnerable populations while ensuring regulatory compliance.
Matching Summary
Match Score: 75
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Highmark Health is seeking a Senior Vice President (SVP) of Medicaid to oversee the strategic direction and operational execution of their Medicaid & D-SNP business. This role demands extensive experience in Medicaid, strong leadership capabilities, and a commitment to improving healthcare solutions for vulnerable populations.
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Skills & Requirements
Must-have
Deep understanding of Medicaid managed care principles
State and federal regulatory compliance expertise
P&L management and financial acumen
Provider network negotiation skills
High-performing team leadership experience
Nice-to-have
Experience operating across multiple states
Strong community engagement initiatives
Innovation in service delivery
Collaborative culture fostering
Policy advocacy capabilities
Key Requirements
Bachelor's degree in Business Administration or Healthcare field
Minimum 10 years progressive leadership in Medicaid industry
7 years in health insurance leadership
5 years effective P&L Management experience
Master's degree preferred in Healthcare Administration or related field