VICE PRESIDENT, MEDICARE GROWTH AND STRATEGY

Sacramento, CA (On-site)

$225K/yr – $250K/yrFull time

Posted 2 weeks ago

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Job Description

Job DetailsJob Location: SACRAMENTO, CA 95831Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $225,000.00 - $250,000.00 Salary/yearTravel Percentage: Up to 50% Job Shift: DayJob Category: ExecutiveJob Summary: Vivant Health is seeking a senior leader to drive and scale its Medicare growth strategy. This role will own end-to-end Medicare Advantage growth across membership, provider alignment, product positioning, and market expansion. The position requires a highly integrated approach across operations, provider networks, clinical programs, and health plan partnerships. Responsibilities: Own overall Medicare growth strategy including membership, revenue, and market expansion targets. Lead relationships with contracted health plans including Anthem, Health Net, and Molina. Drive provider network alignment to support Medicare panel growth and performance. Partner with clinical leadership to design programs that improve outcomes and reduce cost of care. Oversee growth channels including broker strategy, community outreach, and member acquisition. Align internal teams including Provider Relations, Member Services, UM, and Marketing around Medicare priorities. Develop performance dashboards tracking growth, cost trends, retention, and quality metrics. Identify new opportunities including dual-eligible populations, special programs, and partnerships. Lead contracting and financial modeling discussions tied to Medicare risk and capitation strategies. Build and lead a high-performing Medicare growth team. Performs related duties consistent with the scope and intent of the position. Regular attendance. Travel as required. Other Functions Enforces Company policies and safety procedures. Regularly updates job knowledge by participating in educational opportunities, reading professional publications, maintaining professional networks, and participating in professional organizations. Maintain IPA, Health Plan compliance standards. QualificationsCompetencies Minimum of 10 years of experience in a Medicare Advantage, MSO, IPA, delegated risk, or health plan environment. Demonstrated success driving Medicare Advantage membership growth and managing performance within risk-based reimbursement models. Strong knowledge of CMS regulations, Medicare Advantage plan operations, Star Ratings, quality programs, risk adjustment, and health plan economics. Experience collaborating with providers, health plans, physician organizations, and delegated entities to achieve operational and financial objectives. Proven ability to lead strategic initiatives while maintaining accountability for day-to-day operational execution in a fast-paced, growth-oriented environment. Excellent verbal, written, presentation, and interpersonal communication skills. Strong active listening, critical thinking, analytical, and problem-solving abilities, with the capacity to make sound decisions with minimal supervision. Demonstrated leadership skills, initiative, and the ability to influence, mentor, and support team and organizational success. Ability to establish credibility and build positive relationships with providers, health plan partners, members, and internal stakeholders through professionalism, confidence, and sincerity. Strong organizational, project management, time management, and prioritization skills, with the ability to manage multiple competing priorities and deadlines. Ability to effectively provide, receive, and apply constructive feedback to support continuous improvement. Demonstrated commitment to maintaining confidentiality and exercising sound judgment when handling sensitive, proprietary, and protected information. Consistent track record of delivering exceptional customer service and fostering positive stakeholder experiences. Excellent attention to detail and ability to accurately document, analyze, and communicate information. Ability to thrive in a dynamic, fast-paced team environment while working independently and collaboratively to achieve goals. Demonstrated commitment to the organization’s mission, vision, and values. Proficient in Microsoft Office Suite, including Word, Excel, PowerPoint, Outlook, and Visio; experience with Access preferred. Ability to quickly learn, adapt to, and effectively utilize new software applications and technology platforms. Keyboarding proficiency of 40 words per minute or greater preferred. Self-motivated with exceptional planning, follow-up, organization, and execution skills. Ability to consistently present a professional image and positively represent the organization in all interactions. Education and Licensure Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, or a related field; Master’s degree preferred. Active and unrestricted Driver’s License. Travel The incumbent may travel up to 50% of the time. Supervisor Responsibility This position may supervise several employees. Work Environment This job operates in a professional office environment.  This role routinely uses office equipment such as computers, phones, photocopiers, scanners and filing cabinets.
VIVANT HEALTH LLC logo

VIVANT HEALTH LLC

Vivant Health is the trusted leader in healthcare and innovation, serving our community for over 30 years. Our Vivant Health family of companies is mission-driven to inspire hope and promote health equity by delivering integrated clinical practice, leveraging advanced healthcare technology, providing innovative care solutions, and fostering strong partnerships among health plans, patients, and care providers. Vivant Health serves over 300,000 patients, has partnerships with eight premier health plans and with all community Federally Qualified Health Centers (FQHCs), and an integrated suite of eight core coordinated programs and services, all cared for by our network of 6,000+ providers. We are committed to “Bringing Healthcare to Life” through equitable access for all.

Founded in 1992
Sacramento, California, USA
168 employees (3 in marketing)