Senior Vice President of Managed Care

hace 7 días


Santiago, Metropolitana, Chile Hill Physicians Medical Group, PriMed Management A tiempo completo

We are seeking a highly experienced executive to lead our Government Programs and Full Risk lines of business. This leader will be responsible for developing and implementing comprehensive strategies for the Government Programs department and the Full Risk Business Unit.

The ideal candidate will have a strong background in managed care operations, including risk adjustment/coding accuracy, provider incentive program, and vendor management. They will also have experience leading cross-functional teams and fostering collaboration among departments to achieve corporate goals.

This role requires a deep understanding of regulatory compliance and industry trends. The executive will oversee the financial performance of our Medicare Advantage, MediCal, and ACA programs, ensuring all deliverables are met while coordinating necessary activities to support the organization's strategic goals.

Requirements & Qualifications:

  • Bachelor's degree in business administration, healthcare administration, or related field required. An advanced degree is preferred.
  • 10+ years of progressive experience in a managed care or healthcare organization, with significant operational and strategic leadership experience.
  • In-depth understanding of managed care operations, Medicare Advantage, MediCal programs, and financial management within the healthcare industry.
  • Familiarity with regulatory compliance and industry trends is crucial.


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