AVP, Chief Medicare Officer - Georgia Gulf States
Core
Lead market performance, cost structure, and local execution of medical costs management, compliance, and revenue integrity for Medicare Advantage products in the Southeast US.
Role type
Senior Vice President, Chief Medicare Officer (Market Leader)
Builds
Medicare Advantage plans and services for members in Georgia, Alabama, Mississippi, Louisiana, and Arkansas.
Domain
Health Insurance / Medicare Advantage
Required skills
P&L management, Medicare Advantage operations strategy, insurance regulatory compliance, value-based provider contracting, financial performance analysis, team leadership, bid and grant proposal development, state and federal audit readiness.
Preferred skills
Strategic thinking, cross-functional partnership, market intelligence, cost structure reduction.
Technologies
None stated
Responsibilities
Drive short- and long-term growth and profitability of the Medicare business; lead implementation of new contracts and programs; provide strategic leadership to senior functional leaders; ensure alignment across business functions; lead development of policies for regulatory compliance; oversee plan readiness for audits; monitor financial performance and manage budgets; build and develop high-performing teams; partner to drive strategic initiatives.
Seniority
Senior, hands-on IC with market leadership
