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RVP & Plan President South Carolina Medicaid Health Plan

Location:

  • SC, GREENVILLE

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Description

The Market Plan President Wellpoint South Carolina is responsible for the fiscal, operational management, legislative and regulatory objectives of an assigned Health Plan. A Health Plan at this level is large and complex in operating factors, which may include alliance or other joint venture relationships. Primary duties may include but are not limited to:

  • Establishes strategies that create or sustain a competitive advantage. Aligns strategy to achieve business goals and builds a culture of accountability.
  • Manages the P&L of the assigned Health Plan.
  • Oversees operating gain, growth, cost of care commitments, revenue, quality, and accreditation goals.
  • Develops and manages key State regulatory and legislative relationships and processes, including premium rates, covered populations, eligibility, benefit design, networks, administrative requirements, and new products.
  • Collaborates with shared services support to reach Health Plan objectives. Ensures contract compliance and provides oversight of risk management programs.
  • Manages customer and regulatory relationships, including state regulatory and legislative processes.
  • Role will lead the health plan and be P&L owner driving overall success of the plan.
  • Establish and maintain growth partner relationships on behalf of the health plan.
  • Act as face of SC Wellpoint with regulators, community and network, including meetings, phone calls, etc. and establish relationships.
  • Guide and lead implementation teams to ensure on track for program delivery, messaging and Gate delivery.
  • Lead teams to ensure onsite presentation in line with SC Wellpoint messaging and state priorities.
  • Due diligence of South Carolina Wellpoint program components, contract, State priorities, policies and procedures, network and GR environment
  • Responsible for hire of South Carolina health plan state regulatory positions Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications:

  • Requires a BA/BS degree in a related field.
  • minimum of 12 years of related experience.
  • 8 years of experience in government sponsored health insurance programs and prior leadership experience; or any combination of education and experience, which would provide an equivalent background.
  • Medicaid Health Plan experience.
  • Travel may be required.
  • Must be located the Columbia South Carolina area.

Preferred:

  • Master’s degree preferred.
  • Health Plan Start up experience.
  • Experience with RFP’s

 

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.

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