Wellpoint, formerly Amerigroup, is a proud member of Elevance Health’s family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue shield plans.

Plan President & RVP Idaho Medicaid

Location:  

Boise, Idaho

Summary

Be on the forefront of joining a dynamic company in a vibrant Medicaid market.  The President of our Idaho Medicaid Health Plan will have primary responsibility for the whole health, fiscal, operational, legislative, regulatory, and human resources objectives/agenda for assigned Medicaid health plan, part of the Medicaid Business Unit of Elevance Health, Inc.’s Government Business Division (GBD).  This role is responsible for aligning strategy and culture to achieve business goals and build a culture of accountability with people who are results driven with integrity, innovative, caring, and committed to excellence. This role provides the opportunity to work with one of the most comprehensive state Medicaid programs and populations in Idaho.

Team Scope

West Region Medicaid President, working very closely with the Medicaid Chief Growth Officer.

Position Responsibilities

• Build the depth and operating environment that can achieve annual operating goals and support long-term growth for our business and our associates. 
• Keen attention to development of strong, deep and highly functioning teams is a requirement.
• Achieve annual operating and business objectives through adept P&L management to include revenue, cost management, SG&A, Quality/Value Capture management, and forward-looking product growth opportunities.
• Oversight and participation in medical management, including hospital census review, medical staffing, seasonality issues, case management strategies, BH/PH integration work, health equity focus, operating within the whole health model, detailed communications with the medical director and nurse leader and monthly accrual analysis.
• Oversight and participation in the development of growth strategies and retention initiatives for health plan. Oversee marketing and product growth strategies, business initiatives, school-based, faith-based, community-based and special needs initiatives.
• Oversight and/or direct participation in relationships with key hospital, large physician practices/clinic and key ancillary providers such as dental and vision contractual relationships. 
• Drive provider collaboration and engagement in the areas of service and Payment Innovation.
• Maintain oversight of a strong operating team with an ability to establish operating process, remediate service issues, implement new programs and support all areas of a health plan to accomplish established business goals, to include interfacing with national service centers and growth partner operations.
• Navigate seismic growth in the Idaho Medicaid Managed Care environment and ongoing state fiscal pressures that pose significant challenges to our existing infrastructure to meet demand for revenue capture opportunities with a potential top line business. This includes dynamic provider environment with rapid consolidation of providers, threats to our unit cost position and access to services for our members, and competitive threats to our business model by emerging provider delivery models.
• Evaluate changing market conditions and determine necessary changes to our value proposition to meet state needs/requirements, including understanding new financial, business relationship models and contractual agreements required, and evolving our business strategy and capabilities.  Develop existing talent to meet changing market conditions and recruit new talent as required.
• Provide rationale to Regional President of required strategic direction to meet health plan goals, including potential investments required.  Convince enterprise program leadership to adopt product solution strategies that are beneficial to the plan.  
• Win initial Idaho Managed Care Contract and any renewals of existing business, 100% of the time.  Create and pursue opportunities for white space and inorganic growth.

Position Requirements

Requires a BA/BS degree in a related field and a minimum of 12 years of related experience, including 8 years of experience in government sponsored health insurance programs Medicaid Medicare and prior leadership experience; or any combination of education and experience, which would provide an equivalent background. Master’s degree preferred.

Preferred Skills, Capabilities and Experiences

• Experience having led or participated in cost management, budget building and forecasting and successful premium rate management and renewals. Annual goals focus around:
  • Operating Gain
  • Growth
  • Leading Whole Health outcomes improvements
  • Cost of Care commitments
  • Revenue
  • Meeting or exceeding Quality and accreditation
  • Driving Ground Game strategy and execution to win in the market, every day, and drive growth.
  • Associate and Community impact
• Experience in Complex Population administration, working with stakeholders and new program implementation.
• A minimum of 15 years’ work-related experience within the government healthcare programs sector,  Medicaid, with a minimum of 8 years of experience in government-sponsored health insurance programs.
• Proven success in influencing executives and managers. 
• Display personal agility to work across a wide array of businesses and stakeholders to develop the credibility to achieve results.
• Experience entering new markets or establishing new health plans. 
• Knowledge of Medicare and Exchange lines of business.

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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.

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 and Influenza. 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.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.