Vice-President Medicare Advantage Home Care Services
SYNERGY HomeCare Franchising LLC
August 9, 2018
Full Time - Experienced
4 Year Degree
The Vice-President of Medicare Advantage Home Care Services will be responsible for the management and development of a Medicare Advantage program for a National Franchise non-medical home care organization. This individual will direct the development of the new Medicare Advantage product line and drive the Medicare Advantage work efforts. The Vice-President will be responsible for the development of workflows and operational support systems in support of MA contracts, as well as performance goals. S/he will ensure that the product line meets the expectations of external (regulators, insurance carriers, CMS) and internal customers.
Oversee the successful design, implementation, and operational effectiveness of services that fall under the Medicare Advantage products. Work with internal departments to ensure seamless administration of the program.
Establish and manage contractual relationships with regional and national Medicare Advantage programs.
Lead the activities related to commercializing the program features, including the execution of strategy for pricing, reimbursement methodologies, selling and marketing to be used in contracting with multiple MA providers.
Provide system-wide education and training on all aspects of the MA programs and serve as the subject matter expert for the company.
Monitor assigned products and coordinate with operating areas to address problems and improve product delivery.
Provide ongoing examination of the MA market and regulatory landscape market and work to anticipate and implement changes to ensure operational compliance and market direction.
Provide internal consultation for marketing/promotional materials, including Web content and for operations educational materials to support products.
Monitors performance regarding administration, benefit utilization, and market acceptance.
Bachelor’s degree in Business Administration, health care or related field is required.
At least 5 years of experience in a health insurance company, third-party administrator and or healthcare organization.
Demonstrated success in leading a large-scale, multi-territory project.
Prior experience in Medicare, Medicare Advantage or CMS is required.
Internal Number: 001
About SYNERGY HomeCare Franchising LLC
Synergy HomeCare Franchising LLC is a franchisor of non-medical, in-home personal services with offices across the nation.