Independence Health Group (IHG) and its subsidiaries serve approximately 8 million people in all 50 states and do business in 26 states and the District of Columbia. The diversified portfolio of industry leading businesses and capabilities provides the organization with the leverage and perspective to take the lead in getting healthcare right. The company and its dynamic, innovative leadership are both recognized and consulted with on a national level in the important dialogue to enhance healthcare quality, access, and affordability.
IHG is the parent company of Independence Blue Cross, a member plan and independent licensee of the Blue Cross Blue Shield Association, the most valued and trusted brand in health care; representing the largest, most experienced, and highest quality healthcare benefit companies. Collectively, the Blues serve over 105 million people (1 in 3 Americans) in every zip code in the country.
Reporting to the SVP of Senior Markets, this position will be responsible for the strategy, development, operations and oversight of the Medicare Stars Program including Performance Management, Risk Analytics and Reporting, and ACA Risk Analytics and Adjustment. In conjunction with executive leadership and matrixed business partners, the Vice President will develop and implement strategic plans to improve the Stars ratings for Medicare Advantage programs. Additionally, s/he will carry the responsibilities of overseeing the Government Markets Segment P&L financials and overall operational performance.
The ideal candidate will possess a broad combination of business and health plan experience to include subject matter expertise in government markets. S/he will bring to this role a passion for future models of care delivery combined with a business acumen and national view of value-based contracting, performance improvement, evolving reimbursement models, and provider and community partnerships. S/he will also embody a collaborative, passionate approach to enhancing member health experience.
Select Requirements, Qualifications and Experience:
10+ years of healthcare insurance industry experience including demonstrated management and leadership responsibilities.
Prior knowledge of and experience in Federal programs and supplemental healthcare products for seniors. Knowledge of Medicare product offerings and pricing strategies together with an understanding of federal laws and regulations governing federal business programs and experience working in a highly regulated environment.
Strong operational acumen with knowledge and experience in risk stratification, care management, utilization management, and decision support systems, and the measurement of programmatic effectiveness.
High level of business and financial acumen, with the credentials and gravitas to influence at all levels within a matrixed organization.
Demonstrated problem solving, project management, and strategic planning skills.
High energy and resilience, with the drive to achieve extraordinary results.
Excellent interpersonal and communication (written and verbal) skills.
Ability to work within a highly matrixed, complex organization with strong relational and influence/negotiating skills.
Bachelor’s degree in Business Administration, healthcare administration, finance, or a related field. Master’s degree preferred.