CEO, Mid-Atlantic Health Plan

Position Summary

The CEO is responsible for the overall strategic direction and performance of the health plan. In addition to profit and loss accountability, the CEO is responsible for developing and implementing business strategies consistent with corporate’s mission. This includes the establishment of a robust provider network and creating a strong, cohesive leadership team to attain the organization’s immediate and long-term goals.

Key Relationships:
This position involves leading a management team of direct reports and shared services staff, and managing within a matrix environment. This position is the primary executive liaison with the state’s regulator of Medicaid and LTSS programs.

Essential Functions:
-Develops a strategic operating plan to ensure long term growth and success while managing the programs within the prescribed budget
-Achieves and maintains full understanding of the state contract requirements
-Establishes and maintains a system for assessing the state contract, for reporting and for suggesting actions to improve services to the state agency.
-Communicates state agency requirements for program implementations and coordinates with internal resources to implement contract requirements.
-Acts as liaison with state and regulatory agencies in communicating ongoing implementation progress
-Identifies trends and evaluates options to recommend programs and policies to meet changing needs
-Oversees the day-to-day operations of the staff and provides mentoring and professional development
-Participates in multiple state level meetings to ensure current understanding of regulatory and legislative impact to Plan development
-Maintains awareness of political landscape by establishing relationships with lobbyists and attending meetings with legislators
-Community involvement to maintain current market knowledge and enhance marketing or awareness of Plan.
-Ensures programs are established to comply with all relevant federal, state and local regulations.

Background/Experience Desired:
-Successful track record in government sector health plan leadership to include P&L experience
-Inspirational, intuitive leader with a focus on staff selection and development.
-Strong working knowledge of Medicaid, Medicare and MLTSS products
-Ability to effectively represent organization and company in external venues.
-Exceptional organizational skills and ability to manage multiple tasks with tight deadlines.
-Excellent communication and presentation skills
-Passion for making a difference in underserved population

Required Education:
BA/BS degree required; Master’s preferred

For additional information and/or confidential consideration, please contact:

CONSULTANT: Tricia French, RN, BSN
President & CEO
The French Group
757-362-0202
tfrench@frenchgroup.com