Vice President, Health Services

Morgan Consulting Resources is a healthcare executive search firm in business for 30 years. We have been retained by AlohaCare to conduct a national search for their Vice President, Health Services. This position is based in Honolulu, HI and offers a hybrid work schedule. This is a fantastic opportunity to join a mission-driven organization with a very strong and cohesive senior leadership team.

About the Organization:

AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. AlohaCare provides comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Their mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all. This is accomplished with emphasis on prevention and primary care through community health centers and through others that share AlohaCare’s commitment. As Hawaii’s third-largest health plan, AlohaCare offers comprehensive prevention, primary and specialty care coverage to successfully build a healthy Hawaii.

About the Culture:

AlohaCare’s leadership empowers and engages its employees through frequent diversity, recognition, community, and educational events and programs. AlohaCare has a strong commitment to support Hawaii’s families and reinforces a healthy work/home balance for its employees.

For more information about AlohaCare, please visit their website at https://www.alohacare.org/

About the Position:

The Vice President of Health Services (“VP HS”) is a key participant on the Executive Council with primary responsibility for the strategic and operational oversight of Clinical Services. It consists of Health Coordination, Behavioral Health, and Medical Management. The VP Health Services is accountable for improving the effectiveness, efficiency and productivity of each department.

The successful candidate will be a collaborative and community minded leader, with a proven track record of mentoring and leading teams. The VP HS must possess the ability to form partnerships with providers, public and social agencies, other health plans and MedQUEST. The VP HS must approach this role with an innovative lens and promote creative problem solving, diversity of ideas, and health equity.

Select Responsibilities:

• Oversees Medical Management, Health Coordination, LTSS (Long Term Services and Supports), Health and Wellness and Behavioral Health in accordance with AlohaCare’s goals and objectives, Medicaid and Medicare Model of Care, and the requirements of MedQUEST, CMS and NCQA.
• Develops and implements a strategy for the health services departments and programs as part of an organizational wide strategy including business expansions or restructuring.
• Approves and oversees the budgets of the individual health service departments, as well as monitors and responds to budget variances with the director(s).
• Partners with Health Services executives, functional managers and providers/PCP offices on Quality Improvement and HEDIS/STARS metrics initiatives.
• Oversees Utilization Management toward an effective concurrent review process and case management across the continuum of hospital and post-acute providers such as acute rehabilitation, Skilled Nursing Facilities, home health, and outpatient services – consistent with AlohaCare’s Medicare Model of Care.
• Serves as clinical services liaison with inpatient facilities, community health centers and joint operating committees of vendors employed or delegated to maintain positive relationships, problem solve and ensure adherence to contracts promoting clinical services and quality outcomes.
• Mentors direct reports and carries out individualized plans for their development as leaders with strong people and management skills.

Qualifications & Experience:

• Licensed Clinician (RN, APRN, NP, LCSW, LMFT etc.) or PhD or PsyD.
• Bachelor’s degree in public health, health administration, nursing, social work, or a related field; Masters preferred.
• 8 years in health services, with the majority of time spent in executive leadership role(s).
• 5 years in Medicaid and/or Medicare programs.
• 3 years in managed care and/or care management.
• Utilization Management and Care Coordination experience.
• Clinical program development and implementation experience.

Salary range: A reasonable starting salary expectation is between $150,000 - $220,000 based upon related/relevant experience.

To further explore this opportunity, express interest, or share referrals, please contact Amy Jones:

Amy Jones, Senior Executive Search Consultant

Morgan Consulting Resources, Inc. ~ Healthcare Executive Search

amy@morganconsulting.com