VICE PRESIDENT, MEDICARE GROWTH AND STRATEGY

Job Summary:

Vivant Health is seeking a senior leader to drive and scale its Medicare growth strategy. This role will own end-to-end Medicare Advantage growth across membership, provider alignment, product positioning, and market expansion. The position requires a highly integrated approach across operations, provider networks, clinical programs, and health plan partnerships.

Responsibilities:

• Own overall Medicare growth strategy including membership, revenue, and market expansion targets.
• Lead relationships with contracted health plans including Anthem, Health Net, and Molina.
• Drive provider network alignment to support Medicare panel growth and performance.
• Partner with clinical leadership to design programs that improve outcomes and reduce cost of care.
• Oversee growth channels including broker strategy, community outreach, and member acquisition.
• Align internal teams including Provider Relations, Member Services, UM, and Marketing around Medicare priorities.
• Develop performance dashboards tracking growth, cost trends, retention, and quality metrics.
• Identify new opportunities including dual-eligible populations, special programs, and partnerships.
• Lead contracting and financial modeling discussions tied to Medicare risk and capitation strategies.
• Build and lead a high-performing Medicare growth team.
• Performs related duties consistent with the scope and intent of the position.
• Regular attendance.
• Travel as required.

Other Functions

• Enforces Company policies and safety procedures.
• Regularly updates job knowledge by participating in educational opportunities, reading professional publications, maintaining professional networks, and participating in professional organizations.
• Maintain IPA, Health Plan compliance standards.

Competencies

• Minimum of 10 years of experience in a Medicare Advantage, MSO, IPA, delegated risk, or health plan environment.
• Demonstrated success driving Medicare Advantage membership growth and managing performance within risk-based reimbursement models.
• Strong knowledge of CMS regulations, Medicare Advantage plan operations, Star Ratings, quality programs, risk adjustment, and health plan economics.
• Experience collaborating with providers, health plans, physician organizations, and delegated entities to achieve operational and financial objectives.
• Proven ability to lead strategic initiatives while maintaining accountability for day-to-day operational execution in a fast-paced, growth-oriented environment.
• Excellent verbal, written, presentation, and interpersonal communication skills.
• Strong active listening, critical thinking, analytical, and problem-solving abilities, with the capacity to make sound decisions with minimal supervision.
• Demonstrated leadership skills, initiative, and the ability to influence, mentor, and support team and organizational success.
• Ability to establish credibility and build positive relationships with providers, health plan partners, members, and internal stakeholders through professionalism, confidence, and sincerity.
• Strong organizational, project management, time management, and prioritization skills, with the ability to manage multiple competing priorities and deadlines.
• Ability to effectively provide, receive, and apply constructive feedback to support continuous improvement.
• Demonstrated commitment to maintaining confidentiality and exercising sound judgment when handling sensitive, proprietary, and protected information.
• Consistent track record of delivering exceptional customer service and fostering positive stakeholder experiences.
• Excellent attention to detail and ability to accurately document, analyze, and communicate information.
• Ability to thrive in a dynamic, fast-paced team environment while working independently and collaboratively to achieve goals.
• Demonstrated commitment to the organization’s mission, vision, and values.
• Proficient in Microsoft Office Suite, including Word, Excel, PowerPoint, Outlook, and Visio; experience with Access preferred.
• Ability to quickly learn, adapt to, and effectively utilize new software applications and technology platforms.
• Keyboarding proficiency of 40 words per minute or greater preferred.
• Self-motivated with exceptional planning, follow-up, organization, and execution skills.
• Ability to consistently present a professional image and positively represent the organization in all interactions.

Education and Licensure

• Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, or a related field; Master’s degree preferred.
• Active and unrestricted Driver’s License.

Travel

• The incumbent may travel up to 50% of the time.

Supervisor Responsibility

• This position may supervise several employees.

Work Environment

This job operates in a professional office environment. This role routinely uses office equipment such as computers, phones, photocopiers, scanners and filing cabinets.