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The VP, National Products reports to the President, Markets

Position Objective

The VP, National Products drives key operational and strategic initiatives across the Medicare ACO, Medicaid, and Commercial lines of business, with a strong focus on optimizing business performance. The incumbent operates within a highly matrixed environment, working across multiple markets and departments to influence and achieve critical business outcomes.

Responsibilities include and are not limited to

Overall P&L responsibility for consolidated products
Assists in managing and tracking financial performance, supporting President in achieving budget and growth targets.
Collaborates with Business Development and Market leadership to grow the ACO network through contract support, relationship building, and physician engagement.
Oversees the Medicaid and Commercial products growth strategies by expanding profitable membership, strengthening provider and payor relationships, and exploring new market opportunities.
Establishes and refines operational processes within the ACO businesses, ensuring compliance with regulatory standards and optimized performance.
Oversees Medicaid and Commercial operations to ensure that short-term and long-term business objectives are met effectively.
Maintains awareness of ACO program requirements, value-based reforms, and best practices to support compliance and strategic development.
Oversees research and analysis efforts to develop expertise in the Medicaid marketplace, including federal, state, provider, and payor landscape changes.
Analyzes National Products’ performance metrics and implements improvements.
Models effective communication and collaboration skills, fostering a positive team culture, and providing mentoring for direct reports.
Helps cultivate a culture focused on customer service and relationship building within the ACO network; establishes deep partnerships with Medicaid-focused local, community, and state agencies.
Supports Provider partner relationships by developing the ACO strategy and promoting efficient, cost-effective operations.
Works with internal teams to align on cross-functional strategies that bring additional value to Provider partners and physician groups.
Manages activities and communications between key business stakeholders and external affiliated organizations, ensuring alignment across the ACO, Medicaid, and Commercial products.
Identifies and delivers timely, accurate, and actionable analytics to ACO providers, helping improve practice profitability and patient outcomes.
Oversees Medicaid and Commercial initiatives to identify operational and customer experience improvements.
Manages the scoring, reporting, and distribution of ACO program incentives to Provider partners.
Works closely with internal stakeholders to monitor the Medicaid and Commercial products to ensure financial goals align with the business unit’s objectives.
Additional duties as assigned.

Position Requirements/Skills

Bachelor's Degree required; Master’s Degree in Healthcare Administration, Business, Finance, Public Health, Public Policy or relevant field preferred
Minimum of ten (10) years of senior-level healthcare operations management experience
Minimum of five (5) years of experience leading and coaching a team is required
Demonstrated experience in progressively more senior leadership roles with value-based models, ACOs, managed care organizations, large organized physician groups, and/or integrated delivery systems
Track record of successfully driving operational improvements in the healthcare system to achieve cost savings
Healthcare experience in general health reform strategy, healthcare financial programs, and operational management with a specific focus on population healthcare programs development inclusive of financials, informatics, network development, and payer/provider relations desired
Experience with population health, risk-based arrangements, performance-based networks, and other progressive models of care delivery and payor/provider partnerships
Working knowledge of national and local healthcare industry practices and trends; this includes but is not limited to, federal and state regulation, healthcare industry economics, provider network building, shared risk arrangements, reimbursement strategies and methods, contract and proposal design and development, negotiation theory and practice, strategic work planning, project management, and human resource management is required
Working knowledge of various provider payment methodologies to help transform incentives for paying for healthcare differently including capitation, pay for performance, bundled payments, gain sharing and other risk strategies is required
Comprehensive understanding of hospital and physician financial issues and how to leverage technology to achieve quality and cost improvements for both payers and providers is required
High proficiency in analyzing and synthesizing complex financial information and funds flows is required
Project management skills with a strong ability to lead a project team to assess, design, test, and/or implement new systems, policies, or standards is required
Process improvement knowledge and abilities with strong demonstrated knowledge and experience with business process improvement cycle
Able to solve complex problems and recommend organizational solutions
Excellent communication skills with the ability to build relationships
Strong presentation skills
Able to influence and utilize interpersonal skills with key stakeholders is required
Must be comfortable communicating with multiple levels within the organization, providers, and healthplans
Must be results-oriented with a focus on quality execution and delivery
Demonstrated resourcefulness, initiative, and results-oriented capabilities
Able to work independently with minimal supervision
Strong critical thinking and problem-solving skills
Able to work in a shifting and fast-paced environment
Able to work cross-functionally with multiple teams
Able to handle data with confidentiality
Must have excellent organizational, time-management, and multi-tasking skills with strong attention to detail

Physical Functions

Physical ability to sit, stand and move freely about the office
Must be able to remain in a stationary position up to or exceeding 50%
Ability to stand, walk and sit for long periods of time
Ability to bend, stoop, kneel, squat, twist, reach, and pull
Constantly operates a computer and other office productivity machinery, such as copy machine, and computer printer

Key Attributes/ Skills

Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles
An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments
Is able to work within the Better Health environment by facing tasks and challenges with energy and passion
Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals

Local candidate highly preferred. Hybrid work schedule (In office/Remote). If remote, travel will be required, specifically to Tampa, FL.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

USD $172,600.00 - USD $284,800.00 /Yr.

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VP, National Products