Staff VP, Market Planning & Network - National

Location: Within 50 miles of a PulsePoint office with preference given to Atlanta, Chicago, or Indianapolis.

Summary

Responsible for leading national network strategy and programs in furtherance of market needs inclusive of how we partner and manage multi-state health systems (including large scale national hospitals and/or health systems), leverage national designations, programs and networks to deliver results for all lines of business, and partnering with RVPs locally to evaluate and deploy new network strategies.  

Primary duties may include but are not limited to:  

• Development of national strategy for program adoption and translates strategic principles into defined tactics, programs/projects priorities, and timelines and ensures alignment and attainment of enterprises strategic plans to turn strategy into reality.  

• Partners closely and oversees organizational alignment for multi-state systems for consistent VBA models and terms, EMR connectivity, national policies and procedures for claims management and compliance.

• Manages admin budget within target.

• Oversees and participates in the development of growth strategies and retention initiatives for the Enterprise.

• Executes Cost of Care actions to deliver on budgeted target.

• Drives provider collaboration and engagement where required for national programs.

• Ensures compliance with CMS guidelines and HIPAA compliance.

• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Position Requirements

Requires a BA/BS degree and a minimum of 12 years of related experience with progressive responsibility working with large and complex multi-state providers that span across multiple lines of business; or any combination of education and experience, which would provide an equivalent background. Master's degree strongly preferred. Ability to travel is expected.

Preferred Skills, Capabilities and Experiences

• Proven experience with contracting for all 3 lines of business (Commercial, Medicaid and Medicare) highly preferred.

• Value Based Contracting experience within a health plan.

• Prior experience building out market plans and consulting to multiple markets.

• Proven leadership experience to include direct report accountability (hiring, performance reviews, and terminations).

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.