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Market President New Mexico

Company: RPMGlobal
Location: Santa Fe
Posted on: September 22, 2022

Job Description:

The Market President will provide the strategic vision and operational expertise to successfully lead AmeriHealth Caritas New Mexico health plan entrance in the New Mexico market. In this role, the Market President will be a proactive, strategic, and decisive leader who demonstrates a commitment to ensuring that our members have access to high quality health care services. The Market President is responsible for cultivating AmeriHealth Caritas' presence and brand recognition through establishing influential relationships with regulators and key stakeholders and by developing partnerships with key providers, associations, and community leaders. In collaboration with corporate stakeholders, this executive will lead the strategic development, growth, and operations of the local health plan including capture planning and pre-RFP response development activities. Upon selection, this individual will lead the market entry/implementation activities to ensure stability as the health plan launches and matures. The Market President will demonstrate a deep understanding of the New Mexico Medicaid market and possess the qualities that support our core values and mission which will result in successful achievement of financial, membership, and plan goals.
Responsibilities
The Market President that leads AmeriHealth Caritas New Mexico health plan will:


  • Formulate and implement business plans and strategies to ensure profitable operations, meet short-term objectives, and support long-term growth, success, and competitive position in the market.
  • Be accountable for full profit and loss responsibility and develop and implement adequate measures to meet the fiscal needs of the company and maintain an effective system of budgetary control.
  • Monitor and analyze the changing Medicaid landscape and recommend programs and policies to proactively address the changing needs of the membership.
  • Identify State and/or product-specific priorities and determine the appropriate strategic approach that will drive business growth and differentiate AmeriHealth Caritas New Mexico in the market.
  • Work collaboratively with Enterprise Operations to ensure all back office functions are exceeding the requirements of the contract(s).
  • Strive to ensure the overall level of quality for delivery of medical services meets or exceeds appropriate industry standards and state requirements.
  • Provide personal leadership that encourages employee productivity and responsiveness to the needs of current and prospective members, providers, and other community and regulatory customers.
  • Ensure programs are established and monitored to comply with all relevant federal, State, and other local regulations.

    Education/Experience:

    • BA/BS Business or related Health Care industry.
    • Master's Degree preferred.
    • 5 plus years operational experience in Medicaid/Medicare/LTSS.
    • 10 or more years' progressive responsibility in Business or Government, health care management experience required; previous experience in a health plan leadership role preferred.

Keywords: RPMGlobal, Santa Fe , Market President New Mexico, Executive , Santa Fe, New Mexico

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