Basic Qualifications:

Experience

Minimum ten (10) years experience in P&L and/or LOB ownership, inclusive of a combination of health benefits marketing, sales, business development, account management, distribution channels, clinical operations and administration, regulatory compliance, including five (5) years of senior management experience.

Education

Bachelors degree in related field OR four (4) years of experience in a directly related field.
High School Diploma or General Education Development (GED) required.

License, Certification, Registration

Additional Requirements:

Strong knowledge of all Medicare market segments, federal regulations, and compliance guidelines.
Success in leading a high performing health plan functions in a multi-regional organization with multiple lines of business.
Demonstrated success in managing complex organizational initiatives involving multiple functions and multiple business units/regions. Includes the identification and articulation of problems, as well as the successful buy-in, execution and benefit realization.
Successful leadership and management experience in large, complex organizations with multiple business units.
The ability to build collaborative relationships and effectively communicate and influence a variety of senior business leaders, including physicians.
Understanding of current health benefits market forces and their implications for Health Plans, care delivery systems and KP.

Preferred Qualifications:

Experience within large health care delivery organizations including integrated systems, is preferred.
Master-s degree in business administration, public health, administration, or related field, preferred.

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