Job summary
Job post source
This job is directly from Johns Hopkins Health Plans
Job overview
The VP Medicare Advantage leads and grows the Medicare Advantage and D-SNP business at Johns Hopkins Health Plans, driving strategy, performance, and operational excellence with full P&L accountability.
Responsibilities and impact
The role involves developing growth strategies, overseeing product design and CMS compliance, managing operations and delegated vendors, ensuring quality STARs performance, and leading a cross-functional team to achieve business goals.
Experience and skills
Requires a Master's degree and at least 10 years of leadership in Medicare Advantage with 5+ years executive experience, strong knowledge of CMS regulations, STARs, and P&L management; preferred experience includes STARs improvement, delegated models, and provider-sponsored plans.
Work environment and culture
The company fosters a culture of collaboration, accountability, innovation, and continuous improvement within a high-performing team environment.
Company information
Johns Hopkins Health Plans is a $3.2B managed care business of Johns Hopkins Medicine serving nearly 500,000 members across multiple lines including Medicare and Medicaid, known for innovative, analytics-driven health programs.
Team overview
The candidate will lead a high-performing cross-functional team across Medicare operations, strategy, sales, and clinical integration.
Job location and travel
The role covers Medicare Advantage business across two states; specific office location and remote work options are not detailed.
Unique job features
This senior executive role offers full P&L responsibility and the opportunity to impact growth and quality in a leading provider-sponsored health plan.
Company overview
Johns Hopkins Health Plans is a healthcare organization that provides a range of health insurance products and services, including Medicaid, Medicare, and employer group plans. They generate revenue through premiums paid by members and reimbursements from government programs. The company is part of Johns Hopkins Medicine, a renowned institution with a history of medical innovation and excellence. Candidates should be aware of the company's commitment to improving community health and its integration with one of the leading medical research and teaching institutions in the world.
How to land this job
Position your resume to highlight leadership in Medicare Advantage and Dual Eligible Special Needs Plans, emphasizing your experience managing multi-state portfolios and full P&L accountability to align with Johns Hopkins Health Plans' expectations.
Focus on showcasing your strategic growth initiatives, STARs performance improvements, CMS compliance expertise, and ability to drive cross-functional collaboration in complex healthcare environments.
Apply through multiple avenues including the Johns Hopkins Health Plans corporate careers page, LinkedIn, and reputable healthcare job boards to maximize your exposure for this senior role.
Connect on LinkedIn with current executives and leaders within the Medicare Advantage division at Johns Hopkins Health Plans, using ice breakers like commenting on recent company growth announcements or asking about their approach to STARs quality improvements.
Optimize your resume for ATS by incorporating keywords from the job description such as 'Medicare Advantage,' 'P&L accountability,' 'CMS compliance,' 'STARs performance,' 'D-SNP,' and 'benefit design' to ensure it passes initial automated screenings.
Leverage Jennie Johnson's Power Apply feature to automate tailored applications, identify optimal job posting locations, and find relevant LinkedIn contacts, allowing you to focus your time on preparing for interviews and strategic networking.
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