Senior Vice President, Medicare and Medicare Advantage

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🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $376.7k - $517.9k / year

⏰ Full Time

🟠 Senior

👔 Vice President

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Ascension

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U. S. , Ascension is committed to delivering compassionate, personalized care to all, particularly focusing on those living in poverty and the most vulnerable populations. Operating over 2,600 sites of care, including 151 hospitals, Ascension offers a variety of services, including physician practice management and clinical care management, while emphasizing a mission of community benefit.

📋 Description

• Design and execute technology-enabled clinical care management programs across acute and ambulatory settings to lower the total cost of care • Optimize and direct ACO/MSSP programs, providing physician-level insights, TIN optimization, KPI performance and growth • Lead accurate, compliant and audit-ready risk adjustment to reflect patient acuity • Design quality and outcomes initiatives, advancing Medicare Advantage Star ratings and population health improvement • Drive performance across Commercial and alternative value-based care contracts by interfacing with payors and executing operational levers • Evaluate and integrate third-party enablers to scale delivery • Partner with regional, market and hospital-level leaders and internal managed care teams to drive strategic alignment, ROI-focused investment, and population health team sustainability • Support high-stakes contract negotiations and cultivate payer relationships throughout the contract lifecycle • Provide executive presence in advocacy efforts, translating legislative and regulatory shifts into compliant care delivery models • Drive integration of AI and predictive analytics to improve patient engagement, close care gaps, and improve population health • Evaluate market- and hospital-level teams and influence targeted operational optimizations

🎯 Requirements

• Bachelor's degree with 10 years of applicable cumulative job specific experience required • 5 of those years being in leadership/management • Payor-side and/or health system-side experience driving population health, chronic care management and value-based care success • Experience aligning clinical quality, risk adjustment, financial performance, and population-level patient outcomes • No licensure, certification, or registration required

🏖️ Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options • Employer-matched 403(b) • Planning and hardship resources • Disability and life insurance • Pro-rated paid time off (PTO) and holidays • Ascension-paid tuition (Vocare) • Reimbursement • Ongoing professional development and online learning • Employee Assistance Program • Counseling and peer support • Spiritual care and stress management resources • Parental leave, adoption assistance and family benefits • Optional legal and pet insurance • Transportation savings

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