Job Description
Base Pay
$105000.00 - $120000.00 / Year
Join us in transforming healthcare.
At Longevity Health, we're dedicated to advancing healthcare through innovation, compassion, and excellence. We're looking for passionate individuals to join our team and help us make a difference. The individual holding this position is required to support and demonstrate their commitment to Longevity Health’s purpose: To optimize the quality of life of people in long-term care by focusing on their individualized health needs.
The Market Vice President is a senior market-based executive who provides leadership, management and vision to effectively grow the local health plan, ensure operational effectiveness and efficiency, clinical outcomes optimization, financial strength.
The Market Leader is responsible for Health Plan operations and activities, is directly responsible for driving operational, financial outcomes and to support clinical results of the local health plan, working in a highly matrixed environment with corporate partners. Will coordinate with Longevity Health Plan’s executive team and specifically Chief Clinical Officer and local clinical team to achieve local goals in coordination with national and corporate objectives. The Market Executive Leader must reside in the state of North Carolina in which the Health Plan is licensed.
Key Tasks and Responsibilities:
Establishes and maintains mutually beneficial relationships with local Skilled Nursing Facility partners and key healthcare providers in the market.
Drives laser focus on improving the quality, affordability, and experience of health care for all patients as well as a relentless focus on improving the care delivery experience for providers.
Oversees the delivery of key strategic initiatives and operational plans of Longevity Health Plan that drive operational quality improvement, member growth, earnings, and regulatory compliance.
Monitors key metrics and trends in sales, risk scores, utilization, unit cost, clinical key performance indicators and other business drivers to understand the impact these factors have on financial performance and drive necessary actions to achieve performance objectives.
Assists in the development of strategies to ensure continued growth and financial stability of the health plan in alignment with corporate objectives.
Collaborates with Finance and Performance Analysis teams to identify cost savings initiatives and monitor contract performance.
Controls expenses by gathering and submitting budget information, scheduling expenditures, monitoring variances, and implementing corrective actions.
Implements operational changes in the market in concert with corporate and vendor operations to achieve financial and operations goals for both for the local plan in alignment with other Longevity plans nationwide.
Provides strategic/tactical direction and support to Network contracting team to ensure a strategic and CMS adequate network that meets care, service, compliance, and financial goals.
Develops market team facility visit schedules, assigns, and monitors work, ensures appropriate resources, implements productivity standards, resolves operations problems, maintains reference manuals, and implements new procedures.
Maintains working knowledge of all market key metrics including MLR, APK, IP/OP costs, Admin costs, Hospice population, etc.
Maintains documentation of market-based strategies and current partner interactions, barriers, action plans, etc. in order to drive increased engagement and high levels of I-SNP penetration.
Assists in the development of market and building-specific monthly/annual enrollment targets.
Supports Growth/BD Teams in communication to local Skilled Nursing Facilities that would be a good fit to offer Longevity Health Plan’s ISNP.
Oversees implementation of new partner Skilled Nursing Facilities utilizing market team and corporate resources as needed, setting go-live dates, and ensuring necessary network agreements and clinical resources are in place.
Creates an enrollment plan and productivity targets for each Sales Agent and Licensed Account Manager in the market to grow plan membership.
Collaborates with Longevity Health Plan and executive leadership to develop compensation plans for Sales Agents and Licensed Account Managers and monitors on-going productivity against targets.
Develops materials and presents during Monthly Operating Review meetings, Business Development meetings and partner-facing Joint Operating Committee meetings.
Maintains a regular visit schedule for assigned SNFs, visiting each at least quarterly and ensuring ongoing communication with all relevant owner/operator teams.
In collaboration with the executive leadership team, oversees the integration and delivery of current product offerings and supplemental benefit offerings in the market.
Understands and facilitates legislation/regulations affecting Longevity Health Plan in the market.
Develops and fosters effective collaboration between corporate and functions managed directly by the market.
Collaborates with colleagues in operational risk, compliance, and internal quality audit to ensure that robust policies and procedures are maintained and that risks are identified and addressed quickly.
Functions as a champion of Compliance and collaborates with corporate teams to ensure that local staff and providers complete initial and annual Compliance, Model of Care, HIPAA, and FWA training.
Represents Longevity Health Plan both in external in external forums and develop the Longevity Health Plan brand with regulators, providers, AHCA, and local healthcare partners.
Performs other related duties as assigned.
Supervisory Responsibilities: The Market VP supervises all market-based staff within the Markets department: Account Managers, Sales Agents, and Member Advocates.
Responsible for recruiting, selecting, orienting, and training employees within assigned market.
Manages staff performance ongoing and provides coaching, counseling, and discipline as needed.
Leads a weekly markets team call in collaboration with clinical team and cohosts clinical-focused monthly meeting together with the Market Director of Clinical Services.
Implements and enforces systems, policies, and procedures.
Maintains safe and healthy work environment by establishing and enforcing organization standards and adhering to legal regulations.
Communicate with each market team member regularly, ensuring focus on team priorities and progress toward goals.
Ensures quality and customer service standards are followed by all market-based team personnel.
Credentials & Coverage:
Licensure is not required for this position but preferred. LNHA, Health Insurance License or Clinical board certification/license is highly preferred.
Auto insurance coverage as required by your state of residence. New employees will be responsible for providing proof of coverage prior to hire and on an ongoing basis.
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Education and Training:
MBA, MSN or advanced degree in health care management, nursing with business education or other relevant technical or operations field preferred.
Knowledge and Experience:
Minimum of 5-10 years of health care industry experience, with Medicare expertise required (either through health plan or provider organization).
Strong local market knowledge of the skilled nursing home environment and experience in Medicare Advantage marketing and sales strongly preferred.
Understanding of functional areas and their impact on overall performance (beyond operations, including clinical, finance, IT, compliance, and legal).
Knowledge of the evolving health care delivery system, including expertise in population health management, Medicare health plan operations and value-based care delivery models, as well as a passion for improving the quality and affordability of health care for the frail and elderly living in nursing homes strongly preferred.
Strong entrepreneurial drive along with the operational skills needed to consistently drive results.
Excellent written and oral communication skills with internal and external business partners and employees.
Independent decision-maker and calculated risk-taker.
Strong strategic and analytical orientation with the ability to drive operational excellence and strong business performance.
Ability to maintain relentless personal and team focus on achieving long-term objectives in the face of potential distractions.
Excellent planning and problem-solving skills that enable quick identification and efficient resolution of issues.
Highly collaborative with the ability to influence others and build strong professional relationships, especially in a highly matrixed organization.
SUMMARY:
Company Overview
Longevity Health is a national provider of Institutional Special Needs Plans (I-SNP), created to meet the complex healthcare needs of nursing home residents. Since our founding in 2018, we've expanded our services across several states and formed strategic partnerships to deliver high-quality, patient-centered care. We are actively growing, with plans to continue expanding our services across the nation.
Longevity Health is an Equal Opportunity Employer. We value diversity and encourage applicants of all backgrounds to apply.
COVID-19 Vaccination Policy
Longevity Health follows federal and state regulations regarding COVID-19 vaccinations. Some facilities may still require staff vaccinations to protect the health of residents. Applicants will be required to provide proof of vaccination, or an approved exemption, where applicable.
If you are passionate about healthcare and ready to help us drive change in long-term care, apply now to join the Longevity Health team!
