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Job Details

Market-VP

Company name
Wellcare

Location
Columbia, SC

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Market VP','1703381','!*!About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled. The company serves approximately 4 million members and employs approximately 6,500 people nationwide as of Sept. 30, 2014. For more information about WellCare, please visit our website at www.wellcare.com or view our videos at https://www.youtube.com/user/WellCareHealthPlan.EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, sex, age forty (40) and over, disability, veteran status, or national origin.','!*!Helps set strategy and drives the profitability of a single state or market segment with revenues above $100M with overall responsibility for network development, provider relations, marketing and potentially sales. Provides leadership in all facets of the business including planning, assistance with the day to day management of state operations, project and initiative leadership, as well as organization development. This role will facilitate problem identification, solution development, and initiative implementation as well as facilitate and make critical decisions on behalf of the Senior Team. The Market VP is an integral part of the Senior Leadership Team and works collaboratively with the Leadership Team, WellCare Corporate Senior Leadership and others as required.

Reports to: State President

Department: SC-Exec-State

Location: Columbia, SC

 

Essential Functions:

Key role supporting market on effective medical management, financial, compliance and quality through effective network contracting and long-term approach to successful partnerships with key providers. Matrix responsibility for overall success of the market.

Provides day-to-day leadership for network development, provider relations, marketing and potentially sales

Critical role in achieving business results within the assigned market

Recognized as a senior member of WellCare’s team in the market and responsible for establishing and maintaining key relationships with providers, hospitals, and community organizations.

Oversees the development and maintenance of a viable provider network to ensure the health care needs of WellCare members. Develops and manages provider contracts and partnerships to achieve quality and cost management objectives. Works closely with providers to enhance relationships and maximize their ability to effectively manage the cost of medical delivery.

Own and manage special projects assigned by the health plan that may interface across multiple functional areas of WellCare, and liase with external stakeholders or consultants as needed.

Recommendations carry considerable weight in budget decisions impacting their market.

Provides leadership and direction to the management team to ensure the organization's strategic plan is translated into tactical goals and objectives that guarantee performance objectives are met or exceeded.

Assist and leads where appropriate, with aspects of state and federal government relationships, including dealing with regulators, as necessary, to establish and continue effective working relationships. Ensures that all state and federal regulations are met.

Performs other duties as assigned. ','!*!Candidate Education:

Bachelor's degree in a related field with 10 years of directly related experience with 5 years of previous management experience is required.

Master's Degree in a related field with 5 years of directly related experience with 3 to 5 years previous management experience is or equivalent work experience is preferred.

Candidate Experience:

10 years of experience in managing a P&L in a health care environment; government programs and managed care experience is required.

5 years of management experience is required

Candidate Skills:

Ability to lead/manage others

Ability to influence internal and external constituents

Ability to analyze and interpret financial data in order to coordinate the preparation of financial records

Ability to drive multiple projects

Ability to lead/manage others in a matrixed environment

Ability to represent the company with external constituents

Demonstrated analytical skills

Demonstrated interpersonal/verbal communication skills

Demonstrated leadership skills

Demonstrated negotiation skills

Knowledge of healthcare delivery

Other Extensive technical/functional expertise with strong management skills to coordinate broad function areas

Licenses and Certifications: Technical Skills:

Intermediate skills with Microsoft Excel, Outlook, PowerPoint and Word is required

 *LI-CS1','US-SC-Columbia','200 Center Point Circle','#180 & 240','Columbia','29210','','','No','No','Market VP'

Company info

Wellcare
Website : http://www.wellcare.com

Company Profile
WellCare Health Plans, Inc. focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. The company served approximately 3.8 million members nationwide as of Sept. 30, 2015. For more information about WellCare, please review our website and view the company’s videos. WellCare has developed a full complement of expertise in three major areas of government-sponsored health care…. Medicaid, Medicare Advantage and Medicare Prescription Drug Plans. Leveraging our expertise for our members' benefit is a key part of the value we bring to our members. WellCare focuses on those members who are dually eligible for both Medicaid and Medicare. This is an area of specialization that many other health plans simply do not have. We are committed to continually improving the quality of care and service that we provide to our members. We help our members access the right care at the right time in the appropriate setting. For some members, this includes the use of coordinated care teams and community partnerships. And we’re focused on government customers and use a disciplined approach to ensure a competitive cost structure.

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