Having authority over the general administration and day to day activities of the MI Blue Cross Complete agreement, the Market President will provide the strategic vision and operational expertise to successfully lead AmeriHealth Caritas’ in the state of Michigan. In this role, the Market President will be a proactive, strategic, and decisive leader who demonstrates a commitment to ensuring that our members have access to high quality health care services. The Market President is responsible for cultivating AmeriHealth Caritas' presence and brand recognition through establishing influential relationships with key stakeholders and by developing partnerships with key providers, associations, and community leaders. In collaboration with corporate stakeholders, this executive will lead the strategic development, growth, and operations of the health plan. The Market President will demonstrate a deep understanding of the Michigan Medicaid market and possess the qualities that support our core values and mission which will result in successful achievement of financial, membership, and plan goals. This role is also responsible for managing the relationship and reporting to the BCBSM executive leadership team.

Key Responsibilities:

The Market President that leads our Michigan health plan will:

• Formulate and implement business plans and strategies to ensure profitable operations, meet short-term objectives, and support long-term growth, success, and competitive position in the market.
• Be accountable for full profit and loss responsibility and develop and implement adequate measures to meet the fiscal needs of the company and maintain an effective system of budgetary control. • Monitor and analyze the changing Medicaid landscape and recommend programs and policies to proactively address the changing needs of the membership
• Identify State and/or product-specific priorities and determine the appropriate strategic approach that will drive business growth and differentiate AmeriHealth Caritas in the marketplace.
• Work collaboratively with Enterprise Operations to ensure all back-office functions are exceeding the requirements of the Michigan contract(s).
• Strive to ensure the overall level of quality for delivery of medical services meets or exceeds appropriate industry standards.
• Provide personal leadership that encourages employee productivity and responsiveness to the needs of current and prospective members, providers, and other community and regulatory customers.
• Ensure programs are established and monitored to comply with all relevant federal, State, and other local regulations.
• Foster and builds a collaborative partnership with a cross functional internal team and external constituents/stakeholders.
• Directs, coordinates, and supports product implementation and/or service area expansion as needed.
• Build a best-in-class team that reflects the AmeriHealth Caritas culture and supports the Michigan line of business.

Experience/Skills:

• Five to 10 years operational experience in Medicaid/Medicare/LTSS
• Ten or more years progressive responsibility in business or government, health care management required
• Previous experience in a health plan leadership role
• BA/BS Business or related Health Care Industry; Masters Degree preferred• Demonstrated knowledge and successful record of health plan operations including enrollment and member services, utilization, claims processing, contracting and provider relations, and regulatory compliance required.
• Demonstrated ability to collaborate and interact cooperatively with all levels of management and their staff required.
• Proven success in leadership of program management, execution, and development.
• Skilled in effectively presenting information and ideas to an executive audience.