Note: The job is a remote job and is open to candidates in USA. Honest Health is a healthcare organization focused on Medicaid services, seeking an SVP of Medicaid Services to build and lead their Medicaid service line. This role involves developing strategies, managing partnerships, and navigating complex Medicaid policies to enhance service delivery and operational effectiveness.
Responsibilities
- Design and lead the end-to-end Medicaid service line strategy, including program structures, care models, and delivery frameworks tailored to the populations Honest Health serves
- Develop actionable, executable plans that address the distinct needs of dual-eligible and and socioeconomically complex populations
- Identify and mitigate program risks associated with Medicaid’s patient population through innovative program design
- Translate Medicaid expertise into scalable, market-ready offerings that expand Honest Health’s attractiveness to health system partners
- Represent Honest Health in negotiations and discussions with state agencies, health systems, and Medicaid program administrators
- Navigate the regulatory, reimbursement, and policy nuances unique to each state’s Medicaid landscape to advance program goals
- Build and sustain relationships with state and federal Medicaid stakeholders to position Honest Health as a credible and preferred partner
- Serve as the organizational voice on Medicaid advocacy, staying current on evolving policy, payment models, and delivery system reforms
- Partner closely with the Business Development team to support Medicaid-related pitches and health system partnership discussions
- Work within a matrixed structure to drive program implementation through existing field teams, relying on influence and collaboration rather than direct authority. Collaborate with field General Managers and Market Chief Medical Officers to ensure Medicaid program strategies are operationally aligned and market-ready
- Build Honest Health’s internal Medicaid knowledge base and develop the organization’s capabilities to serve this population at scale
- Advise executive leadership on Medicaid risk, opportunity, and competitive positioning in target markets
- Establish credibility with health system partners as a knowledgeable, responsive, and operationally savvy Medicaid leader
- Perform other related responsibilities as assigned
Skills
- Bachelor's degree in Healthcare Administration, Public Health, Business Administration, or a related field
- 12+ years of progressive experience in Medicaid program design, management, or policy, including experience at a senior or executive level
- Demonstrated expertise in Medicaid risk-based program structures, state-level negotiations, and delivery model design
- Deep knowledge of Medicaid population segments, including dual-eligible beneficiaries, pediatric populations, and individuals with complex socioeconomic needs
- Proven track record of engaging with state agencies, health systems, and Medicaid stakeholders at an executive level
- Strong influence and collaboration skills with demonstrated ability to drive results in matrixed organizations without direct operational control
- Executive presence and communication skills required to represent Honest Health in high-stakes external and internal settings
- Experience working within or alongside health systems, with a proven ability to operate at pace outside of bureaucratic environments
- Background in value-based care or risk-bearing Medicaid programs
- Familiarity with clinical operations, documentation integrity, or population health management
Benefits
- Eligible roles also qualify for short-term incentives
- A comprehensive benefits package
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