Job Description
**Become a part of our caring community**
The VP, Medicaid Clinical Operations is an enterprise executive responsible for leading Medicaid clinical operations, utilization management, care management/service coordination, and clinical program delivery across Medicaid markets. This leader translates Medicaid strategy, market requirements, quality priorities, and regulatory expectations into standardized operating models, scalable workflows, measurable performance outcomes, and ensures operational excellence. The role is accountable for operational execution, clinical program performance, workforce productivity, compliance, quality, cost, access, member experience, provider experience, and risk management across complex Medicaid populations, while partnering with Product, Technology, Data, and Analytics teams to ensure Clinical Operations needs are effectively translated into technology requirements and enabled solutions.
**This position is remote. However strong preference will b...
The VP, Medicaid Clinical Operations is an enterprise executive responsible for leading Medicaid clinical operations, utilization management, care management/service coordination, and clinical program delivery across Medicaid markets. This leader translates Medicaid strategy, market requirements, quality priorities, and regulatory expectations into standardized operating models, scalable workflows, measurable performance outcomes, and ensures operational excellence. The role is accountable for operational execution, clinical program performance, workforce productivity, compliance, quality, cost, access, member experience, provider experience, and risk management across complex Medicaid populations, while partnering with Product, Technology, Data, and Analytics teams to ensure Clinical Operations needs are effectively translated into technology requirements and enabled solutions.
**This position is remote. However strong preference will b...