SVP, Medicaid Services

This is a fully remote position, open to applicants in United States.

📋 Description

• Establish and oversee Honest’s Medicaid service line from inception.

• Formulate Honest Health’s Medicaid strategy and integrate it across partnerships and operational frameworks.

• Design and implement the complete Medicaid service line strategy.

• Create actionable and executable plans tailored to the unique needs of dual-eligible and socioeconomically complex populations.

• Identify and address program risks associated with Medicaid’s patient demographic through innovative program design.

• Convert Medicaid expertise into scalable, market-ready solutions.

• Represent Honest Health in discussions with state agencies, health systems, and Medicaid program administrators.

• Navigate the regulatory, reimbursement, and policy intricacies specific to Medicaid environments.

• Build and maintain relationships with Medicaid stakeholders to position Honest Health as a trusted partner.

• Act as the organizational spokesperson on Medicaid advocacy.

• Collaborate with the Business Development team for Medicaid-related proposals.

• Work alongside field General Managers and Market Chief Medical Officers to ensure alignment of Medicaid program strategies.

• Advise executive leadership on Medicaid risks, opportunities, and competitive positioning in target markets.

⛳️ Requirements

• Bachelor’s degree in Healthcare Administration, Public Health, Business Administration, or a related discipline.

• Over 12 years of progressive experience in Medicaid program design, management, or policy, including roles at a senior or executive level.

• Proven expertise in Medicaid risk-based program structures, state-level negotiations, and delivery model design.

• Extensive knowledge of Medicaid population segments, including dual-eligible beneficiaries, pediatric populations, and those with complex socioeconomic needs.

• Successful history of engaging with state agencies, health systems, and Medicaid stakeholders at an executive level.

• Strong influencing and collaboration abilities with a demonstrated capacity to drive results in matrixed organizations without direct operational authority.

• Executive presence and communication skills essential for representing Honest Health in high-stakes external and internal environments.

• Experience working within or in conjunction with health systems, with a proven ability to operate swiftly outside of bureaucratic settings.

• 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.

• Comprehensive benefits package.