Career Resources Newsletter March 2017

The National Managed Care Leadership Directory
Sponsor Message

Employment Marketplace

President - Health Sciences South Carolina
Health Sciences South Carolina, based in Columbia, South Carolina, has retained Witt/Kieffer to assist in the recruitment efforts for the position of President. The President, Health Sciences South Carolina, will develop further, facilitate, oversee, and participate in a statewide research enterprise leading initiatives that improve care. This includes the Carolina eHealth Alliance HIE (CeHA), the South Carolina Surgical Quality Collaborative (SC SQC), one of the largest Clinical Data Warehouses used for applied research in the country, an innovative eIRB program, and the Carolinas Collaborative that serves as a platform to bring together research institutions and healthcare providers to develop innovations through advanced healthcare analytics and data access. Click here for more information.
 

Vice President, Managed Care Contracting, Sentara Healthcare - Virginia Beach
Witt/Kieffer is pleased to partner with Sentara Healthcare, located in the Virginia Beach area, in their executive recruitment for a strategic Vice President, Managed Care Contracting to join the team. Sentara Healthcare, with revenues of nearly $5 Billion and 30,000 employees, is one of the largest fully integrated healthcare delivery systems providing healthcare services to the residents of Virginia. The new Vice President will provide the entrepreneurial leadership for the continued development and execution of the managed care strategy for Sentara Healthcare’s 12 hospitals in addition to its numerous imaging centers, nursing homes, medical group, and ancillary entities. Sentara also has multi-state initiatives in addition to Virginia. Click here for more information.
 

Chief Financial Officer, Health Plan of San Mateo (HPSM) - California
We are pleased to announce that Witt/Kieffer is partnering with the Health Plan of San Mateo (HPSM), located in South San Francisco, California, in the search for a new Chief Financial Officer. This is an especially outstanding CFO opportunity for a mission-driven and creative financial executive who excels in a fast paced, high growth environment. As the organization’s chief financial strategist, the CFO will provide overall strategic financial advice, manage the financial assets of HPSM, and monitor financial performance against the annual budget. He/she will be responsible for providing leadership for the Finance, Claims, and Administrative Services Departments with oversight of 60 staff. Click here for more information.
 

Assistant Vice President, Network Development - OneCity Health
OneCity Health has retained Witt/Kieffer to assist in the recruitment of its new Assistant Vice President, Network Development (AVP). The new AVP will join OneCity Health as a senior executive responsible for developing and refining a comprehensive provider network capable of serving (initially) nearly one million member lives across all lines of business, including uninsured, and additional members over time as more health plan contracts are negotiated that lead to risk-based contracts. The AVP will be responsible for building a high quality, engaged, performance-oriented and cost effective network capable of serving risk payer contracts for the NYC Health + Hospitals system, IPA and ACO. Click here for more information.
 

Senior Assistant Vice President/Chief Financial Officer - OneCity Health
OneCity Health has retained Witt/Kieffer to assist in the recruitment of its new Senior Assistant Vice President/Chief Financial Officer (CFO). The CFO will be a key partner to the CEO in evaluating new lines of business consistent with OneCity Health’s mission, ensuring the financial health of the organization and making presentations to the boards and other constituents as needed. The CFO is a vital member of the executive leadership team and provides general oversight to anything of a financial nature which impacts the operation and bottom line of OneCity Health. OneCity Health is NYC’s largest Performing Provider System (PPS). Click here for more information.
 

Coverage Determinations & Appeal Systems Director Medicare Part D, CVS Health - Richardson, TX
As the Coverage Determinations and Appeals Systems Director of the Medicare Part D Clinical Configuration team you will be a vital leader within the Coverage Determinations and Appeals (CDA) group in the Government Services division and broader Pharmacy Benefit Management (PBM) business, with accountability for the quality and successful configuration of all Prior Authorization decision criteria, written communications to beneficiaries and prescribers, and all other configurable elements of the MedHOK CDA system. Click here for more information
 

Coverage Determinations & Appeals Operations Director Medicare Part D, CVS Health - San Antonio, TX
As the Coverage Determinations and Appeals Operations Director of the Medicare Part D Coverage Determinations and Appeals (CDA) San Antonio Operations you will be a vital leader within the Government Services Division and the greater Pharmacy Benefit Management (PBM) business. You will have accountability for delivering financial, operational, compliance, and service excellence in Medicare Part D Coverage Determinations and Appeals. Click here for more information.
 

Director of Payer Relations, Affirmant Health Partners – Kalamazoo, Michigan
Affirmant Health Partners is a newly established, cutting-edge clinically integrated network that seeks to create a healthy Michigan at an affordable cost by changing the way health care is organized and paid for. The Director of Payer Relations will join a team that includes the President and CEO, Director of Clinical Integration, Manager of Communications, and two administrative support staff. The Director of Payer Relations will engage and create relationships with health plans, local brokers, employer health coalitions, and other community organizations. He/she will be tasked with directing, conducting and supervising negotiations with insurance companies, HMOs, employers and other healthcare purchasers.
Click here for more information.
 

Chief Information Officer (CIO), Anne Arundel Health System - Annapolis, Maryland
The Chief Information Officer (CIO) at Anne Arundel Health System (AAHS) in Annapolis, Maryland is an exciting opportunity for a charismatic, energetic, progressive, innovative senior IT executive to make a significant impact by leading an existing technology department within a forward thinking, progressive and growing organization. The CIO will be responsible for the overall leadership and management of information systems across AAHS and will report to the Executive Vice President, Integrated Care Delivery and Chief Operating Officer. The CIO will be a member of the Executive Council, Operations Council and Quality Council. Click here for more information.
 

Director, Payer Strategy, Contracting and Relationship Management, Mercy Health Network - West Des Moines, Iowa
Mercy Health Network (MHN) is a state-wide health system that consists of over 15 owned hospitals, one joint venture surgical hospital, 25 managed/affiliated community hospitals, 207 physician owned clinics, and other entities. It is a joint venture between CHI and Trinity Health and the system is seeking to find a Director, Payer Strategy, Contracting and Relationship Management. This key leader will be responsible for leading the strategic operations and negotiations for all payer and managed care contracting comprised of MHN employed and affiliated providers. The Director will report to the MHN System Chief Financial Officer. Click here for more information.
 

Director of Contracting/Managed Care, Cottage Health - Santa Barbara, CA
The Director of Contracting is responsible for the analysis, contract negotiation, data management, implementation, contract maintenance, and problem resolution of all hospital services and physician/ambulatory service related contracts with commercial and Medicare and Medicaid payors relating to services provided by Cottage Health and all of their entities and affiliates. The Director will be aware of the regional managed care market conditions and ensure that Cottage Health is best positioned given the environment. Click here for more information.
 

Promotion Annoncements

 1. CareMore Health System Names Dr. Zubin Eapen as Chief Medical Officer
 2. Kaiser Permanente Center for Health Research Welcomes Lucy Savitz as New Director
 3. Inter Valley Health Plan Adds Paul Biberkraut to its Executive Team
 4. Capital BlueCross Announces Susan Hubley as Vice President of Corporate Social Responsibility
 5. Horizon BCBSNJ names Dr. Thomas R. Graf, MD new Chief Medical Officer
 6. Centene Corporation Appoints Chris Koster To Senior Vice President, Corporate Services
 7. Health Partners Plans Names Bill Vazquez Vice President of Innovations
 8. Horizon BCBSNJ names Dr. Thomas R. Graf, MD new Chief Medical Officer
 9. SSM Health names Laura Kaiser as next President and CEO
10. Fallon Health appoints David Brumley, M.D. as Senior Medical Director and VP of Medical Affairs
11. The Joint Commission Appoints Two Exec Directors to Business Development and Marketing Division
12. UPMC WorkPartners names Dr. Michael M. Rowe Senior Medical Director
13. Kaiser Permanente Names Jim Simpson President of Kaiser Foundation Health Plan of Georgia
14. Kaiser Permanente Names Le Anne Trachok New Senior Vice President for Revenue Management
15. CVS Health Names Jon Roberts Executive Vice President and Chief Operating Officer

 

   HealthcareWebSummit Events

Upcoming Webinars:

Measuring and Benchmarking SNF Performance Metrics for ACOs and MA Plans, March 14, 2017
Making an earlier impact on health and outcomes -- Why Wait?, March 15, 2017
 
MACRA and Medicare Advantage Plans: Synergies and Potential Opportunities, March 29, 2017
2017 Population Health Web Summit, May 24, 2017

Check out Post-Event Materials from past HealthcareWebSummit events on a wide range of key topics at www.healthwebsummit.com/pastevents.htm
 

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Click here to find out about options for employers and recruitment firms to list employment opportunities in the @Career newsletter, plus in the MCOL and Payers & Providers web sites.
 

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