The Vice President (VP) – Executive Director is the visionary leader responsible for the long-term success and sustainable growth for MedStar Family Choice – DC’s health plan.

• Possess a deep understanding of the Medicaid program framework, including eligibility criteria, financing models, provider network management, and program regulations.
• Develops department goals, objectives, policies, and procedures. Ensures compliance with business unit policies and procedures and governmental and accreditation regulations.
• Oversee the financial health and sustainability of the Medicaid health plan. Manage budgets, revenue projections, resource allocation and ensure fiscal responsibility and compliance with regulations. Develops and recommends department operating budget and manages resources according to approved budget.
• Selects, trains, orients, and assigns department staff. Develops standards of performance, evaluates performance, and conducts performance management planning. Initiates or makes recommendations for personnel actions. Maintains ongoing communication with subordinates to review programs, provide feedback, discuss new developments, and exchange information.
• This position involves leading a management team of direct reports and shared services staff and managing within a matrix environment. This position is accountable for all aspects of plan operations, ensuring quality, cost-effectiveness, and a positive member experience.
• Develops and contributes to the achievement of established goals and objectives and adheres to MedStar Health, MedStar Family Choice (
• Provides assistance and input to the medical expense economics team charged with analyzing cost drivers and identifying and implementing cost improvement plans where appropriate.
• Ensure strict adherence to all federal and Maryland state Medicaid regulations, including data privacy and security measures. Proactively monitor legislative changes and adapt strategies accordingly. Provides leadership and maintains operations and procedures to ensure MedStar Family Choice -DC is in compliance with its government contracts.
• Assists in the development of annual and long-range operating and capital budgets and forecasts for MedStar Family Choice.
• In collaboration with the President of MedStar Family Choice, develops, implements, and manages a strategic planning process that results in a vision for MedStar Family Choice -DC consistent with MedStar Health’s strategic plan, and defines the specific operational strategies required to accomplish those organizational goals and objectives.
• Serve as the principle point of contact and liaison between MedStar Family Choice – DC and the Department of Healthcare Finance.
• Ensure exceptional member experiences and satisfaction. Lead efforts to address member concerns, resolve issues promptly, and provide accessible support resources.
• Responsible for representing or designating representative(s) for MedStar Family Choice-DC at all meetings called by Department of Healthcare Finance and other agencies.
• Prepares and presents information concerning MedStar Family Choice-DC operational performance and strategies to the MedStar Family Choice board of directors.
• Participates in meetings and on committees and represents the DC health plan in community outreach efforts.

Education

• Bachelor’s degree in Business Administration, Public Health, Health Administration, related field required
• Master’s degree preferred

Experience

• 10+ years Progressively responsible experience in healthcare, deliver systems, or health plan in a senior role, ideally with a managed care organization; (successful experience with more than one organization is preferred) required
• Minimum of five (5) years in a senior leadership role within a Medicaid organization required

Knowledge, Skills, And Abilities

• Proficient problem solving, including being able to identify and resolve complex problems, such as developing innovative solutions based on extensive knowledge of managed care.
• A broad understanding of information systems and programs and the strategic and operational values they bring to healthcare analytics and operations. Complete understanding of the financial, operational, and regulatory processes of the Maryland/District of Columbia Medicaid managed care program.
• Excellent verbal and written communication skills.