Elevance Health · 10 hours ago
RVP Medicare Market President (West)
Grand Prairie, TX
Full-time
Onsite
Director/Executive
$216K/yr - $339K/yr
12+ years expElevance Health is a health company dedicated to improving lives and communities. The RVP Medicare Market President for the West region is responsible for the fiscal, operational, and regulatory management of Medicare Health plans, aligning strategy to achieve business goals while leading a team of direct reports.
Health CareHealth InsurancePersonal HealthWellness
Responsibilities
Manage the health plan(s) P&L to include revenue, cost management/Cost of Care, SG&A, and forward-looking product growth opportunities, for Medicare Advantage and Medicare Supplement products
Collaborate with growth partners in the execution of service deliverables, manage the resolution of escalated issues, and ensure that growth partners are following through on performance metrics
In collaboration with Product, Actuary, and Finance, lead the annual bid strategy, process, and submission and oversee the successful implementation of plan changes
Oversee and participate in medical management, medical staffing, seasonality issues, detailed communications with the medical directors, and nurse leaders. Collaborate with HSO and Carelon on clinical Models of Care to best grow and manage Medicare Advantage products including DSNP and CSNP, as well as to drive Stars performance
Oversee and participate in the development of growth strategies and retention initiatives for West markets and possible white space expansion
Oversee marketing, retention, experience, and product growth strategies and business initiatives as well as other community-based initiatives
Collaborate with national growth partners to provide oversight of Stars and Risk Adjustment performance while driving local market strategies with providers and other key stakeholders
Drive provider collaboration and engagement in the areas of service and Payment Innovation with deep partnership with Health Care Networks (HCN). Oversee value-based provider performance
Develop and implement network strategies specific to local markets, identifying and cultivating strategic alliances, network adequacy and network development for service area expansion, building new network models with significant provider organizations, and providing local strategic insight into the design and implementation of high-performance networks, including facility and provider performance incentives
Work with growth partners to implement whole health and health equity strategies and programs to improve member health
Ensure Compliance and performance management in collaboration with the Compliance team, growth partners, and the health plan, relative to CMS rules and expectations. Work with growth partners to reduce compliance actions and points
Oversee state SMAC (DSNP) contract requirements for regulatory reporting, encounter reporting, quality audits, HEDIS/EPSDT, state relationships for DSNP, and other contract requirements. Ensure county footprint/expansion is in alignment with Medicaid growth goals and LTSS strategies
Oversee Alliance contract requirements and performance, growth strategies, and long-term strategies to maintain or grow contract for new products
Nurture alliance and other external partnership relationships
Collaborate with peer Commercial and Medicaid Presidents in your health plans/markets on key growth, provider, community, and catcher’s mitt strategies
Support internal Business Operating Review leadership presentations
Hire, train, coach, counsel, and evaluate performance of direct reports and lead with our Culture principles and behaviors
Qualification
Required
Requires a BA/BS degree in a related field and a minimum of 12 years of related experience, including 8 years of experience in government sponsored health insurance programs and prior leadership experience; or any combination of education and experience, which would provide an equivalent background
Travel may be required
Preferred
Previous experience in managing P&L's in large complex matrixed organizations
Previous experience developing and/or submitting Medicare Advantage bids
Previous experience managing value-based provider relationships
Previous Medicaid and/or Dual Eligible experience is preferred
Experience/expertise in managing cost of care and trend is desired
Prior experience and/or expertise in driving Star performance is desired
Master's degree preferred
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
Life insurance
Wellness programs
Financial education resources
Company
Elevance Health
Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.
10001+ employees
H1B Sponsorship
Elevance Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (488)
2024 (604)
2023 (660)
2022 (222)
Funding
Current Stage
Public CompanyTotal Funding
unknown2001-10-30IPO
Leadership Team
Gail K. Boudreaux
President and CEO
Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
Recent News
2026-01-16
2026-01-12
2026-01-11
Company data provided by crunchbase