General Manager, CHOICE Health Plans (MLTC)
Visiting Nurse Service of New York (VNSNY) is the nation s largest not-for-profit community-based health system. VNSNY provides a comprehensive array of home- and community-based programs, including health plans, tailored to the needs of high-risk, vulnerable New Yorkers, improving their quality of life. Each day, more than 18,000 VNSNY employees including nurses, rehabilitation therapists, social workers, dieticians, other allied professionals, and paraprofessionals deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and resources to more than 35,000 patients, helping them to live the best lives possible.
RESPONSIBILITIES AND QUALIFICATIONS:
Oversees the strategic planning and administration for one or more of the following CHOICE products: Managed Long Term Care (MLTC), Fully-Integrated Dual Advantage (FIDA), Medicare Advantage and Select Health. Collaborates with functional leaders in the development of a business plan that is aligned with CHOICE goals and objectives. Is responsible for the achievement of all financial targets, and ensuring compliance with all applicable government regulations. Establishes budgets and metrics used to evaluate products; leads the evaluation and reporting of progress. Works under general supervision.
Bachelor&rsquot;s Degree in Accounting, Finance, Business Administration or related area required. Master&rsquot;s Degree in Business Administration, Finance or Accounting preferred.
Minimum six years of experience in business management, planning and financial oversight required. Demonstrated knowledge of health plan operations including enrollment and member services, utilization, claims processing, contracting and provider relations, and regulatory compliance required. Demonstrated ability to collaborate and interact cooperatively with all levels of management and their staff required. Advanced quantitative and qualitative analytical skills required. Strong problem solving and decision making skills required. Excellent oral/written/interpersonal skills required. Proficient PC skills, including MS Word, Excel and Access required.
VNSNY is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, disability or protected veteran status. If you would like more information about your EEO rights, then please visit: