VP Medicare

Job Description

The VP Medicare is a strategic executive responsible for setting the vision and driving overall business results for government programs, including Medicare Advantage and the Federal Employee Health Benefit Plan (FEHB). This leader holds full P&L accountability across multiple states, overseeing program performance, growth, market strategy, and compliance to ensure alignment with company goals and regulatory requirements. The leader is directly accountable for STAR ratings performance, compliance, and revenue integrity for all Medicare Advantage products, leading market performance, cost structure, and go-to-market execution to achieve sales growth, market share, and client satisfaction.

In addition, the leader directs product strategy and market intelligence, manages the development and execution of business strategies, and champions innovation by translating consumer, employer, and market insights into actionable initiatives. The role includes oversight of FEHB product vision, design, development, and management, ensuring successful launches and enrollment growth. This position collaborates closely with senior leaders across the organization, maintains relationships with key stakeholders, and ensures adherence to compliance and regulatory guidelines.

The leader empowers a high‑performing product team and is responsible for department planning and budget management, driving Select Health’s membership growth and market expansion through strategic leadership and operational excellence.

• Provides strategic leadership and oversight for all Medicare Advantage products across all regions, with full P&L responsibility and accountability for STAR ratings performance.
• Develops and executes strategies to achieve and sustain high STAR ratings, driving quality improvement initiatives and cross‑functional collaboration.
• Leads market expansion efforts, including new market entry, service area growth, and the integration of ancillary products.
• Oversees consumer analytics and market intelligence, translating insights into actionable initiatives to improve product performance and member experience.
• Ensures all Medicare programs are positioned to meet or exceed membership growth and financial goals.
• Builds and maintains senior relationships with key stakeholders, including provider leaders, government officials, and community partners, to advance strategic objectives and enhance Select Health’s reputation.
• Evaluates and implements new product opportunities, strategic partnerships, and competitive positioning to support growth initiatives.
• Ensures compliance with all regulatory requirements and leads engagement with state and federal agencies, industry associations, and legislative bodies.
• Develops and manages departmental budgets and resource plans to support operational excellence and growth.
• Recruits, develops, and empowers a high‑performing Medicare leadership team, fostering a culture of accountability, innovation, and continuous improvement.
• Educates, collaborates, and communicates with Select Health, Intermountain, and affiliate provider/delivery system leadership of all levels to ensure understanding of Select Health strategic positioning and ensure effective integration of Select Health strategies with delivery system strategies and initiatives.
• Provides information to regulators, state and federal legislators and legislative committees/task forces and works with industry association groups to influence policy and regulatory change.

• Multi‑State Medicare Advantage Product Leadership
• STAR Ratings and Quality Improvement Expertise
• Strategic Vision and Market Expansion
• Regulatory and Compliance Expertise
• Financial Acumen and P&L Management
• Cross‑Functional Team Leadership
• Data‑Driven Decision Making
• Stakeholder Relationship Building
• Change Management and Innovation

• Demonstrated executive‑level Medicare health plan experience with a record of progressive and varied responsibilities.
• Demonstrated success in leading STAR ratings improvement and quality initiatives.
• Strong leadership abilities to interact effectively across organizational boundaries and regions.
• Strong…