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Buckeye Health Plan · 2 days ago

Vice President, Population Health & Clinical Operations

Columbus, OH

Full-time

Hybrid

Lead/Staff, Director/Executive

$180K/yr - $343K/yr

5+ years exp

Buckeye Health Plan, part of Centene, is focused on transforming the health of communities. The Vice President of Population Health & Clinical Operations is a senior leadership role responsible for developing and executing strategies that drive measurable improvements in member health, overseeing a team to ensure initiatives are aligned and operationally executed.

FitnessGovernmentHealth Care

Responsibilities

Develop, implement, and maintain a comprehensive population health strategy that advances business objectives, improves member health outcomes, and aligns with Centene and the Ohio Department of Medicaid

Lead population health initiatives with a strong focus on Medicaid while collaborating with partners on Medicare and Marketplace programs

Translate organizational vision into actionable initiatives with clear metrics and accountability

Serve as a trusted advisor on population health strategy as part of the senior leadership team

Ensure the successful implementation of population health initiatives by driving accountability for results, measuring impact, and aligning resources with strategic priorities

Translate strategy into operational reality by building systems, processes, and performance standards that deliver sustained improvements in quality, outcomes, and efficiency

Integrate population health initiatives across clinical, operational, and financial functions to ensure consistency, compliance, and alignment with organizational goals

Continuously monitor program performance, identifying opportunities for innovation and course correction to achieve optimal results for members and the organization

Build and maintain strong partnerships with the state Medicaid regulator to ensure compliance and program success

Collaborate with Centene corporate teams to align local initiatives with enterprise-wide strategies

Partner with leaders responsible for Medicare and Marketplace to ensure consistency, integration, and shared learning

Work closely with operations, finance, and other internal teams to achieve organizational objectives

Build trusted relationships with state regulators, providers, community partners, and internal executives to advance shared goals and improve member outcomes

Serve as a visible ambassador for population health initiatives, clearly articulating strategy, progress, and outcomes to diverse audiences, including the Board, senior leadership, regulators, and community stakeholders

Anticipate stakeholder needs and concerns, proactively engaging in dialogue that fosters collaboration, transparency, and alignment across all levels of the organization

Oversee relationships with key vendors to ensure programmatic success, accountability, and value

Negotiate and manage vendor contracts to align deliverables with organizational priorities

Mentor, coach, and develop a high-performing team of Directors and staff

Delegate effectively while ensuring accountability and ownership across teams

Foster a culture of innovation, collaboration, and continuous improvement

Qualification

Population Health StrategyManaged Care ExperienceLeadership ExperienceAdvanced DegreeRN LicenseTeam DevelopmentStakeholder EngagementVendor Management

Required

3+ years of leadership experience required

Master's degree or other advanced degree in nursing, social work, health services research, health policy, information technology or other relevant field

Must have at least five years of progressively responsible professional experience in population health, service coordination, ambulatory care, community health, case or care management, or coordinating care across multiple settings and with multiple providers

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position

Candidate must reside or relocate to Ohio