Company Statement
EmblemHealth is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, EmblemHealth partners with top hospitals and doctors, including its own AdvantageCare Physicians, to deliver quality, affordable, convenient care. At over a dozen EmblemHealth Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visit emblemhealth.com.
VP, Medicare Stars & Quality Mgmt.
Education, Training, Licenses, Certifications
- Bachelors required; master’s degree preferred
- 12 – 15+ years of managed care experience
- Strong background in clinical, financial, technical and operations management and demonstrated proficiency in business management similar in scope
- Strong knowledge of the clinical practice of medicine, health care delivery systems, utilization methods
- Strong knowledge and understanding of managed care principles and industry evolution
Relevant Work Experience, Knowledge, Skills, and Abilities
- Strong Analytical skills to collect and analyze information, problem-solve, and make decisions
- Proven ability to interpret and present information to enable senior management and business stakeholders to make sound decisions
- Demonstrated success in creating and maintaining a culture of quality in a large global organization
- Knowledge and experience in performing internal and external quality audits
- Knowledgeable and experienced in planning, coordinating, and leading QMS management reviews
- Root cause / corrective action expertise
- Detail-oriented, analytical, and able to manage multiple tasks in a fast-paced environment
- Well-developed written and verbal communication skills
- Positive, team-focused approach and proven leadership track record, including people development and project management
Security Disclosure
If you receive a job offer from EmblemHealth, the email will be from “HRTalentAcquisition” with the subject: “Offer of Employment for (job title) – Please respond online.” We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like Yahoo or Gmail.
Pay Disclosure
At EmblemHealth, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at EmblemHealth, where your contributions are valued and supported by fair compensation.
EEOC Statement
We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.
Sponsorship Statement
EmblemHealth may provide work visa sponsorship depending on factors such as business unit requirements, position nature, costs, and applicable laws and regulations.