Are you an experienced leader and operator for a health insurance carrier? Are you interested in an opportunity to build a health insurance carrier from the ground up? Do you want to align incentives between patients, providers, and payers? Would you like to oversee the entire build-up and operations of an insurance carrier? Would you like to have clear authority over the general administration of a health insurance plan?
If you are motivated to take on these responsibilities to drive the vision of Antidote Health to democratize healthcare through a redesign and the alignment of interests with the patient, this is the role for you!
You will be reporting directly to the CEO and working cross-functionally with other executives to build a virtual-first health insurance business that combines payer and provider capabilities from the ground up to launch and operate an HMO insurance plan.
Responsibilities:
- Develop and craft the business plan
- Apply for the Certificate of Authorization in multiple states
- Representing the company to work with state regulators on obtaining HMO licenses
- Define, craft, and hire the various functions of the HMO
- Consult and coordinate with operations, finance, business development, medical management, technology, and administration in operating the HMO
- Design the processes and features in the virtual and digital delivery of a high-quality user experience
- Oversee the general administration of health plans
- Define product features and success KPIs and align teams to execute
- Minimum three years of senior management leadership experience in a healthcare insurance company
- Executive presence to represent the company in front of regulators to obtain the Certificate of Authorization
- Passionate about changing the way healthcare is delivered in the United State
- Experience overseeing capacity and infrastructure preparation, and go-live preparations
- Experience overseeing network development and reinsurance relationship
- Experience working with international teams across time zones
- Experience working with state regulators on certification and compliance matters
- Experience building an ACA-compliant marketplace plan and going through a QHP process
- Experience building a multi-disciplinary team to operate a health insurance company
- Experience working with self-insured employers
© 2020 RemoteJobs.store. Built using NextJS and Vercel.
Uses RemoteOK and Remotive APIs.