financegomanagementoperations

General Manager, Insurance Business

Antidote Health
USA Only

Description

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

Requirements

- 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

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