• Provide leadership, direction, and management to MediGold’s Medicare Advantage HMO and health insurance products
• Lead strategy, medical delivery network, Medicare bid development, government programs, risk adjustment, operations, sales and marketing, medical management, quality, finance, actuarial, and shared legal, IT, and compliance responsibilities
• Report to the Trinity Health EVP and Chief Operating Officer accountable for MediGold
• Develop and recommend strategies for county expansions, bid development, annual AEP marketing strategy, and overall strategic direction
• Develop and execute MediGold’s strategic direction
• Translate the strategic plan into operational actions and results through culture, people, processes, and technology
• Implement policies, plans, and operating practices approved by the Plan Board of Directors and required by regulations
• Recruit, develop, support, and direct Plan staff
• Build and develop an engaged leadership team aligned with Mount Carmel Health and Trinity Health values
• Develop and administer operational and capital budgets
• Develop and oversee annual and long-range plans
• Maintain relationships with community groups, provider agencies, regulatory bodies, governmental agencies, and industry stakeholders
• Monitor performance against risk-based arrangements and create provider incentives based on outcomes
• Advance clinical and financial integration with Trinity Health Clinically Integrated Networks and medical groups
• Direct Marketing, Finance, Health Services, and Operations
• Prepare business status reports and recommendations for the Plan Board and regulatory agencies
• Maintain high-quality care, member services, and employee satisfaction
• Oversee information systems and Business Process Outsourcing contracts, payment integrity, technology strategy, and appropriate use of artificial intelligence
• Develop infrastructure for growth and expansion
• Partner with regional health ministry executives and Trinity Health leaders
• Drive quality outcomes measured by STAR ratings
• Represent MediGold and Mount Carmel in community organizations and activities
• Develop partnerships with health systems and physician organizations participating in risk contracts
• Develop annual financial plans for profitable growth
• Ensure compliance with state and federal regulations
• Promote a culture of safety
• Build relationships outside the immediate service area to support outlying partner providers
• Champion MediGold and its provider partners in the communities served

Explore President and CEO at Trinity Health. Review requirements and application details.