Market President

At Diverge Health we are a team of entrepreneurs passionate about improving health access and outcomes for those most in need. We partner with primary care providers to improve the engagement and management of their Medicaid patients, providing independent practices access to specialized resources and clinical programs to address medical, social and behavioral patient needs. Our care ecosystem is equipped with enhanced technology and data interfaces to enable provider and patient success in a value-based environment. Guided by our core values of humility, continuous learning and feeling the weight, our team is on a mission to strengthen communities from within, unlocking people's ability to live their healthiest lives.

Market President

We are looking for a Market President to join our team. The executive leader of our first market, this role is responsible for P&L performance of our operations in New York. This is an opportunity for someone to act as chief executive officer of a market. This is a position for someone who is comfortable with both developing strategy and bringing it to life, someone able to function with high accountability yet has a willingness to roll up their sleeves and work in the weeds.

What you'll do

As a Market President, you will develop an annual Market Plan in partnership with Diverge Health's enterprise leadership and will have end accountability for meeting market-level revenue growth and profitability targets. You will be accountable for integrating and retaining new practices in Diverge Health's value-based care network. As a Market President, you will collaborate with Diverge Health's Managed Care Operations function and payer partners to reconcile provider rosters and ensure accurate member attribution to payer contracts. Additionally, you will ensure work practice engagement with the Diverge Health care model, and for meeting both total cost of care reduction and quality improvement targets contained in payer contracts for the plan membership attributed to network providers across the market.

Key Responsibilities:

• Develop an annual Market Plan that establishes market-level operational and financial objectives and targets, in collaboration with corporate leadership.
• Evaluate new practices, with Network Development, and ensure the smooth integration of newly recruited practices into the network.
• Assist in the management of day-to-day activities and performance of the local Practice Liaison team to achieve network satisfaction, engagement, and retention objectives.
• Assist with management of day-to-day activities and performance of the local Care Team to achieve the total cost of care reduction and quality improvement objectives.
• Build local-level relationships, and represent Diverge Health with (but not limited to) payer partners as well as community-based organizations and develop partnerships.
• Collaborate with local clinical leadership to engage, manage performance and support network interventions across network practices in support of annual plan achievement.

What you bring:

• 7-10 years of progressively more senior experience working in a managerial or operational role in healthcare setting (provider or payer), including:
• At least 3 years of experience successfully managing a P&L in a health plan, large medical practice, or managed services organization (MSO).
• At least 5 years of experience supervising other employees.
• Deep understanding of Medicare and Medicaid.
• Extensive experience with value-based payment methodologies including payer and provider contracting processes.
• Understanding of conventional fee-for-service payment methodologies.
• Understanding of the operations of a Medicaid-managed care organization including network development and contracting, credentialing, care management, utilization management, provider relations, quality management, risk adjustment, and delegation.
• Experience with operational process improvement methodologies.
• Understanding of employee performance management processes.
• Ability to work constructively in a highly matrixed environment as part of a multidisciplinary, multi-level team, including the ability to delegate tasks effectively to junior team members.
• Ability to deal with difficult people outside of the organization while maintaining a high level of professionalism and integrity.
• Ability to manage multiple projects simultaneously.
• A bachelor's degree or equivalent in business, management, healthcare policy, healthcare administration or a related field.

Preferred Education and Experience:

• A graduate or professional degree in business, management, healthcare policy, healthcare administration or a related field.
• 10+ years of progressively more senior customer-facing operational experience in a healthcare setting (provider or payer), including:
• 5+ years of experience successfully managing a P&L in a health plan, large medical practice, or managed services organization (MSO).
• At least 5 years of experience supervising other employees.

This is a full-time, exempt, salaried position. Commensurate on candidate experience, the expected base salary range for this role is $180,000-$210,000.

Our Investors:

Diverge Health is funded by GV and incubated by Triple Aim Partners, which since 2019 has partnered with entrepreneurs to co-found and launch eight companies focused on improving the quality, experience, and total cost of healthcare.

At Diverge Health we believe that a diverse set of backgrounds and experiences enrich our teams and enable us to realize our mission. If you do not have experience in all areas detailed above, we encourage you to share your unique background with us and how it might be additive to our team.

Special Considerations:

Diverge Health is dedicated to the principles of Diversity, Equity and Inclusion and Equal Employment Opportunities for all employees and applicants for employment. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by the federal, state or local laws. Our decision to hire, promote, discipline, or discharge will be based on merit, competence, performance and business needs.