SVP, Medicaid Services
Remote
USD 267,500-334,300 / year
Your Role
The SVP, Medicaid Services will build and lead Honest’s Medicaid service line from the ground up. This is a newly created, high-impact executive role that will serve as the organization’s foremost subject matter expert on Medicaid program design, policy, and delivery. This leader will be responsible for developing Honest Health’s Medicaid strategy and embedding it across new and existing partnerships and operational infrastructure.
This is a matrixed leadership role and will own intellectual capital and strategic direction while partnering with market leadership teams to execute across the organization. The ideal candidate combines deep Medicaid domain expertise with the executive presence and influence skills necessary to drive results.
Primary Functions of the SVP, Medicaid Services Include:
Design and lead the end-to-end Medicaid service line strategy, including program structures, care models, and delivery frameworks tailored to the populations Honest Health serves.
Develop actionable, executable plans that address the distinct needs of dual-eligible and and socioeconomically complex populations.
Identify and mitigate program risks associated with Medicaid’s patient population through innovative program design.
Translate Medicaid expertise into scalable, market-ready offerings that expand Honest Health’s attractiveness to health system partners.
Represent Honest Health in negotiations and discussions with state agencies, health systems, and Medicaid program administrators.
Navigate the regulatory, reimbursement, and policy nuances unique to each state’s Medicaid landscape to advance program goals.
Build and sustain relationships with state and federal Medicaid stakeholders to position Honest Health as a credible and preferred partner.
Serve as the organizational voice on Medicaid advocacy, staying current on evolving policy, payment models, and delivery system reforms.
Partner closely with the Business Development team to support Medicaid-related pitches and health system partnership discussions.
Work within a matrixed structure to drive program implementation through existing field teams, relying on influence and collaboration rather than direct authority. Collaborate with field General Managers and Market Chief Medical Officers to ensure Medicaid program strategies are operationally aligned and market-ready.
Build Honest Health’s internal Medicaid knowledge base and develop the organization’s capabilities to serve this population at scale.
Advise executive leadership on Medicaid risk, opportunity, and competitive positioning in target markets.
Establish credibility with health system partners as a knowledgeable, responsive, and operationally savvy Medicaid leader.
Perform other related responsibilities as assigned.
How You Qualify
You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.
Bachelor’s degree in Healthcare Administration, Public Health, Business Administration, or a related field
12+ years of progressive experience in Medicaid program design, management, or policy, including experience at a senior or executive level
Demonstrated expertise in Medicaid risk-based program structures, state-level negotiations, and delivery model design
Deep knowledge of Medicaid population segments, including dual-eligible beneficiaries, pediatric populations, and individuals with complex socioeconomic needs
Proven track record of engaging with state agencies, health systems, and Medicaid stakeholders at an executive level
Strong influence and collaboration skills with demonstrated ability to drive results in matrixed organizations without direct operational control
Executive presence and communication skills required to represent Honest Health in high-stakes external and internal settings
Experience working within or alongside health systems, with a proven ability to operate at pace outside of bureaucratic environments
Background in value-based care or risk-bearing Medicaid programs
Familiarity with clinical operations, documentation integrity, or population health management
The base pay range for this role is $267,500.00 - $334,300.00. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.