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Full Time Vice President Health Plan Jobs (NOW HIRING)

Concordance Healthcare Solutions

$150K - $185K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... healthcare continuum. We have a job opening and exciting opportunity for a full-time Vice President ... Lead team to meet sales and profit objectives as dictated by the business plan. * Networking as a ...

Marathon Health

Vice President, Health Economics

$230K - $285K/yr

... and union plan sponsors to improve health for millions of Americans. With nationwide onsite ... Learn more at marathon.health ABOUT THE JOB The Vice President, Health Economics will build and ...

Herc Rentals

Vice President, Health and Safety

Bonita Springs, FL · On-site

$225K - $275K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Vice President, Health and Safety Bonita Springs, FL, USA, 34134 Employment Status: Full-time ... 401(k) plan with company match Employee Stock Purchase Program Life & Work Harmony Paid Time Off ...

Marathon Health

Vice President, Health Economics

$230K - $285K/yr

... and union plan sponsors to improve health for millions of Americans. With nationwide onsite ... Learn more at marathon.health ABOUT THE JOB The Vice President, Health Economics will build and ...

Cotiviti

Sales VP, Healthcare

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Extensive experience calling on and selling to Health Plan "C" level executives, SVP Business Owners, procurement, VPs and directors is essential. Experience working in a leading Health Plan software ...

Cotiviti

Sales VP, Healthcare

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Extensive experience calling on and selling to Health Plan "C" level executives, SVP Business Owners, procurement, VPs and directors is essential. Experience working in a leading Health Plan software ...

INTEGRIS Health

VP Cardiology Services

Oklahoma City, OK · On-site

  • Medical

  • PTO

Join our team as a full-time, Vice President of Cardiology Services at INTEGRIS Health. Get to Know ... Develop and execute a comprehensive, multi-year cardiovascular strategic plan aligned with INTEGRIS ...

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Full Time Vice President Health Plan information

See salary details

$43.5K

$157.5K

$277.5K

How much do full time vice president health plan jobs pay per year?

As of Aug 20, 2026, the average yearly pay for full time vice president health plan in the United States is $157,532.00, according to ZipRecruiter salary data. Most workers in this role earn between $115,000.00 and $190,000.00 per year, depending on experience, location, and employer.

What are the most commonly searched types of Vice President Health Plan jobs?

The most popular types of Vice President Health Plan jobs are:

Full Time Vice President Health Plan jobs near you

Vice President of Medical Directors - Health Plan Experience

MetroPlusHealth

Manhattan, NY • On-site

$360K - $380K/yr

Full-time

Posted 24 days ago

MetroPlusHealth rating

6.7

Company rating: 6.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

271st of 310 rated insurance

Job description

Position Overview:
Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that
Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come
to work being proud of what you do every day.
Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical quality,
utilization, and assuring appropriate health care delivery, the Vice President of Medical Directors serves in a policy,
operational and strategic capacity. The Vice President of Medical Directors' overall purpose is to work across
medical management functions, with a focus on Utilization Management and Business Intelligence, and across all
lines of business and pharmacy. This is a broad function that includes day-to-day operations, data and reporting
design, high-level strategy, planning, and policy involvement.
Scope of Role & Responsibilities:
  • Reviews cases, determines medical necessity, and consults with physicians to review length of stay and reimbursement documentation.
  • Supports Utilization Management (UM) department staff and nurse Care Managers on concurrent review and preauthorization referrals and ensures that members receive appropriate services consistent with their benefits, regulatory requirements, and established clinical criteria.
  • Works with the VP of Clinical Services, who oversees day-to-day UM operations.
  • Provides clinical support for members and provider appeals.
  • Build a health informatics function and ensures decisions are made according to data insights.
  • Assists in new technology assessment and clinical policy review as required.
  • Responsible for implementation of ongoing changes in policy and procedures from state and government entities.
  • Participate in the development of strategic planning for existing and expanding business.
  • Represents the health plan at regulatory meetings held by the New York State Department of Health, the
  • New York City Department of Health and Mental Hygiene, and managed care trade organizational meetings as necessary.
  • The VP of Medical Directors will be required to come to MetroPlusHealth HQ once a week (preferably on Thursdays)
  • Performs other duties as needed and assigned by the Chief Medical Officer

Required Education, Training & Professional Experience:
  • Doctor of Medicine or Doctor of Osteopathic Medicine degree from an accredited and approved school of medicine.
  • A minimum of three years' clinical experience post-residency
  • A minimum of five years' experience in a managed care setting with at least 3 years specifically overseeing Utilization Management.
  • Proven experience with heath informatics/data sciences and regulatory compliance
  • Experience with NYS regulations and compliance is strongly preferred

Licensure and/or Certification Required:
  • Valid New York State license and current registration to practice medicine in the state of New York.
  • Board Certification

Professional Competencies:
  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Written/Oral Communication

#LI-Hybrid
#MPH50

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