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Vice President Health Plan Jobs (NOW HIRING)

Pact, Inc.

Vice President, Global Health

Washington, DC · On-site

The VP Global Health is an enthusiastic/, respected public health professional with significant, relevant experience delivering health programs. In addition, the VP is a strategic leader with proven ...

New

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 ...

Urrly

VP, Strategic Accounts - Health Plans

New York, NY · On-site +1

$175K - $215K/yr

  • Medical

  • Dental

  • Vision

Role: SVP, Client Strategy -- Health Plans * Location: Remote, United States * Pay: $175,000-$215 ... Lead executive relationships across enterprise health-plan accounts * Translate client priorities ...

Mondo

VP, Health Product PR

Manhattan, NY · Remote

$70 - $80/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Vice President, Health Product Communications Location: Remote (Contract) | Hybrid in NYC upon conversion (3 days/week) Duration: Through February 2027 with strong potential for full-time conversion ...

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 ...

Socket.dev

Senior Vice President, Health Media

Manhattan, NY · On-site

$149 - $239/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

A Vice President, Health Media for MSL's Healthcare practice. What you bring to the table: As an ... Temporary roles may also qualify for participation in our 401(k) plan after eligibility criteria ...

New

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Showing results 41-60

All JobsVice President Health Plan Jobs

Vice President Health Plan information

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$43.5K

$157.5K

$277.5K

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

As of Aug 20, 2026, the average yearly pay for 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 does a vice president health plan do?

A Vice President of Health Plan is a senior executive responsible for overseeing the strategic direction, operations, and financial performance of a health insurance or managed care organization. They develop policies, manage provider networks, ensure regulatory compliance, and drive initiatives to enhance member services. This role often involves collaborating with healthcare providers, negotiating contracts, and implementing cost-effective care strategies. Their goal is to improve healthcare access, affordability, and quality while maintaining financial sustainability.

What are the key skills and qualifications needed to thrive as a vice president health plan?

To thrive as a Vice President Health Plan, you need substantial leadership experience in healthcare management, a deep understanding of insurance operations, and an advanced degree such as an MBA, MHA, or similar. Familiarity with healthcare regulatory systems, claims administration platforms, analytics tools, and accreditation processes is critical. Excellent strategic thinking, interpersonal communication, and negotiation skills set exceptional candidates apart. These competencies are vital for driving organizational success, ensuring compliance, and leading high-performing teams in a complex, regulated environment.

What are some typical challenges a vice president health plan faces, and how do they address them?

Vice Presidents of Health Plans often navigate challenges such as adapting to rapidly changing healthcare regulations, maintaining cost-effectiveness while ensuring high-quality patient care, and leading cross-functional teams through periods of growth or transformation. They address these issues by staying informed on legislative updates, leveraging data analytics to make evidence-based decisions, and fostering strong partnerships with providers, payers, and internal stakeholders. Balancing member satisfaction with organizational goals is a key part of the role, requiring both strategic oversight and hands-on problem-solving skills. This dynamic environment rewards leaders who are proactive, collaborative, and committed to continuous improvement.

What cities are hiring for Vice President Health Plan jobs?

Cities with the most Vice President Health Plan job openings:

What states have the most Vice President Health Plan jobs?

States with the most job openings for Vice President Health Plan jobs include:

What job categories do people searching Vice President Health Plan jobs look for?

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Vice President Health Plan jobs near you
Infographic showing various Vice President Health Plan job openings in the United States as of August 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $157,532 per year, or $75.7 per hour.

Vice President of Medical Directors - Health Plan Experience

MetroPlusHealth

Manhattan, NY • Hybrid

$360K - $380K/yr

Full-time

Posted 23 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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