Vice President, Health Services

Position Overview

Morgan Consulting Resources, a healthcare executive search firm with 30 years of experience, has been retained by AlohaCare – a local, non‐profit health plan dedicated to serving the Medicaid and Medicare dual eligible population – to conduct a national search for their Vice President, Health Services. Based in Honolulu, HI with a hybrid work schedule, this role is a fantastic opportunity to join a mission‐driven organization with a cohesive senior leadership team. You will be a key member of the Executive Council, responsible for the strategic and operational oversight of Clinical Services including Health Coordination, Behavioral Health, and Medical Management.

For more information about AlohaCare, please visit their website at https://www.alohacare.org/.

Key Responsibilities

• Oversee Medical Management, Health Coordination, LTSS (Long Term Services and Supports), Health and Wellness, and Behavioral Health in line with AlohaCare’s goals, Medicaid and Medicare Models of Care, and regulatory requirements from MedQUEST, CMS and NCQA.
• Develop and implement strategies for health services departments and programs as part of an organization-wide strategy, including business expansions or restructuring.
• Approve and monitor budgets for individual health service departments and address budget variances with respective directors.
• Partner with Health Services executives, functional managers, and providers/PCP offices on Quality Improvement and HEDIS/STARS metrics initiatives.
• Oversee Utilization Management to ensure an effective concurrent review process and case management across various healthcare settings, consistent with AlohaCare’s Medicare Model of Care.
• Act as the clinical services liaison with inpatient facilities, community health centers, and vendor joint committees to foster positive relationships and ensure contract adherence.
• Mentor direct reports and implement tailored development plans to enhance leadership, people, and management skills.

Required Qualifications

• Licensed Clinician (RN, APRN, NP, LCSW, LMFT, etc.), or a PhD or PsyD.
• Bachelor’s degree in public health, health administration, nursing, social work, or a related field; Master’s degree preferred.
• 8+ years in health services, predominantly in executive leadership roles.
• 5+ years of experience with Medicaid and/or Medicare programs.
• 3+ years in managed care and/or care management.
• Experience in Utilization Management, Care Coordination, and clinical program development/implementation.

Benefits & Perks

• Compensation: $150,000 - $220,000 based upon related/relevant experience.
• Hybrid work schedule based in Honolulu, HI.