SVP, Medicaid Services

Primary Functions

• 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 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.

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.

Pay & Benefits

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.