
Chief Growth Officer
6 days ago
Our organization seeks a seasoned professional to assume a pivotal role in driving innovation and growth within our payer domain. The successful candidate will be responsible for developing and implementing a long-range plan, fostering strategic leadership, and cultivating a culture of collaboration and accountability.
- Job Description:
- Develop and implement a comprehensive strategy for the payer domain, encompassing member engagement, provider contracting, claims integrity, and value-based reimbursement.
- Drive innovation through data analytics, AI, automation, and predictive modeling, ensuring proactive adaptation to industry trends.
- Oversee the deployment of advanced claims adjudication systems, payment integrity platforms, and member/provider CRM portals, partnering with product and engineering teams.
- Ensure interoperability, FHIR compliance, and robust data privacy/security standards, guaranteeing seamless integration with existing systems.
Required Skills and Qualifications:
- Education: Bachelor's in Healthcare Administration, Business, or related field; MBA, MHA, or advanced degree strongly preferred.
- Experience: 25+ years of progressive leadership in healthcare payer domain, leading product or engineering-driven payer transformation.
- Domain Expertise: Deep knowledge of claims adjudication, provider contracting, reimbursement models (FFS / value-based), risk adjustment, and member engagement platforms.
- Technical Acumen: Hands-on experience with payer systems (analytics platforms, CRM, adjudication engines), interoperability standards (EDI, FHIR), and data security regulations (HIPAA).
- Leadership Fit: Track record of building and leading large teams, partnering across executive, clinical, finance, and technology functions.
- Communication & Influence: Exceptional presence with ability to engage Executive and Board-level stakeholders, negotiate complex payer contracts, and drive thought leadership.
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