Executive Director of Health Plan Operations
American Health PartnersIndianapolis, Indiana, United States
Posted November 26, 2025
Full Time
About the Company
American Health Partners specializes in post‑acute care services, delivering high‑quality, patient‑centered care in community settings. With more than 30 years of experience, the organization focuses on compassionate care that brings medical support close to patients’ homes. Its integrated care model emphasizes collaboration with local providers to ensure seamless transitions from hospital to home. American Health Partners is distinguished by its long‑standing commitment to community health and its reputation as a reliable partner for both patients and clinicians.
Job Description
The Executive Director of Health Plan Operations is accountable for health plan success within a given market, leading local initiatives to achieve Member Engagement, Quality, Coding, Affordability, Growth and Retention goals.
Requirements
- Bachelor's degree required with emphasis in business, marketing, economics, health or public policy preferred
- 3+ years of experience in health care / managed care organization with demonstrated track record of increasing responsibility and accountability
- Experience in a Medicare Advantage or other government-funded healthcare business is highly preferred
- Experience with value base and risk based negotiating arrangements
- In-depth experience with health care providers / networks, CMS Quality Programs (Star ratings, HEDIS measures), Part D and clinical quality
- Demonstrated strong financial acumen and analytical skills
- Strong written and verbal communication skills
- Demonstrated success building relationships with external executives and stakeholders
Benefits
- E-Verify participation
- Equal Opportunity Employer