Providence Health & Services Medicare Strategy Program Leader in Seattle, Washington


Providence is calling a Medicare Strategy, Growth and Product Development Leader to Providence System Office in Seattle, WA.

This position has overall accountability for development and implementation of Medicare strategy and related program management across Providence Health & Services. By partnering with regional and system leaders, this role will identify key regulatory opportunities for growth and operational performance and will lead development of specific recommendations and tactics to address the opportunities. This role will develop a proactive relationship with CMS and state agencies to position Providence as an industry leader in improving outcomes for their patient populations. The Medicare Strategy, Growth & Product Development Leader will develop a multi-year roadmap for this program.

In this position you will:

  • Understand purchaser needs and requirements:

  • Create and lead methodical approach to monitoring external environment, developing summaries and implications and sharing findings across Providence and affiliates.

  • Develop and maintain in-depth knowledge of Medicare programs’ requirements and needs, market solutions and competitor analysis.

  • Serve as key business contact for Government affairs team and lead evaluations / analysis to understand business implications of any proposed policy changes.

  • Understand regulatory framework and implications for business strategy and operations.

  • Develop and nurture industry relationships to understand regional and national trends and solutions and incorporate into Providence strategy.

  • Strategy & Product development:

  • Executive responsible for developing system wide PH&S strategy and roadmap for Medicare programs. Focus areas include: MSSP, MACRA, MU/ACI, CPC and other value-based programs initiated by CMS.

  • Engage leaders from Physicians services, payer contracting, ACOs, Operations, marketing, clinical institutes, innovation, finance, regional teams, and shared services as required to develop and finalize strategy.

  • Working with Regional Chief Executives, develop market specific strategies to achieve overall system strategy and growth goals.

  • Develop tactics to implement plans.

  • Develop metrics and other success measures and monitor performance.

  • Partnerships:

  • Identify potential partnerships with external organizations that support overall strategy.

  • Serve as key executive in developing and nurturing relationships to develop alignment.

  • Partner with Business Development team to implement any potential partnerships.

  • Manage ongoing relationships.

  • Implementation & Operations:

  • Lead development of implementation plans.

  • Lead and/or coordinate execution of implementation plans.

  • Identify and resolve any issues that arise during implementation.

  • Provide ongoing leadership and consultation for regional operations to ensure achievement of regional and system strategies.

  • Serve as Medicaid program segment expert for other internal relationships:

  • Innovation:

  • Identify and share innovation opportunities with Innovation team.

  • Lead and/or serve on product innovation teams.

  • Partner with Advocacy leaders to develop policy positions and build relationships with industry and government leaders.

  • Payer strategy & contracting.


Required qualifications for this position include:

  • Ten years of progressively increasing responsibility in product development, healthcare management, physician group practice, health plan or administrative positions.

  • Demonstrated experience in developing successful working relationships with other organizations.

Preferred qualifications for this position include:

  • Specific experience developing products strongly preferred.

  • Expertise in Population Health strategies and operational model strongly preferred.

  • Training in GE CAP and Work-Out change methodologies and facilitation experience is strongly desired.

Providence St. Joseph Health was established on July 1, 2016, creating the second largest Catholic health system and fourth largest non-profit integrated delivery system in the country, which provides a broad range of health and outreach services throughout the western United States. With total revenues exceeding $20 billion in fiscal year 2015, the health system family includes 50 acute care hospitals as well as home health agencies, hospice care, outpatient services, skilled nursing facilities, insurance plans and physician organizations. Providence St. Joseph Health includes more than 100,000 caregivers, 829 outpatient clinics, 23,000 physicians, across seven states. The system has 1.9 million covered lives.

The Providence St. Joseph Health family includes:

  • Providence Health & Services

  • St. Joseph Health

  • Covenant Health in West Texas

  • Facey Medical Foundation in Los Angeles

  • Hoag Memorial Presbyterian in Orange County, California.

  • Kadlec in Southeast Washington

  • Pacific Medical Centers in Seattle

  • Swedish Health Services in Seattle

We offer a full comprehensive range of benefits - see our website for details

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Administrative Support (Clinical)

Location: Washington-Seattle

Req ID: 180007