Curana Health is a provider of value-based primary care services for the senior living industry, including skilled nursing facilities, assisted & independent living communities, Memory Care units, and affordable senior housing sites. Our 1,000+ clinicians serve more than 1,500 senior living community partners across 34 states, and Curana participates in various innovative CMS programs (including owned-and-operated Accountable Care Organizations and Medicare Advantage plans). With rapid year-over-year growth since our founding in 2021, Curana is setting a new standard in innovative care delivery for seniors with high-risk, complex clinical needs, many of whom have been historically underserved by the healthcare system. Our mission: To radically improve the health, happiness and dignity of senior living residents.

The Executive Director position supports all Plan operations and is accountable for the full Plan P&L, reporting to the President of Special Needs Plans for Align Senior Care. The Executive Director will support initial implementation and startup activities of the Plan including network development and marketing as well as on-going operations, working closely with the AllyAlign Health centralized operations and services teams.

The ideal candidate will have at least five (5) years of Medicare Advantage leadership experience and Special Needs Plans experience. A strong knowledge of the medical community and MA environment is essential. Relationships with or direct experience working with skilled nursing facilities, Assisted Living Communities, CCRCs, or other senior housing communities highly desired.

• Accountable to Senior Management for the overall profitability of the Plan, working closely with sales, utilization management, quality, compliance, and operational teams.
• Engages in supporting all Plan activities including Network Relationships, Value Based Contracting Initiatives, Compliance, Utilization Management, Operations, and Sales, Plan Marketing, and escalated member and provider support.
• Executes on strategies and goals set by the Plan Board of Directors and AAH Senior Management Team for improving operational execution and delivering value to customers and members.
• Actively engages new senior housing partners for Plan membership in coordination with the Business Development team.
• Engages as part of the Plan Bid Development team.
• Works to develop new Plan initiatives and benefits that add value to the Plan and Plan Members.
• Identifies operating business risks/opportunities and identifies strategies to mitigate/capitalize as appropriate.
• Responsible for Plan day-to-day Operations and Management.
• Works directly with the Plan's Customer Service team to provide prompt, friendly onsite provider relations and customer service.
• Coordinates with the Sales team management to establishes member growth programs and manage campaigns to achieve top line revenue targets.
• Prepares / Approves prepares Board meeting materials and packets, prepares and distributes regular Plan reports, and maintains regular weekly or bi-weekly meetings with AAH Management.
• Monitors and reports on key financial metrics for the Plan; is knowledgeable about Plan financial reporting.
• Contributes to the Plan's operating budget.
• Actively evaluates contracts with Providers for "preferred" and "required" network adequacy as needed.
• Participates in Plan Compliance and Quality Committees, including regular reports to the Plan's CMS Regional Account Manager.
• Supports state regulatory and CMS regulatory filings and notices.

• Bachelor's degree in Health Care Administration, Business, or Management
• 5+ years of Medicare Advantage management experience
• 2+ years of direct Special Needs Plans experience
• Technical and financial understanding of health care operations
• Familiarity with risk-based models and relevance to senior housing operators
• Understanding of publicly funded government health care programs (e.g., Medicaid, Medicare or State health care programs for the uninsured)
• Working knowledge of relevant federal and state regulations and requirements
• Understanding of challenges that face health plans and health care in general
• Ability to stay apprised of ongoing changes that impact health plan and healthcare operations
• Exceptional self-starter with strong organizational and time management skills
• Excellent communication skills
• Strong analytical and problem-solving skills
• Proficiency in business systems including Microsoft Office, customer relationship, project management
• Understanding and experience within the senior housing industry preferred.

Travel:

• In-territory travel estimate: 25%-50%

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.

*The company is unable to provide sponsorship for a visa at this time (H1B or otherwise).