About this opportunity
Alzheimer’s Los Angeles lists this Vice President, Healthcare Services opportunity in los angeles, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Description
Organizational Context:
Alzheimer's Los Angeles (ALZLA) provides education, support, and care management services to families affected by Alzheimer's disease and related dementias across Los Angeles County. Historically, ALZLA's case management services were provided at no cost to families and funded entirely through philanthropic support. With the launch of our Enhanced Care Management (ECM) program, ALZLA has entered a new phase: delivering contracted, fee-for-service care management to health plan members in partnership with managed care organizations.
ALZLA is actively growing its portfolio of health plan contracts and expects case management to become an increasingly significant, revenue-generating component of the organization's overall service model over the next several years. This role is central to that growth.
Position Summary:
The Vice President, Healthcare Services will provide strategic and operational leadership across ALZLA's full case management portfolio, including the Enhanced Care Management (ECM) program, with direct accountability for growing ALZLA's contracted, revenue-generating relationships with health plans and other healthcare payers and providers.
This is a newly created role designed to bring senior-level payer and healthcare-system expertise to ALZLA's case management function, and to build organizational capacity as case management shifts from a fully philanthropy-funded service to a blended model that includes contracted healthcare revenue. The VP will work closely with, mentor, and help develop the case management leadership within the organization, providing coaching, delegating expanded scope over time, and creating a clear runway for continued leadership growth.
This is a hybrid job, requiring in person work in and around the Los Angeles area.
Key Responsibilities:
Provide strategic leadership and oversight for the healthcare services training team, and all ALZLA case management services, including both philanthropically funded services and contracted, fee-for-service programs such as ECM.
Lead the identification, pursuit, and negotiation of new contracts with health plans, managed care organizations, and other healthcare payers and providers to expand ALZLA's revenue-generating case management services.
Serve as ALZLA's senior-level point of contact with health plan and provider partners; build and maintain relationships with key payer and provider decision-makers across the Los Angeles healthcare landscape.
Partner with Finance to develop and manage budgets, rate proposals, and financial models for contracted case management programs, ensuring services are priced and delivered sustainably.
Ensure case management programs meet all applicable regulatory, contractual, and quality requirements, including health plan reporting and audit obligations.
Develop and monitor performance metrics and outcomes data across case management programs, using data to drive continuous improvement and to support contract renewals and new business development.
Build internal infrastructure (staffing model, workflows, technology, training) needed to scale case management as a growing share of ALZLA's overall program portfolio.
Collaborate with the Chief Philanthropy Officer, development team and other program executives to ensure alignment between philanthropically funded and contract-funded case management services.
Represent ALZLA in relevant industry, healthcare, and managed care forums to build the organization's visibility and credibility as a healthcare partner.
Oversee professional outreach, development and implementation of training programs for professionals (nurses, physicians, care managers, social workers, homecare workers, etc.)
Deliver strategic guidance, training, and technical assistance to healthcare organizations and professionals, as needed.
Serve as the ALZLA Chief Privacy Officer for HIPAA compliance.
Requirements
Bachelor's degree in a related field (e.g., health administration, social work, nursing, public health); Master's degree preferred.
Minimum 8–10 years of progressive leadership experience in healthcare or human services, including experience leading a revenue-generating program or service line within a nonprofit organization.
Demonstrated experience contracting with, or working within, health plans, managed care organizations, or other healthcare payers — including familiarity with how providers and funders of healthcare are organized and how payer contracting and reimbursement work.
Experience managing budgets, financial performance, and contract-based revenue targets.
Proven track record of developing and mentoring managers, with the ability to grow the leadership capacity of existing staff.
Strong relationship-building and negotiation skills, with experience representing an organization to external partners at a senior level.
Preferred Qualifications:
Experience with California's CalAIM initiative, Enhanced Care Management, or Community Supports programs.
Familiarity with dementia care, aging services, or chronic condition case management.
Experience in a growth-stage nonprofit or mission-driven organization transitioning to blended funding models.
What Success Looks Like In The First Year:
New health plan or provider contracts are identified, negotiated, and/or expanded, growing ALZLA's contracted case management revenue.
Case management leadership has clear roles and responsibilities and development plans in place and effective management processes to allocate resources across case management programs.
New referral pathways have been developed and referrals for case management services have increased significantly.
Case management programs (both philanthropy-funded and contracted) operate with clear, monitored performance metrics.
ALZLA has a credible, senior-level presence in conversations with health plans and healthcare partners across the region.
Benefits:
Medical
Dental
Vision
403(b) with employer match
Sick, vacation and personal time
Paid holidays
Healthcare FSA Account
Professional Development Funds
We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO).
Alzheimer’s Los Angeles is an equal opportunity employer and is committed to fostering a diverse and inclusive workplace. We prohibit discrimination and harassment of any kind based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other legally protected characteristics as outlined by federal, state, or local laws.
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Worksite address
los angeles, CA, 90079, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.