The Vice President, CORE leads and provides full oversight for the Committee on Operating Rules for Information Exchange’s (CORE), a national, collaborative initiative with a mission to accelerate administrative interoperability and develop business processes that streamline healthcare for patients, providers and health plans.
The Vice President, CORE leads and provides full oversight for the Committee on Operating Rules for Information Exchange’s (CORE), a national, collaborative initiative with a mission to accelerate administrative interoperability and develop business processes that streamline healthcare for patients, providers and health plans. The VP, CORE represents CORE externally with executive leadership of public and private entities to drive consensus and positively influence outcomes to achieve CORE goals. The position reports to the Chief Policy & Research Officer and supports strategy, planning, and organizational development issues with both the CORE Board and with CAQH executive leadership.
This is a full-time, exempt, remote position.
- Establish vision and alignment of strategic imperatives across the CORE enterprise, including research, certification program, participant relations, partnership development, operating rule development, and industry work group activities.
- Manage the CORE Board of Directors including strategic planning/reporting, recruitment and onboarding of new members, agenda development and execution, and meeting facilitation.
- Oversee teams responsible for managing work groups of more than 120 leading healthcare organizations representing 75 percent of commercially insured lives to develop operating rules and industry guidance.
- Lead collaborative strategic efforts with leadership at peer industry organizations to align interoperability priorities and activities to achieve established CORE goals.
- Direct policy and government relations for CORE including outreach strategy, development of policy positions/comment letters, and liaison to the Centers for Medicare and Medicaid Services, Office of the National Coordinator for Health IT, and the National Committee on Vital and Health Statistics.
- Represent CORE at industry events, conferences, and webinars; lead development of published papers and articles.
- Oversee CORE’s operations, including setting and achieving short and long-term goals, developing budgets, allocating resources, and achieving revenue/expense targets.
- Lead CAQH-wide strategic initiatives that involve cross-departmental efforts incorporating CORE initiatives, ensuring alignment on shared goals, activities, and timelines.
- Support Chief Policy & Research Officer with strategic planning and organizational development for CORE with both the CORE Board and at an organizational level for CAQH.
- Develop and mentor staff to achieve goals, including CORE staff and matrixed resources across CAQH.
- Perform other duties as assigned to support CAQH executive leadership.
- Lead and manage a team of 10 employees.
- Manage consultants.
- Lead matrixed cross-departmental teams on organizational strategic initiatives.
- Proven ability to lead, prioritize, motivate, and delegate in a team-oriented, time-pressured environment.
- Innovative, strategic thinker who is solution driven and takes ownership.
- Problem solver that identifies and evaluates possible and alternative explanations for issues, identifies information necessary to solve problems, and takes action to address problems.
- Ability to anticipate opportunities and obstacles and develop contingency plans to achieve goals.
- Proactive nature with desire and ability to influence executive leaders through persuasion and action.
- Ability to drive consensus among organizations with diverse and diverging perspectives.
- Excellent interpersonal communication and conflict resolution skills.
- Knowledge of data exchange standards and HIPAA regulations.
- Twelve or more years of experience in health policy, health care administration and revenue cycle, health care IT/interoperability, and complex project management.
- Seven or more years successfully managing multiple staff and contracted consultants, including budget oversight and responsibility for revenue and expense targets.
- Experience working in a multi-stakeholder environment.
- Experience engaging with federal and state agency leadership and/or managing regulatory compliance.
- Prior experience with a board or advisory committee is preferred.
- Bachelor’s degree required.
- Master’s degree in Business, Healthcare Administration, or a related field preferred.
What You Get
CAQH recognizes that its most important asset is its growing team of smart, creative, collaborative, forward-thinking and passionate professionals – and that a comprehensive employee benefits package is an important factor for them in choosing where to work. CAQH offers competitive compensation along with an extensive benefits package for all full-time employees, including medical, dental and vision coverage, tuition assistance and a 401k. We offer full-time remote work to all staff from any location and maintain a physical office in downtown Washington, DC.
At CAQH, we are proud of our active commitment to Diversity, Equity, and Inclusion (DEI). Our DEI committee works diligently to foster an inclusive workplace where all individuals are valued, respected, and empowered. We embrace diverse perspectives and are dedicated to providing equal opportunities for everyone to thrive. Join us in our mission to transform healthcare through innovative technology solutions while making a positive impact on the lives of diverse communities.
CAQH is an equal opportunity employer. It is our policy to recruit, hire, train, and promote individuals, as well as administer any and all personnel actions, without regard to race, color, religion, sex, national origin or ancestry, age, marital status, disability, protected veteran status, personal appearance, sexual orientation, gender identity or expression, familial status, family responsibilities, matriculation, political affiliation, genetic information, source of income, place of residence, or any other characteristic protected by law. CAQH will not tolerate any unlawful discrimination and any such conduct is strictly prohibited.
Applicants have rights under the Family Medical Leave Act (FMLA), Equal Employment Opportunity (EEO), and the Employee Polygraph Protection Act (EPPA). If you are interested in applying for employment with CAQH and need an accommodation to apply for a posted position, contact CAQH Human Resources at 202-517-0436.
Who We Are
Named one Modern Healthcare’s “Best Places to Work,” CAQH has helped nearly 1,000 health plans, 2+ million providers, government entities and vendors connect, exchange information and operate more efficiently. CAQH technology-enabled solutions and its Committee on Operating Rules for Information Exchange (CORE) bring the healthcare industry together to make sharing business information more automated, predictable, and consistent. CAQH Insights researches opportunities to reduce the burden of manual processes in healthcare administration.