SVP, Kaiser Permanente Health Plan - CA Market

About This Role

This executive leader is responsible for the overall health plan performance, growth, and profitability across all product lines within the California market. The SVP drives membership growth, revenue, and margin sustainability in a complex, matrixed environment, partnering with regional and national leaders.

Responsibilities

• Collaborate with Regional Presidents and Executive Medical Directors to align operations and achieve market-leading growth and total margin.
• Define health plan strategic priorities, including revenue sufficiency, target markets, products, and capital needs.
• Drive financial and health plan operational success, supporting sustainable revenue growth, profitability, and market competitiveness.
• Lead rate setting and partner with underwriting and actuarial teams for competitive pricing and regulatory compliance.
• Collaborate on network management to design and maintain provider networks for high-quality, cost-effective care.
• Partner with national function leaders and regional president to support analytic and contracting strategies to control medical cost trends.
• Drive accurate and comprehensive diagnostic coding for all risk-adjustable business lines.
• Foster strong customer and broker relationships to improve retention, satisfaction, and market presence.
• Develop and execute local market strategies for brand awareness, member acquisition, and retention.
• Lead and mentor a cross-functional matrixed team across various functions, building a high-performing and engaged workforce.

Requirements

• 15+ years of progressive leadership experience in healthcare industry
• 7+ years in a senior executive role within a health plan or payer organization
• Proven track record of driving revenue growth, managing P&L, and achieving financial targets in a complex, multi-product health plan environment
• Extensive experience with Medicare Advantage, Medicaid, and commercial product lines
• Demonstrated success in network management, medical cost containment, and go-to-market strategies
• Strategic vision with ability to translate goals into actionable plans
• Strong financial acumen, with expertise in underwriting, actuarial analysis, and P&L management
• Exceptional leadership and team-building skills
• Outstanding communication and relationship-building abilities
• Deep understanding of healthcare regulations, including ACA, Medicare, and Medicaid requirements

Qualifications

• Bachelor's degree in business administration, Healthcare Administration, or a related field
• Minimum fifteen (15) years of progressive leadership experience in the healthcare industry, with at least seven (7) years in a senior executive role within a health plan or payer organization.

Nice to Have

• Prior experience working in an integrated delivery system or provider-sponsored plan
• MBA