President

President Req Number:

USCHBS Location:

Milwaukee, WI Posted:

4/20/2026

Category:

Life Sciences/Healthcare :

Health Insurance Job Type:

Permanent

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The Company Chorus Community Health Plans Chorus Community Health Plans (CCHP) is a not-for-profit, community-based health plan headquartered in Milwaukee, Wisconsin. Established to improve the health and well-being of underserved populations, Chorus is rooted in a mission-driven approach focused on advancing health equity, strengthening community partnerships, and delivering high-quality, cost-effective care to its members. CCHP focuses on serving Wisconsin residents enrolled in the BadgerCare Plus (Medicaid) program, serving over 100,000 members. The Plan offers affordable, high-quality health care coverage available in 68 Wisconsin counties. CCHP also supports out-of-home children through the Care4Kids program, offering access to care and additional resources for these members. The organization provides tools and resources that help members understand and manage their health care benefits, including online access to plan details and educational program information. Chorus emphasizes supporting members at every stage of life with services that help them make confident decisions about their health. An affiliate of Children's Wisconsin, CCHP brings trusted health insurance coverage to communities throughout the state of Wisconsin. Chorus partners with clinical providers and community resources to provide members access to preventive, physical, dental, and behavioral health services through a broad network of providers. Chorus Community Health Plans is committed to operational excellence, regulatory compliance, and continuous quality improvement. The organization prioritizes strong provider partnerships, data-driven decision-making, and member-centered service delivery. Its culture reflects a collaborative, purpose-driven environment grounded in accountability, compassion, and a shared commitment to improving the health of Wisconsin communities. Children's Wisconsin Children's Wisconsin is a nationally ranked, freestanding, pediatric health system based in Milwaukee, Wisconsin. Children's Wisconsin is the region's only independent healthcare system dedicated solely to the health and well-being of children. It offers a wide range of care and support for children of all ages. The $1.9 billion health system has a comprehensive service offering, a health plan, ambulatory facilities with 49 locations throughout the state and a strong academic partnership with the Medical College of Wisconsin. Its services include medical care, dental care, child and family counselling, foster care, adoption, social services, child advocacy and injury prevention. Children's Wisconsin cares for every aspect of health — physical, social, mental and dental. It is a community of 7,500 dedicated team members that share an unwavering passion to care for kids. Children Wisconsin's Services Children's Wisconsin provides care and services through a variety of clinical, digital and community settings throughout the state. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults aged 0-21 throughout the Wisconsin region.

Services include:

 Hospital care  Specialty care  Primary care  Urgent care  Emergency care  Mental and behavioral healthcare  Child and family counselling  Dental care  Community health services  Foster care and adoption  Child advocacy services  School-based services  Family Resource Centers  Child abuse prevention and evaluation  Safety and injury prevention Wisconsin has hospitals located in Milwaukee and the Fox Valley. The Milwaukee campus offers comprehensive clinical services and is the base for the Children's Research Institute. The Milwaukee hospital offers a Level I children's surgery center, an ACS-verified pediatric Level I trauma center, which is one of two in the state, a Level IV neonatal intensive care unit, and a 72-bed pediatric intensive care unit. The Milwaukee hospital is one of the nation's leading pediatric facilities, earning top ratings from U.S. News & World Report and others. The Fox Valley Hospital, located in Neenah, is the only hospital in northeast Wisconsin dedicated exclusively to the care of kids. It has 42 beds, including a 22-bed Neonatal Intensive Care Unit, equipped with the state-of-the-art equipment necessary for the diagnosis and treatment of critically ill newborns. The 20-bed pediatric unit has specially trained staff who provide family-centered care for children of all ages. The Fox Valley hospital also offers or supports a variety of resources and programs for children, parents, healthcare providers, teachers, caregivers, law enforcement and other community agencies to increase the safety and well-being of children from birth through adolescence. Furthermore, Children's Wisconsin has specialty outpatient clinics in the region to provide specialized care locally for kids.

The Opportunity Position:

President, Chorus Community Health Plans Location:

Milwaukee, Wisconsin Reporting Relationship :

Chief Financial Officer Website:

https://chorushealthplans.org/ The Position The President of Chorus Community Health Plan directs the overall operations, develops and implements company policies and procedures, and establishes short- and long-range goals, objectives, and plans. The president will have the following essential responsibilities:  Approves the annual budget and ensures financial viability of the approved budget.  Identifies capital needs of the health plan.  Monitors enrolment, revenues, and medical and administrative expenses to ensure budget projections are being met. Takes necessary actions if budget projections are not being met.  Oversees the contractual relationship between the health plan and health plan sponsors and with government regulators, including the Wisconsin Department of Health Services (DHS), the Office of the Commissioner of Insurance (OCI), and the Centers for Medicare and Medicaid Services (CMS), including contractual compliance and issue resolution.  Develops reimbursement strategies for negotiation and implementation with contracted providers.  Reviews and approves the clinical and quality plans, care management programs, and partnerships to address social drivers of health.  Develops short and long term business plans, strategies and operational policies and procedures focused on excellence in health plan operations, quality and service.  Collaborates with the Government Relations and legal teams on health plan issues to advocate for policy and legislative changes.  Provides updates to the Board of Directors on a quarterly basis regarding the status of current and future projects, strategic plans, and overall financial and non-financial results of operations.  Oversees human resources responsibilities for staff which may include interviewing and selection of new employees, promotions, staff development, performance evaluations, and compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee engagement and morale.  Responsible for understanding and adhering to the Children's Organizational Code of Ethics and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Children's business.  Directs the development and implementation of strategies and related business plans to ensure achievement of the health plan's goals and objectives while maintaining financial health solvency of the health plan.  Collaborate and partner with leaders across the System to seek out opportunities to align System and health plan strategic initiatives in an effort to ensure an integrated system of care.  Establish effective relationships with external stakeholders, including providers, government partners, community organizations, vendors and members to fulfil the mission of the health plan.  Monitors enrolment, revenues, and medical and administrative expenses to ensure budget projections are being met. Takes necessary actions if budget projections are not being met. The Candidate Experience and Professional Qualifications The President of Chorus Community Health Plan must possess a combination of education, experience and leadership qualifications to successfully manage the responsibilities required for this position. The ideal candidate will have the following professional qualifications required for the role:  A bachelor's degree and a master's degree in business management, public administration, health administration, public health, or a related field.  Minimum ten years of experience as a seasoned healthcare executive with appropriate and relevant managed care industry experience. With this experience must have demonstrated:  Leadership and strong strategic, financial, and operational acumen.  An extensive and broad knowledge of healthcare ideally gained within a health plan environment.  An understanding of the operational aspects of a health plan including contracting, medical management, provider/member relations, sales and marketing, and claims administration.  Extensive leadership experience in Medicaid managed care, regulations, rate setting, and compliance.  Proven ability to work with TPAs and/or BPOs through KPIs, SLAs, and disciplined performance oversight.  Mastery of Medicaid MLR/ALR management, encounter data quality, and actuarial/risk adjustment dynamics.  Skilled at aligning payer and provider strategies, leading value-based care, and collaborating with clinicians.  Experience reporting to both health plan and health system boards, with strong strategic communication skills.  Experience reporting to both health plan and health system boards, with strong strategic communication skills.  Ability to influence and collaborate with system provided finance, HR, IT, legal, and compliance functions.  Expertise in member engagement, SDOH, equity, behavioral health, and community-based models tailored to Medicaid members.  Understanding of Wisconsin Medicaid dynamics, DHS relationships, and local community/provider environment (preferred).  Ability to recruit, motivate, and retain high performing teams while fostering a mission driven culture.  A visionary, forward-thinking leader who can effectively execute day-to-day operational responsibilities. •Korn Ferry shall provide equal employment opportunity to all qualified candidates, and will refer candidates without regard to race, color, religion, national origin, sex, age, disability, veteran status or any other legally protected basis. Artificial Intelligence tools may be used in connection with the recruitment process for this position. APPLY NOW