How health plans build their executive team

Health plans run on a full executive layer that has to coordinate clinical, financial, regulatory, and member-experience priorities at once. The CMO sets clinical strategy and oversees medical management. The CFO manages capitation economics, medical loss ratio, risk adjustment, and reserves. Chief Compliance and Chief Quality officers manage regulatory exposure and Stars performance. Chief Medical Information Executives sit at the seam between clinical and data infrastructure. Carson Kolb has recruited across this entire executive layer for commercial, Medicare Advantage, and Medicaid health plans. Placements span Chief Medical Officer, Chief Financial Officer, Chief Compliance Officer, Chief Quality Officer, Chief Medical Information Executive, Medical Director, Senior Medical Director, Regional Medical Director, pharmacy leadership including PBM Director and formulary leadership, and senior leadership in member services, provider services, utilization management, quality, informatics, and exchange operations. The firm's sub-specialty depth matters most here. Health plan candidate pools are smaller than they look, and many of the strongest leaders are already off-limits to firms with conflicting client relationships. Carson Kolb's largely unrestricted candidate pool preserves access to the broader universe.