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Vice President, State & Local

May 19, 2026

Vice President, State & Local

Location: Any US Office including Boston, MA

Position Category: Direct hire, paid in US

Salary Range: $165,492 - $290,338 Commensurate with experience and location.

Description

Organizational overview JSI is dedicated to strengthening health and education systems to improve the lives of individuals, families, and communities. We believe all people should have what they need to live their healthiest lives and reach their full potential. To accomplish this, JSI works hand-in-hand with government agencies, community organizations, and the private sector to design pragmatic strategies for complex problems. We drive measurable impact in public health, health care, and education to enhance the well-being of people in the United States and around the world. As a global organization, JSI has designed, delivered, and scaled programs in more than 50 countries worldwide. In the U.S., JSI has worked in evaluation, training and technical assistance, policy, and strategy in all 50 states and has teams in Massachusetts, New Hampshire, Rhode Island, DC, Georgia, Colorado, and California.

Position Overview The Vice President (VP) serves as the primary engine for growth and operational excellence within JSI's U.S. domestic portfolio, focusing on the state-level health and education ecosystem. This role owns the full business lifecycle—from strategic capture and market expansion to high-quality delivery—and is responsible for the portfolio's overall financial health. The VP is responsible for achieving annual financial targets, optimizing resource utilization (billability), and expanding JSI's footprint across federal agencies such as HHS, VA and others. As a senior leader, the VP mentors high-performing teams and ensures that federal projects drive measurable public health impact while maintaining the highest standards of contractual compliance. The VP collaborates closely with JSI's Senior Leadership Team, Division heads, and Central Service leadership–particularly Business Development–to ensure organizational coordination and adherence to JSI policies. By collaborating across divisions to share technical innovations and create organizational synergies, the VP champions the "One JSI" approach. This full-time position can be located where JSI is registered in the U.S. and reports directly to the Executive Vice President, HSD.

Responsibilities

Financial & Resource Management

Own the financial health and performance for the State, Local, & Foundation business unit, ensuring the portfolio meets or exceeds annual direct cost and growth targets.
Direct resource allocation and staff billability models to maximize organizational efficiency and project profitability across a diverse client base.
Lead rigorous financial reviews and forecasting processes that account for the varying fiscal cycles of state government, academic years, and private-sector funders.

Thought & Strategy

Develop and execute a multi-year strategy to expand JSI's presence within State Health Agencies (Medicaid/DOH), educational systems, and the philanthropic sector.
Lead high-stakes capture efforts for large-scale state and foundation opportunities, defining win themes and identifying partners to differentiate JSI; and serve as lead strategist for major proposals, ensuring a seamless bridge between technical innovation and cost-competitiveness.
Monitor shifting state policies and public funding landscapes to proactively pivot JSI's technical offerings toward emerging health and education needs.

Results & Execution

Oversee the successful delivery of all portfolio contracts, ensuring projects are high-impact, on time, and meet rigorous programmatic standards in collaboration with account leads.
Ensure 100% compliance with state procurement regulations, grant requirements, and private-sector Master Service Agreements (MSAs), safeguarding JSI's reputation.

People & Influence

Direct and develop a multidisciplinary team of senior leaders, fostering a culture of accountability, innovation, and professional growth in accordance with JSI policies and procedures.
Act as the primary executive liaison with local and state-level directors and foundation leadership to build deep institutional trust and long-term partnerships.

Expertise & Growth

Provide high-level technical oversight to ensure JSI's state and local work remains at the forefront of public health practice and digital health innovation.
Lead the mentorship of senior-level talent, ensuring the State and Local unit has the technical capacity and leadership depth to scale.

Qualifications

Education, experience, skills, and competencies

Master's degree in Public Health, Public Administration, Business (MBA), or a related field required, e.g., MBA, MPH, MPP, PhD., or equivalent experience.
15+ years of progressive relevant experience in state-level healthcare or educational consulting, with a deep understanding of State Health Agencies (DOH/Medicaid) and/or Education systems, including expert knowledge of billability management, and resource utilization models within a professional services or consulting framework.
10+ years of successful executive experience directing high-growth business units, direct cost and growth target responsibility, and multidisciplinary teams, specializing in organizational development and the mentorship of senior-level, distributed and cross-functional talent.
Demonstrated success in change management, organizational development, and driving cultural change.
Superior communication and interpersonal skills, with a proven ability to lead teams through ambiguity and influence stakeholders at all levels.
Advanced analytical fluency and ability to synthesize complex, multi-source data sets into high-level strategic narratives.
The ability to navigate the technicalities of diversified funding streams (state budgets, Title funds, grants).

Language

Fluent oral and written English communication skills.

Travel expectation

Willingness and ability to travel domestically, as necessary (50%).

Work environment

Mostly operate a computer.
Ability to maintain a comfortable and ergonomic posture while working.

Work authorization/visa requirements/sponsorship

Must be legally authorized to work in the United States without visa sponsorship now or in the future.

Other duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Interested candidates should submit their resumes and cover letters online. No phone calls please. Principals only please.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

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This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...