Vice President, Operations

Description: Position Purpose: Oversee business operations, procurement opportunities, new product implementations and complex initiatives for business development utilizing cross-functional business units and corporate teams to meet business unit and corporate strategic objectives. This position handles the operations of the organization.  This includes claims, encounters, provider data management, enrollment and call center. Partner with multiple stakeholders and leadership to establish strategic visions, operational objectives, and policies and procedures ensuring compliance with state contracts, related laws, regulations and executive orders. Monitor and report achievement of committed action plans to senior management. Direct the development and implementation of operational work processes and systems with direct oversight for multiple departments within the business unit. Specifically Claims and Provider Data Management.  Accountable for budget, revenue targets, and Profit & Loss. Lead and oversee new business implementation and procurement activities for all products and complex projects, including RFP responses. Evaluate program opportunities and recommendations for effectiveness and ROI. Perform duties as senior liaison between the business unit, corporate, and external stakeholders. Oversee preliminary discovery, due diligence for potential liabilities, internal control weaknesses, and financial integrity. Qualifications: Education/Experience:  Bachelor's degree in Business Administration, Finance, Accountancy or a related field. Master's degreepreferred.  9 + years of operations, management, or administration in the Healthcare or Insurance industry.  Experience in business development and/or Request for Proposal (RFP) experience.  Extensive knowledge of state legislative and regulatory processes. Highlydesired: Experience leading Claims, and Provider Data Management functions.  Process Improvement experience. Preferably Lean/Six Sigma. Strong Change Management experience.  Background in a matrix environment - ability to influence stakeholders across the organization. Job ID 0099F
Salary Range: NA
Minimum Qualification
8 - 10 years

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