Vice President - Operations

Tampa, FL

Post Date: 08/01/2017 Job ID: 22224 Category: Professional

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 is a young, growing organization so you will wear many hats (overseeing operations, long term claims, customer service, office services (mail room and new equipment) network development/provider relations, credentialing, reporting/data (encounters) mining, client relations/communications, etc).

Job Details:
  • Looking for someone who could potentially be successor to incumbent plan CEO.
  • Has a smooth transition plan in place.
  • Will wear multiple hats, not going to be a 9-6pm job.
  • Catch all of a lot of operations, long term claims, customer service (call center) office services (mail room and new equipment) network development/provider relations, credentialing, reporting/data (encounters) mining, client relations/communications.
  • Looking for someone who has a diverse background.
  • Someone who has done as many of them as possible.
  • Well rounded.

Responsibilities:
  • 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.
  • 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:
  • 9+ years Leadership role in Healthcare or Insurance.
  • Have managed 50+ people in downline.
  • Diverse background.
  • Have organized a call center or claims center or been a leader in that environment.
  • Managed Care background preferred.
  • Dental (can be taught but nice to have).

Education/Experience:
  • Bachelor's degree in Business Administration, Finance, Accountancy or a related field.
  • Master s degree preferred.
  • 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.

A-Line Staffing Solutions

877-782-3334

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