VP of Operations

Posted 7 years ago

Job Features

Job TypeFullTime / Regular
Minumum Salary18000 USD
Maximum Salary220000 USD
Date Posted01-26-2017

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VP Healthcare Operations

This position will be located in or around Hershey, PA

  • The VP, Healthcare Operations will work in collaboration with Corporate Leadership to provide strategy, oversight and direction for operations. 
  • The VP, Healthcare Operations will develop, align and implement practices to optimize efficiencies, increase scalability, allow for growth and deliver a positive customer experience for all stakeholders. 
  • Responsibilities include but are not limited to process improvements that are in alignment with strategic plans; providing leadership and management that supports the company’s mission, vision, and core values; and ensures the efficient and compliant delivery of all contracts and services as it relates to operations.

Job Description:

  • Provide guidance related to competitive/industryhealthcare trends involving expansion and growth opportunity.
  • Provide operational oversight of third party vendors.
  • Articulate and engage change throughout the organization as it relates to authorization and billing procedures.
  • Leverage technology to streamline efficiencies within the healthcare operations group relating to claim processing, enrollment, and third party management.
  • Research and implement new strategies and techniques to ensure the company remains at the forefront of modern practice.
  • Create new policies and amend existing policies to improve operations as needed. Present recommendations on the operations of the organization and propose changes to mitigate risk and facilitate future growth.
  • Provide personal leadership that encourages employee productivity and responsiveness to the needs of the current and prospective members, providers and regulatory agencies/staff.
  • Ensure programs are established to comply with all relevant federal, state and local regulations.
  • Ensure management staff maintains focus on efficiency and execution
  • Maintains working knowledge and compliance of any local, state, and national regulations identified as regulatory requirement
  • Forecast, create, and maintain annual budgets, reviewing on a monthly and quarterly basis
  • Promote internal growth and development of leadership staff Experience
  • Must possess the ability to assess potential problems and make sound judgment around issues that may have an adverse impact on the company.
  • Must be a strategic planner with sound technical skills, analytical ability and strong operational focus.
  • Must have strong ability to relate to people at all levels of the organization and possess excellent communication and presentation skills, both written and verbal.
  • Ability to handle multiple projects, meet deadlines and adapt to changing business environment and/or needs
  • Effective leadership and team building skills.
  • Implement governing body directives or policies.
  • Oversee fiscal management.
  • Comply with applicable laws and regulations.
  • Monitor quality and appropriateness of services and products and assuring their availability.
  • Program planning, development, administration and evaluation.
  • Overall administration of Agency and its affiliated companies.
  • Coordinate and liaison with appropriate affiliate departments and committees.
  • Represent the organization to other groups, agencies, and the general public.
  • Keep the governing body and staff informed of current organizational, community, and industry trends.
  • Develop policies and guidelines of operations.
  • Seek and encourage input from other administrative and service personnel.
  • Provide professional input to related administrative systems.
  • Participate in the formulation of a business plan strategic goals, resource allocation plan(s) and budgets.
  • Consult, plan and work with the Governing Body and Management Staff in policy formulation and program development and implementation including matters of staffing for the Agency.
  • Assist the Governing Body in planning activities to develop administrative policies and practices.
  • Coordinate with the Administrator and management and program areas for appropriate services operations and administration according to the organizational structure.
  • Maintain liaison for data processing and record needs, including weekly, monthly utilization reports.
  • Keep the management staff informed of Agency and affiliate developments, needs, etc., and encourages their participation in problem solving at the organization and community levels.
  • Submit formal written proposals to the Governing Body for all new programs of Services with complete cost/benefit analysis.
  • Direct the implementation of service goals and objectives.
  • Consult, plans and works with the Governing Body to implement all support functions relating to Board activities and other committee activities, i.e., agenda, minutes, reports and yearly calendar of activities
  • Submit monthly and other operation reports to the Governing Body on a timely basis, outlining the completion of goals and objectives including justification for those not attained.
  • Participate in selective conferences and workshops to promote knowledge in community health trends, job performance efficiency and overall professional growth.
  • Establish personal goals and objectives for advancement.
  • Participate with other health, civic, educational and professional groups as directed.

Qualifications, and Education

  • Bachelor’s degree in Business or related field, required; Master’s degree, preferred
  • Minimum of eight years’ experience in Healthcare industry, medical or ambulance billing required
  • Minimum of five years management experience relating to BPO/TPA type services required
  • Mastery of oral, written, presentation and facilitation skills
  • Demonstrated experience utilizing MS Office Suiteand project management software
  • Working knowledge of medical information systems, medical claims payment process, medical terminology and coding, managed care, and Medicare and Medicaid programs.
  • Strong understanding of the current and future state of the healthcare industry.

Job Features

Job TypeFullTime / Regular
Minumum Salary18000 USD
Maximum Salary220000 USD
Date Posted01-26-2017

Apply Online

A valid email address is required.
A valid phone number is required.