Avp/Director Operation Jobs

Job Summary:

• This position will support the CEO in the successful growth and performance, including financial management of WHPS
• P&L responsibility for areas assigned.
• The AVP/Director, Operations has the responsibility for overseeing all high-level operational global activities of various functional areas, which may include but not limited to: Claims, Customer Service (Contact Center Management), Provider Services, Grievance and Appeals, Member Services, and Medical Management.
• The AVP, Operations will be required to oversee the ACA, Administrative Services Organization (ASO), small group and legacy business for Client.
• Responsible for working collaboratively with Executive Leadership, internal and external stakeholders.

Essential Job Functions/Duties:

• Collaborates with the management team to develop and implement action plans for the operational infrastructure of systems, processes, and personnel designed to accommodate the rapid growth objectives of the organization.
• Timely response to customer requests with a necessary sense of urgency, documentation, follow-through and closure.
• Attract, recruit, train, develop, coach and lead a high performance team.
• Fosters a success-oriented, accountable environment.
• Analyze and interpret data and metrics.
• Assures compliance to and consistent application of law, rules and regulations, company policies and procedures for all assigned areas.
• Develops and Leads all Business Continuity Activities across the global footprint
• Serves as a liaison with regulatory and other state administration agencies.
• Responsible for ensuring their areas are in alignment with all Business Standards.
• May be required to spearhead the implementation of new programs, services, and preparation of bid and RFI/RFP proposals.
• Responsible for driving WHPS to achieve and surpass performance metrics, profitability, and business goals and objectives.
• Assists leaders in collaborative efforts related to the development, communication and implementation of effective growth strategies and processes.
• Provides day-to-day leadership and management to the organization that mirrors the mission and core values of the company.
• Additional responsibilities may be assigned or required by management.

QUALIFICATION REQUIREMENTS:

• Ability to travel globally.
• Must have experience in Healthcare, Medical, Pharma, Managed Care clients.
• Client-driven mindset with a passion for enabling the success of the organization and customer.
• Must have recent and related managed health care experience, prior Chief Operating Officer experience preferred.
• The ideal candidate is an initiative-taker who thrives amidst ambiguity, has a can-do attitude, and has strong intuitions about what needs to be done to drive customer satisfaction.
• Clear written and oral communication.
• Demonstrate strong organizational skills ensuring effective cross-team collaboration.
• Demonstrated leadership with relevant initiatives: business process optimization, enterprise business project management, financial strategic planning and analysis, and risk management.
• 10+ years work experience that reflects a proven track record of proficiency in the operational competencies noted.
• Strong analytical skills with working knowledge of Microsoft 365 (Word, Excel, PowerPoint, etc.)