As the Vice President of Health-Plan Operations you will partner with multiple stakeholders and senior leadership to establish and achieve strategic vision and operational objectives. This will include oversight for business operations, procurement opportunities, new product implementations and complex initiatives for business development, including RFP responses.
Provide technical leadership and support technical excellence by searching out external best practice, monitoring technical and professional developments, sharing knowledge and encouraging others to do the same in the best interests of company and its customers.
Oversee member and provider services operations, grievance and appeals, contract configuration, provider data management, plan marketing, reporting and operationalizing quality initiatives across the plan.
The -VP will 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.