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Vice President, Operations - Healthcare

Wauwatosa, WI · Healthcare
About the Company: 
A Fortune 500 company, is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government sponsored healthcare programs, focusing on underinsured and uninsured individuals.  Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans).  

The Company operates local health plans and offers a range of health insurance solutions.  It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.

Position Overview: 
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.


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.
  •  

Required Qualifications: 
  • 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.

Benefits: 
The company offers more than just medical insurance. They pay most of your benefits costs and in some cases – they pay 100 percent. Most of the benefits not covered by the company are paid with pre-tax payroll deductions. 
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Flexible spending accounts (includes health care, dependent care mass transit reimbursement)
  • Short- and long-term disability insurance
  • Basic Life insurance
  • Supplemental AD&D
  • Supplemental life insurance
  • Wellness Program
  • 401(k) retirement with company match
  • Employee stock purchase plan
  • Vacation, Personal and Sick time
  • Paid Company Holidays
  • Employee Assistance Program (EAP)
  • Training and Learning Opportunities
  • Tuition Reimbursement/Educational Assistance
  • Service Awards
  • On-site fitness center or discount at local fitness centers (most locations)
  • Discounts for select local and national products and services, including cell phones, computers and more
  • Other amenities may be available, but vary by location
 
Kat Forester
ProEnlist, LLC

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