Talent.com
serp_jobs.error_messages.no_longer_accepting
VP, LTSS - Health Care Operations (REMOTE) (Kissimmee)

VP, LTSS - Health Care Operations (REMOTE) (Kissimmee)

Molina HealthcareKissimmee, FL, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

Job Description Provides executive level strategy and leadership to drive business performance of long-term services and supports for the enterprise which includes the operational and compliance management of the product line. Works with teams across the enterprise to assess, facilitate, plan, and coordinate best practices that deliver outcomes for members, with a focus on person-centered and strength-based activities of daily living support needs, community integration and stability goals for all populations and member progress towards independence. Analyzes clinical trends, operational / quality performance, and program evaluation that impacts member outcomes and financial performance of the product. Contributes to overarching strategy to provide quality and cost-effective member care. ESSENTIAL JOB DUTIES : Supports executive strategy development, vision and direction for enterprise managed long-term services and supports (MLTSS) activities. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. Provides LTSS expertise to develop and execute strategic, tactical, and operational goals, in partnership with market and LTSS leadership and cross-functional partners, regarding implementation and management of programs that enable older adults and individuals with disabilities to live independently in a setting of their choice while improving health outcomes and quality of life. Ensures the overall level of quality for delivery of LTSS services meets or exceeds appropriate standards. Partners with operations, markets, and LTSS leadership to develop short and long-term financial and operational plans, as well as appropriate metrics required to strengthen the performance of the organization. Collaborates with growth leaders and departments across the organization to achieve strategic and corporate business objectives for LTSS business growth. Assesses, evaluates, and communicates LTSSs overall performance, drivers of performance, opportunities, and risks, and plans for ensuring program success and reaching business objectives to a variety of audiences. Ensures that current reporting systems and oversight processes monitor and accurately identify relevant performance issues on a daily, weekly, and monthly basis. This includes both financial and key operating reporting systems and metrics, ensuring systems and processes accurately predict performance issues and allow for timely course corrections. Collaborates with operations leaders to ensure that plans are developed and implemented to address performance issues. Navigates and influences multiple cross-functional teams in a complex, matrix work environment, fostering and building a collaborative working environment with internal and external colleagues and constituents. Interprets national and state LTSS policy and regulatory guidance to understand business impact, and ensures programs are established to comply with all relevant federal, state, and local regulations. REQUIRED QUALIFICATIONS : At least 12 years of experience in health care leading state Medicaid long-term care services programs in a multi-faceted health plan, health care system, or similar service delivery organization, operational performance management, provider relationships, financial planning and budgeting, strategic planning, risk management, capital generation, revenue management (patient billing, revenue), controllership and internal audit, or equivalent combination of relevant education and experience. At least 7 years of previous experience managing and developing a team. Clinical Licensure and / or certification required ONLY if required by state contract, regulation, or state board mandate. Experience in working across regulatory agencies in program development and implementation. Experience in working across regulatory agencies in program development and implementation. Excellent organizational and time-management skills. Ability to work cross-collaboratively in a highly matrixed environment. Ability to lead change management and cross-enterprise initiatives. Flexibility in the work environment, willingness, and ability to adapt to changing organizational needs. Excellent verbal and written communication skills. Microsoft Office suite / applicable software program(s) proficiency. PREFERRED QUALIFICATIONS : Clinical licensure (e.g. Registered Nurse (RN), Advanced Practice Registered Nurse (APRN), etc.). Experience leading a line of business or product line in managed health care. To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V. Pay Range : $186,201.39 - $363,093 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.aa415a4b-8b21-40fc-a65c-70d2b25ca29a
serp_jobs.job_alerts.create_a_job

Health • Kissimmee, FL, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Director of Nursing

Director of Nursing

MNH GI Surgical Center, LLC (15047)MAITLAND, Florida, United States
serp_jobs.job_card.full_time
Center for Advanced Gastroenterology Surgery Center, LLC is hiring a Director of Nursing.Welcome to Center for Advanced Gastroenterology Surgery Center. Center for Advanced Gastroenterology Surgery ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Associate Practice Manager

Associate Practice Manager

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for an Associate Practice Manager.Key Responsibilities Assist in overseeing administrative, care coordination, and field support teams to ensure timely and high-quality patie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Healthcare Help Desk Supervisor

Healthcare Help Desk Supervisor

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Help Desk Supervisor - Remote US.Key Responsibilities Supervise daily operations of the Help Desk team to meet service levels and quality standards Provide coaching an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Director

Clinical Director

Davenport Ambulatory Surgery Center (10719)DAVENPORT, Florida, United States
serp_jobs.job_card.full_time
Davenport Ambulatory Surgery Center.FL specializing in Pain Management, Gastroenterology, Ophthalmology, Orthopedic Surgery. We are seeking an experienced clinical leader to join our team as the Cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Assistant Nurse Manager - Operating Room

Assistant Nurse Manager - Operating Room

BayCareWinter Haven, FL, US
serp_jobs.job_card.full_time
At BayCare, we are proud to be one of the largest employers in the Tampa Bay area.Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
RN Supervisor Pediatrics at Tavares

RN Supervisor Pediatrics at Tavares

AdventHealth Medical Group Central FLTavares, FL, US
serp_jobs.job_card.full_time
RN Supervisor AdventHealth Medical Group - AHMG Pediatrics at Tavares.All the benefits and perks you need for you and your family : . Whole Person Wellbeing Resources.Joining AdventHealth is about bei...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Healthcare Industry Solutions VP

Healthcare Industry Solutions VP

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a VP of Healthcare Industry Solutions.Key Responsibilities Develop actionable solution offerings based on industry trends for healthcare providers Engage with clients an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Pennsylvania Licensed Care Manager Supervisor

Pennsylvania Licensed Care Manager Supervisor

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Professional Care Manager, Supervisor (RN).Key Responsibilities Oversee care coordination functions for clinical staff, including supervision, coaching, and counseling ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Telephonic Nurse Case Manager

Telephonic Nurse Case Manager

AmTrust FinancialMaitland, FL, United States
serp_jobs.job_card.full_time
US-TX-Dallas | US-GA-Alpharetta | US-FL-Boca Raton | US-FL-Maitland.AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.To ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
South Carolina Licensed RN Case Manager

South Carolina Licensed RN Case Manager

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for an RN Concierge Care Manager - Case Manager.Key Responsibilities Direct day-to-day high-touch member management, including treatment plan coordination for high-risk popul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Senior Manager Clinical Biomarkers

Senior Manager Clinical Biomarkers

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Manager of Clinical Biomarkers.Key Responsibilities Lead the development and execution of clinical biomarker plans aligned with clinical development strategy Ov...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
RN Clinical Coordinator

RN Clinical Coordinator

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Prior Authorization Clinical Review Coordinator.Key Responsibilities Review prior-authorization requests for post-acute levels of care based on medical necessity and In...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
LPN Supervisor Pediatrics at Tavares

LPN Supervisor Pediatrics at Tavares

AdventHealth Medical Group Central FLTavares, FL, US
serp_jobs.job_card.full_time
LPN Supervisor AdventHealth Medical Group - AHMG Pediatrics at Tavares.All the benefits and perks you need for you and your family : . Whole Person & Mental Health Resources.Joining AdventHealth i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
RN Denials Management Associate Manager

RN Denials Management Associate Manager

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for an Associate Manager RN Denials Management.Key Responsibilities Oversee operations of the team to ensure efficient payer denial and appeal reviews Supervise team members...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Clinical Operations Manager AHMG Radiology

Clinical Operations Manager AHMG Radiology

AdventHealth Medical Group Central FLMaitland, FL, US
serp_jobs.job_card.full_time
Clinical Operations Manager - AdventHealth Medical Group - AHMG Radiology of Central Florida.All the benefits and perks you need for you and your family : . Joining AdventHealth is about being part of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Medical Director - Utilization Management

Medical Director - Utilization Management

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Director Utilization Management - Clinical Advocacy and Support.Key Responsibilities : Conduct coverage reviews and render coverage determinations based on membe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Surgical Technologist Lead

Surgical Technologist Lead

BayCareWinter Haven, FL, US
serp_jobs.job_card.full_time
Position Description : Surgical Technologist Lead.Acts as the shift lead to staff and assists management with daily operations of the department. The Surgical Technologist is a member of the health c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinical Service Excellence Manager

Clinical Service Excellence Manager

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Service Excellence Manager to oversee clinical processes and support Neurology programs. Key Responsibilities Oversee clinical processes and serve as the client...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Healthcare Industry Success Leader

Healthcare Industry Success Leader

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for an Industry Success Leader (HCLS).Key Responsibilities Serve as a Consulting Leader, leveraging domain expertise to improve client business outcomes Own and develop a bo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Medical Director, US Licensed

Medical Director, US Licensed

VirtualVocationsKissimmee, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Director - US Medical Lead - Evenity (Bone).Key Responsibilities Support the development and execution of US product medical strategy and lifecycle management ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours