Regional Vice President, Operations

MTM•Saint Louis, MO

About The Position

The Regional Vice President (RVP), Operations will oversee the overall direction and administration of MTM Health's operational departments associated with all programs and services provided within a specific region, ensuring a high level of service delivery for members and facilitating client relationships and interactions. Specific areas of responsibility include the oversight of performance applicable to the specific region of our network management, business implementation, customer service center operations, Member services/appeals and grievances, community and Client engagement, project management, P & L responsibility, and quality assurance teams. This individual will also assume full responsibility for performance management, accountability, and support of training and development for staff within their region. This role does require travel up to 30%.

Requirements

High School Diploma or G.E.D. equivalent
Bachelor’s degree or equivalent work experience
10+ years of Operations experience
8+ years’ experience managing a 30+ employee department
Experience establishing key processes and procedures
Experience in developing, promoting, and building key relationships with all key stakeholders
Experience supervising and monitoring the delivery of contractual services
Must possess a valid driver’s license
Excellent interpersonal skills and ability to work with both internal and external stakeholder at all job levels
Strong executive presence and verbal and written communications skills
Knowledge of managed care, quality improvement, and contracting
Ability to acquire in-depth knowledge of MTM operations
Strong critical thinking, process orientation and deep analytical capabilities
Ability to schedule, organize and prioritize multiple tasks
Knowledge of budgets and cost analysis
Ability to maintain high level of confidentiality

Nice To Haves

Lean Six Sigma or other Continuous Process Improvement experience preferred
Prior project or contract management experience preferred
Previous experience working with Medicaid and/or State programs preferred
Experience working for a managed health provider preferred

Responsibilities

Provide strategic leadership and management that reflects MTM's mission, vision, and core values
Provide leadership that encourages employee productivity and responsiveness to the needs of both internal and external stakeholders
Work collaboratively with other regional VPs to ensure process alignment and consistency.
Promote the effective supervision, management, motivation, succession planning, performance management, development, and training of all employees
Drive both operational and financial results improvement
Formulate and implement business plans, tactics, and strategies to provide efficient, effective, and compliant operations that not only meet short-term objectives but ensure long-term growth and success
Develop and implement adequate measures to meet the operational needs of the company to efficiently utilize resources and maintain an effective system of operational processes and measurement of outcome
Oversee the financial budget and cost containment initiatives
Increase member/passenger and transportation/medical provider quality satisfaction to support Client retention and growth opportunities
Work collaboratively with internal and external business partners to successfully acquire and execute profitably on new and existing business opportunities
Regular meetings with department leadership, peer departments and businesses served
Oversee process and procedure development guidelines, including backup plans
Stay current on all technology and optimal use within the department
Lead program implementations that are in alignment with strategic and operational plans while ensuring efficient and compliant delivery of all contracts
Develop and implement a structured performance review process to evaluate balanced metrics and ensure departmental goals are achieved
Ensure the implementation and compliance of company policies, procedures, and directives in alignment with state and federal regulations
Use data analytics, reporting tools, and KPIs to identify potential compliance deficiencies and streamlining opportunities
Gain an in-depth understanding of how contract verbiage and requirements should be applied to operational processes of the organization and drive accountability for compliance for respective region
Other duties as assigned