Regional Vice President, Operations

MTM•Saint Louis, MO

21h•Hybrid

About The Position

At MTM, we are not just colleagues; we are collaborators on a shared mission; communities without barriers. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation, collaboration, and growth. If you are passionate, driven, and ready to join a team where your work will directly transform and shape our industry, then we want to talk to you! The Regional Vice President (VP), Operations will oversee the overall direction and administration of 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, 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 progressive healthcare operations leadership experience at the Director level, or above, within regulated healthcare environments, such as: Medicaid, Medicare, or government-sponsored health programs, managed care organizations (MCOs), health plans, or healthcare services organizations operating under state or federal oversight
8+ years of experience leading large, multi-layered teams (minimum 30+ employees), including direct leadership of managers and indirect oversight of frontline staff
Proven experience overseeing the delivery of healthcare services under contractual obligations, including: service level agreements (SLAs), regulatory and compliance requirements, performance guarantees and corrective action plans
Direct experience supporting or managing state-issued healthcare contracts (e.g., Medicaid, public health, or other government-funded programs)
Experience developing and managing relationships with healthcare stakeholders, including: State agencies, Health plans or payers, providers, vendors, or subcontracted partners
Must possess a valid driver’s license
Excellent interpersonal skills and ability to work with both internal and external stakeholders at all job levels
Knowledge of managed care, quality improvement, and contracting
Ability to acquire in-depth knowledge of MTM operations
Data analysis and interpretation skills, problem solving skills
Ability to schedule, organize and prioritize multiple tasks
Knowledge of budgets and cost analysis
Excellent communication skills
Ability to handle questions and resolve issues in a constructive manner
Ability to analyze data, developing trend analysis and comparison reports
Moderate to advanced computer skills
Ability to maintain high level of confidentiality
Regular attendance is required

Nice To Haves

Certified Project Management Professional or Associate Certification desired (PMI) 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
Promote the effective supervision, management, motivation, succession planning, performance management, development, and training of all employees
Drive both operational and financial 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