Vice President of Operations, CHS MSO / TPA
About The Position
The Vice President of Operations is responsible for the overall operational performance of the Management Services Organization (MSO) / Third‑Party Administrator (TPA). Reporting directly to the Chief Executive Officer, the Vice President of Operations provides enterprise‑level leadership for day‑to-day operations, vendor and delegate oversight, financial and operational performance, regulatory compliance, and execution of strategic initiatives. The Vice President of Operations partners closely with executive leadership, health plans, providers, and external vendors to ensure efficient, compliant, and scalable operations that support high‑quality service delivery and sustainable growth across all lines of business and serves as the executive owner of MSO/TPA operational functions.
Requirements
- Bachelor’s degree in Healthcare Administration, Business Administration, or a related field (Master’s degree or MBA strongly preferred).
- Minimum of 15+ years of progressive leadership experience in MSO, TPA, managed care, health plan, or healthcare operations.
- Experience overseeing large‑scale, complex healthcare operations and delegated functions with enterprise‑level accountability.
- Experience supporting Medicaid Managed Care, Medicare Advantage, and/or Commercial health plans.
- Prior accountability for MSO/TPA performance management and delegated operations.
- Deep understanding of managed care operations, TPA administration, and healthcare regulatory requirements.
- Strong financial acumen, including budgeting, forecasting, and operational cost management.
- Proven ability to lead cross‑functional teams and execute change in complex environments.
- Experience with operational analytics, performance metrics, and continuous improvement methodologies.
- Excellent communication, negotiation, and stakeholder management skills.
- Strategic thinker with strong execution discipline
- Results‑oriented and data‑driven
- Collaborative, decisive, and accountable
- High integrity and commitment to compliance and quality
- Comfortable operating in fast‑paced, highly regulated environments
Nice To Haves
- Experience leading growth initiatives, system implementations, integrations, or operational turnarounds.
- Familiarity with healthcare administration platforms (claims, enrollment, UM, CRM, reporting tools).
Responsibilities
- Operational Leadership
- Vendor and Delegation Oversight
- Financial and Budget Oversight
- Quality, Compliance and Risk Management
- Strategic Execution
- People and Organizational Leadership
- Executive and Stakeholder Engagement
Benefits
- We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program.
- You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.
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What This Job Offers
Job Type
Full-time
Career Level
Executive
