VP, Market Operations

Complete Health•Westminster, CO

16d

About The Position

The VP, Market Operations will lead the execution of business development, business operations and clinic operational functions across their market (s) while driving initiatives consistent with the overall mission, values, goals and objectives of Complete Health.

Requirements

Bachelor's degree in Business, Healthcare or Public Administration, Finance, Economics or a related field OR additional experience above the minimum will be considered in lieu of the required education on a year-for-year basis preferred.
A minimum of 5 years in a VBC/MC focused company strongly preferred.
A minimum of 8 year's healthcare administration, budget management, finance or closely related industry in a VBC environment preferred.
A minimum of 5 years direct management/leadership experience within a customer/client service environment preferred.
Experience managing a diverse group of functional area professionals strongly preferred.
Experience managing line level P&L highly desired.

Nice To Haves

MBA preferred
RN/NP credentials

Responsibilities

Seamless relationship and aligned strategy with the Market Medical Director to ensure outstanding outcomes and experience for our patients, hitting key medical management metrics.
Advance the mission/vision of Complete Health to put patients first, provide unprecedented access to care and service and provide the highest quality of care and effective utilization of the healthcare dollar through culture building communications, evaluation and implementation of effective workflows and best practices.
Cultivate leaders, teach them how to delegate and support them to prioritize to achieve agreed upon goals.
Invest in relationships with all providers to create loyalty and buy in to implement new strategies, policies and/or workflows, as necessary.
Create a culture of inclusion, strong communication and identifying and sharing best practices across locations.
Delegate tasks and special projects to appropriate staff.
Prioritize and communicate priorities across the market to create a supportive and united environment working collectively toward agreed upon goals.
Stewardship of fiscal and material resources, collaborative creation of budgets and ongoing monitoring of costs, revenue, profits and EBIDTA to proactively ensure the financial success of the individual departments and the collective market. This role has responsibility for total Market P&L.
Integrate ancillary services, to include Research, across all market locations as appropriate based on market need, physical plant, and other market conditions.
Support the Value Based Care team in educating physicians, APP's, and staff relative to best practices for Value Based Care and support the Value Based Care staff to leverage their expertise and achieve/exceed targeted medical loss ratio's.
Work closely with the Market Medical Director to manage the Medical Expense associated with the Medicare Advantage patients.
Integrate and maximize technology for strategic attainment of appropriate management of the healthcare dollar.
Understand Key Performance Indicators (KPI) and use data to define/redefine strategies to exceed goals.
Ensure that all aspects of the daily operation respect employees and patients alike and are aligned with the company culture, vision, mission, and goals.
Champion business development through both internal relationships and those outside the company to motivate others to be active proponents of joining Complete Health.
Proactively communicate with potential businesses to acquire, as well as providers to hire, with a mastery understanding of compensation structure, risk and other contracting strategies, quality care, clinical practices, cultural environment, and financial impact of joining Complete Health.
Successfully uncover leads, create excitement, develop relationships, and grow the organization with the right cultural fit of like-minded physicians.
Build relationships with specialists to form a Preferred Provider Network for the market.
Recruit, interview, and staff all physicians and APP positions to maximize productivity, patient access and quality care needs.
Management of OEP and AEP to support organic growth of our MA population.
Develop a pipeline of potential new physicians and APP's by establishing relationships with residency programs, medical schools, and recruiters.
Build positive relationships with the local hospitals.
Local marketing that builds brand awareness.