Vice President Plan Operations
1 week ago
Vice President of Plan Operations & AdministrationThe Vice President of Plan Operations & Administration leads operational strategy and execution for the Michigan Blue Cross Complete Medicaid plan. Acting as the primary partner to the Market President, this role ensures alignment with enterprise strategic objectives, contractual obligations, and stakeholder priorities. Serving as second-in-command, the VP oversees all aspects of plan infrastructure, driving operational excellence and compliance through collaboration with shared service teams.Work Arrangement: Hybrid The associate must be in the office at least three days per week.Responsibilities:Ensure compliance with state program contractual and regulatory requirements, including benefit/payment rules, data submissions, and service-level standards.Collaborate with shared services to resolve operational issues through root cause analysis and timely implementation of solutions.Monitor performance metrics and process improvements, serving as liaison between the health plan and enterprise functions.Partner with Service Operations on major changes and enterprise initiatives.Lead cross-functional meetings to foster alignment and coordination across plan and shared services.Develop action plans for operational efficiency and cost containment in partnership with Finance and Clinical leadership.Assess and mitigate plan-specific risks in collaboration with the Enterprise Risk Management team.Provide strategic leadership and oversight for teams managing Provider Network Operations, Community Engagement & Outreach, and Data & Technical Services, ensuring alignment with organizational goals and operational excellence.Education & Experience:A bachelor's degree is required.Minimum 5 years of experience in Medicaid/Medicare operations with progressive leadership responsibilities.10 plus years of progressive experience in business, government, or healthcare management.Deep understanding of Medicaid/Medicare operations and benefit administration.Proven ability to navigate complex, matrixed organizations.
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Vice President, Global Integrated Operations
2 weeks ago
Southfield, United States Michigan Staffing Full timeVice President, Global Integrated OperationsEaton's Mobility Group is seeking a dynamic Vice President, Global Integrated Operations to be based in Southfield, Michigan. Reporting to the Mobility Group President, the Vice President of Global Integrated Operations is a key member of the senior leadership team for Eaton's Mobility Group and is responsible for...
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Vice President
4 weeks ago
Southfield Township, United States Henry Ford Health System Full timeThe Vice President, Pharmacy Health Plan Administration, leads pharmacy strategy across Health Alliance Plan (HAP) to ensure cost-effective, high-quality drug benefit programs for all covered lives. This executive role provides enterprise leadership in partnership with the Chief Pharmacy Officer, working across Henry Ford Health and HAP to align innovative...
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Job Sr Vice President of Facilities Advancement
3 weeks ago
Southfield, United States Presbyterian Villages of Michigan Full timeSenior Vice President Of Facilities AdvancementPresbyterian Villages of Michigan, a faith-based, premier nonprofit organization providing senior living and services in Michigan, has a great opportunity to join our leadership team as the Senior Vice President of Facilities Advancement. We invite you to help us create new possibilities for quality living for...
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Vice President of Senior Living Facilities
2 weeks ago
Southfield, United States American House Full timeVice President of Senior Living FacilitiesReports To: Chief Operating Officer (COO)FLSA Status: ExemptDepartment: Operations / Facilities ManagementPosition SummaryThe Vice President of Senior Living Facilities provides executive-level leadership and strategic oversight for all physical assets across American House communities. This role ensures each...
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Vice President of Senior Living Facilities
5 days ago
Southfield, United States American House Senior Living Communities Full timeVice President of Senior Living FacilitiesThe Vice President of Senior Living Facilities provides executive-level leadership and strategic oversight for all physical assets across American House communities. This role ensures each community operates safely, efficiently, and in alignment with American House's core values of Respect, Integrity, Teamwork, and...
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Vice President Plan Operations
1 week ago
Southfield, United States AmeriHealth Caritas Full timeResponsibilities :Ensure compliance with state program contractual and regulatory requirements, including benefit/payment rules, data submissions, and service-level standards.Collaborate with shared services to resolve operational issues through root cause analysis and timely implementation of solutions.Monitor performance metrics and process improvements,...
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Vice President of Senior Living Facilities
1 week ago
Southfield, Michigan, United States American House Senior Living Communities Full time $80,000 - $320,000 per year:Vice President of Senior Living FacilitiesReports To: Chief Operating Officer (COO)FLSA Status: ExemptDepartment: Operations / Facilities ManagementPosition SummaryThe Vice President of Senior Living Facilities provides executive-level leadership and strategic oversight for all physical assets across American House communities. This role ensures each...
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Southfield, United States Plante Moran Full timeCount on us. Our "we-care" culture is more than just a motto; it's a promise. From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achieve your professional goals. Join us.Step into a pivotal leadership role where you'll shape the future of senior living real estate, guiding clients...
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VP, High-Value Pharmacy
3 weeks ago
Southfield Township, United States Henry Ford Health System Full timeA prominent health organization in Southfield Township is seeking a Vice President for Pharmacy Health Plan Administration. This role will lead pharmacy strategy, ensuring cost-effective drug benefit programs while overseeing all aspects of health plan drug management. Candidates should hold a PharmD or advanced degree and have strong leadership experience....
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Southfield, Michigan, United States Plante Moran Full time $140,000 - $180,000Count on us. Our "we-care" culture is more than just a motto; it's a promise. From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achieve your professional goals. Join us.Step into a pivotal leadership role where you'll shape the future of senior living real estate, guiding clients...
