Senior Vice President of Healthcare Operations

2 weeks ago


Fountain Valley, California, United States CLevelCrossing Full time

Senior Vice President of Healthcare Operations at CLevelCrossing

The Senior Vice President of Healthcare Operations is tasked with managing the daily functions of the Healthcare Operations Division. This position is crucial in ensuring that the division achieves its objectives in accordance with the strategic vision set forth by the governing body.

  • Offer guidance and oversight to the Healthcare Operations team.
  • Direct initiatives related to Patient Referral Management, Inpatient Care Coordination, Outpatient Care Coordination, Chronic Disease Management, Accountable Care Organizations, Compliance with Regulations, and Quality Assurance.
  • Recognize areas for enhancement in employee performance and operational processes.
  • Guarantee adherence to regulatory standards and accreditation requirements.
  • Formulate plans for Quality Enhancement and Utilization Oversight.

This executive collaborates closely with the Chief Medical Officer and other key stakeholders to propel initiatives that refine healthcare management practices and policies aimed at improving patient care and operational efficiency. Furthermore, this role encompasses the supervision of commercial and senior ACO offerings while cultivating robust partnerships with health insurance providers.

  • Establish and oversee the operational budget for the division.
  • Foster strong partnerships with health insurance providers.
  • Guide the team in creating innovative programs that align with corporate strategic objectives.
  • Ensure compliance with applicable laws, regulations, and internal policies.

Qualifications:

A Bachelor's degree in Nursing or a related healthcare discipline is required. A Master's degree in Business Administration or a healthcare-related field is preferred. A valid and unrestricted Registered Nurse license is mandatory.

Experience:

A minimum of 10 years in healthcare operations management, particularly within Independent Practice Associations, medical groups, or Health Maintenance Organizations.

Expertise:

A solid foundation in strategic development, financial assessment, and contract negotiations. Outstanding leadership and organizational capabilities. Excellent verbal and written communication skills.



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