VP OF OPERATIONS (MANAGED CARE)

Company: GHR Direct
Location: Pasadena
Posted on: October 10, 2020

Job Description:

Job Details Full-time$180,000 - $200,000 a year5 hours ago Benefits - Health insurance Qualifications - Medicare - Management Full Job Description I am working with a Managed Care Company in Los Angeles County who is looking for a Vice President of Operations. In this position you will be accountable for all aspects of the P & L across all business lines and territories, with primary responsibility for defining, leading and driving initiatives to achieve five Star CMS rating, Coding, Growth, Building Medicare networks, Retention of Medicare members and Affordability goals. Establishes and maintains clear leadership credibility and partnership with internal and external stakeholders. The VP will have full responsibility for most health plan operations including provider and member servicing and issue resolution; claims intake and processing; coordination of benefits, liability, and recovery programs; provider and member enrollment; plan and benefit configuration, call center operations, filing of regulatory reports, data management, eligibility, capitation reconciliations. This role reports to the CEO and works with other executives. Looking for a candidate with at least ten years of experience in a large complex health care/managed care organization with management experience. Knowledge of Medicare & Medi-Cal managed care & health plans. Master preferred but not mandatory. Salary depends on years of experience: 175-200K plus excellent benefits. Please send resume to Donna Ellixson at Show full job description Apply Now

Keywords: GHR Direct, Pasadena , VP OF OPERATIONS (MANAGED CARE), Executive , Pasadena, California