Vice President, MCO Solutions (West)

What Will Your Job Look Like?

The VP, MCO Solutions is responsible for the daily operations, regulatory compliance, revenue cycle and customer satisfaction in the Managed Care Organization (MCO) setting.

The VP, MCO Solutions works in collaboration with our Account Executives, Operations, MTM support departments, and Transportation Providers to ensure the most appropriate and cost-effective delivery of transportation services for their assigned plan(s).

The VP, MCO Solutions will collaborate with internal stakeholders to ensure MTM is fully compliant with contract requirements as well as meeting the financial objectives of the organization.

This role is located in the western region of the country.

What You’ll Do :

• Provide day-to-day oversight and monitoring to ensure business outcomes and goals are defined and met
• Accountable for building and leading the account management team
• Deliver the highest level of customer service, quickly and adeptly solving customer problems and responding with timely and accurate information
• Develop, implement, review and revise policies and procedures for MCO operations
• Maintain and drive ongoing relationships and growth with established clients
• Ensure and monitor compliance with local, state and federal regulations
• Utilize business intuition and experience to anticipate client and industry marketing concerns and proactively address them
• Ensure all program activities are being performed accurately and consistently to ensure the program’s ongoing contractual and institutional compliance
• Identify new client opportunities and support Senior Management in sales presentations
• Manage and maintain existing account / client relationships
• Assist in the development of RFP’s and marketing materials
• Manage ongoing accreditation and quality management programs as required by client contract
• Plan and implement systems to provide ongoing monitoring of compliance with systems redesign when needed
• Provide leadership and management of direct and non-direct reports
• Gain knowledge of and understand all aspects of the Client(s) and the contract(s)
• Act as a liaison to ensure expectations are met and any requests for information are responded to in a timely manner
• Track and maintain department budget to meet established financial goals
• Monitor Client Satisfaction beyond statistical data
• Other duties as assigned

What You’ll need :

• Bachelor’s degree
• 6+ years’ experience managing a large team of both direct and indirect reports
• Experience managing complex contracts with SLA’s and government compliance
• Experience contracting and negotiations
• Experience establishing and managing all aspects of performance management
• Experience managing employees at all levels of the organization

Even better if you have...

• Master’s Degree, preferred
• Experience with Lean processes; Six Sigma Certification preferred
• Experience working with Medicaid and / or State programs preferred
• At least 8 years previous experience in managing transportation, logistics or fleet management fields, preferred
• Ability to build and maintain good relationships with community agencies and other critical stakeholders involved in healthcare access issues
• Knowledge of Federal, State and local regulations pertaining to Mobile Integrated Health required
• Proficient in the use of Microsoft Office Applications to include Microsoft word, Outlook, PowerPoint. Advanced Excel skills is required
• Excellent interpersonal skills and ability to work with a variety of people and job positions required
• Must be easily adaptable to ever changing environment and requirements
• Excellent interpersonal skills and the ability to work with people at all levels of the organization
• Excellent organizational skills with the ability to manage multiple concurrent projects
• Account management background preferred
• Excellent documentation skills required
• Proven leadership and communication skills are required
• Excellent problem-solving skills with the ability to anticipate and resolve problems
• Knowledge of managed care, quality improvement, contracting
• Ability to establish and maintain operational structure
• Ability understand and communicate Company vision
• Strong business and financial acumen
• Strong analytical and strategic planning skills

What’s in it for you :

• Health, Life Insurance, Dental and Vision Plans
• 401(k) with a company match
• Flexible Scheduling
• Paid Time Off, Holiday Pay and Birthday Holiday
• Maternity / Paternity Leave
• Casual Dress Environment
• Tuition Reimbursement
• MTM Perks Discount Program
• Leadership Mentoring Opportunities

Salary Min : $175,000

Salary Max : $195,000

This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location.

We offer competitive pay that varies based on individual skills, experience, and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified.

To learn more, you are welcome to discuss with us as you move through the selection process.

Equal Opportunity Employer : MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law.

If you are in need of accommodations, please contact MTM’s People & Culture.