Talent.com
No longer accepting applications
VP, LTSS – Health Care Operations (REMOTE)

VP, LTSS – Health Care Operations (REMOTE)

Molina HealthcareRacine, WI, US
10 hours ago
Job type
  • Full-time
  • Remote
Job description

Job Description

Provides executive level strategy and leadership to drive business performance of long-term services and supports for the enterprise which includes the operational and compliance management of the product line. Works with teams across the enterprise to assess, facilitate, plan, and coordinate best practices that deliver outcomes for members, with a focus on person-centered and strength-based activities of daily living support needs, community integration and stability goals for all populations and member progress towards independence. Analyzes clinical trends, operational / quality performance, and program evaluation that impacts member outcomes and financial performance of the product. Contributes to overarching strategy to provide quality and cost-effective member care.

ESSENTIAL JOB DUTIES :

  • Supports executive strategy development, vision and direction for enterprise managed long-term services and supports (MLTSS) activities. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
  • Provides LTSS expertise to develop and execute strategic, tactical, and operational goals, in partnership with market and LTSS leadership and cross-functional partners, regarding implementation and management of programs that enable older adults and individuals with disabilities to live independently in a setting of their choice while improving health outcomes and quality of life. Ensures the overall level of quality for delivery of LTSS services meets or exceeds appropriate standards.
  • Partners with operations, markets, and LTSS leadership to develop short and long-term financial and operational plans, as well as appropriate metrics required to strengthen the performance of the organization.
  • Collaborates with growth leaders and departments across the organization to achieve strategic and corporate business objectives for LTSS business growth.
  • Assesses, evaluates, and communicates LTSS’s overall performance, drivers of performance, opportunities, and risks, and plans for ensuring program success and reaching business objectives to a variety of audiences.
  • Ensures that current reporting systems and oversight processes monitor and accurately identify relevant performance issues on a daily, weekly, and monthly basis. This includes both financial and key operating reporting systems and metrics, ensuring systems and processes accurately predict performance issues and allow for timely course corrections. Collaborates with operations leaders to ensure that plans are developed and implemented to address performance issues.
  • Navigates and influences multiple cross-functional teams in a complex, matrix work environment, fostering and building a collaborative working environment with internal and external colleagues and constituents.
  • Interprets national and state LTSS policy and regulatory guidance to understand business impact, and ensures programs are established to comply with all relevant federal, state, and local regulations.

REQUIRED QUALIFICATIONS :

  • At least 12 years of experience in health care leading state Medicaid long-term care services programs in a multi-faceted health plan, health care system, or similar service delivery organization, operational performance management, provider relationships, financial planning and budgeting, strategic planning, risk management, capital generation, revenue management (patient billing, revenue), controllership and internal audit, or equivalent combination of relevant education and experience.
  • At least 7 years of previous experience managing and developing a team.
  • Clinical Licensure and / or certification required ONLY if required by state contract, regulation, or state board mandate.
  • Experience in working across regulatory agencies in program development and implementation.
  • Experience in working across regulatory agencies in program development and implementation.
  • Excellent organizational and time-management skills.
  • Ability to work cross-collaboratively in a highly matrixed environment.
  • Ability to lead change management and cross-enterprise initiatives.
  • Flexibility in the work environment, willingness, and ability to adapt to changing organizational needs.
  • Excellent verbal and written communication skills.
  • Microsoft Office suite / applicable software program(s) proficiency.
  • PREFERRED QUALIFICATIONS :

  • Clinical licensure (e.g. Registered Nurse (RN), Advanced Practice Registered Nurse (APRN), etc.).
  • Experience leading a line of business or product line in managed health care.
  • To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

    Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

    Pay Range : $186,201.39 - $363,093 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • Create a job alert for this search

    Health • Racine, WI, US

    Related jobs
    • Promoted
    RN-Clinical Lead

    RN-Clinical Lead

    AscensionMilwaukee, WI, US
    Full-time
    Various health insurance options & wellness plans.Retirement benefits including employer match plans.Long-term & short-term disability. Employee assistance programs (EAP).Parental leave & adoption a...Show moreLast updated: 6 days ago
    • Promoted
    Vice President - Operations

    Vice President - Operations

    HydriteBrookfield, WI, US
    Full-time
    And we are looking for problem-solvers to join our growing team.Up to 10% Retirement Contribution.Three Weeks Starting Paid Time Off. The Vice President of Operations is a transformative leader resp...Show moreLast updated: 30+ days ago
    • Promoted
    Director II, Clinical Data Strategy and Operations (Multiple Therapeutic Areas)

    Director II, Clinical Data Strategy and Operations (Multiple Therapeutic Areas)

    AbbVieNorth Chicago, IL, US
    Full-time
    AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkab...Show moreLast updated: 5 days ago
    • Promoted
    Director, Clinical Operations

    Director, Clinical Operations

    Davita Inc.Milwaukee, WI, United States
    Full-time
    N 76th St, Milwaukee, Wisconsin, 53223, United States of America.Over the last decade, we set out to be the world's greatest dialysis company, and over the next decade, we're poised to build the gr...Show moreLast updated: 30+ days ago
    • Promoted
    Operations Specialist

    Operations Specialist

    AdaptHealthHales Corners, WI, US
    Full-time
    The Operations Specialist is responsible for supporting the Operations Team through multiple tasks required for the successful support of each region's individual needs. Essential Functions and Job ...Show moreLast updated: 30+ days ago
    • Promoted
    VP of Operations & Organization Effectiveness

    VP of Operations & Organization Effectiveness

    National Funeral Directors AssociationBrookfield, WI, US
    Full-time
    The Vice Presidentof Operations & Organizational Effectiveness serves as the CEOs strategic partner in leading and aligning the organizations operations, systems, and people practices.This role...Show moreLast updated: 19 days ago
    • Promoted
    Vice President of Technical Operations

    Vice President of Technical Operations

    Toshiba America Energy SystemsWest Allis, WI, US
    Full-time
    We're excited to announce a new leadership opportunity as we continue expanding our North American footprint in steam turbine generator maintenance and emerging technologies.Vice President of Techn...Show moreLast updated: 4 days ago
    • Promoted
    Vice President Operations

    Vice President Operations

    Corporate and Technical RecruitersKenosha, WI, US
    Full-time
    Vice President (VP) of Operations is a senior executive responsible for the entire operational strategy and execution of our five (5) food manufacturing facilities. Oversee all aspects of production...Show moreLast updated: 28 days ago
    • Promoted
    Vice President (VP)-Engineering

    Vice President (VP)-Engineering

    Badger MeterMilwaukee, WI, US
    Full-time
    Badger Meter is a leading global water technology company, with a mission to preserve and protect the worlds most precious resource. For more than 100 years, cities and businesses have utilized our ...Show moreLast updated: 30+ days ago
    • Promoted
    Licensed Clinical Therapist (LCSW, LPC, LMFT)

    Licensed Clinical Therapist (LCSW, LPC, LMFT)

    LifeStance HealthCaledonia, WI, US
    Full-time +1
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 5 days ago
    • Promoted
    Vice President of Operations

    Vice President of Operations

    HRBoostWaukegan, IL, US
    Full-time
    Provide strategic and operational leadership for the company to ensure exceptional quality, customer satisfaction, and sustainable growth. The Vice President of Operations oversees all aspects of op...Show moreLast updated: 18 days ago
    • Promoted
    Director, Global HEOR Parkinson's Disease (OUS)

    Director, Global HEOR Parkinson's Disease (OUS)

    AbbVieMettawa, IL, US
    Full-time
    AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkab...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Account Manager (IV / Infusion Therapy) - Illinois / Iowa

    Senior Account Manager (IV / Infusion Therapy) - Illinois / Iowa

    Fresenius Kabi USA, LLCLake Zurich, IL, United States
    Full-time
    The Senior Account Manager, Infusion Delivery Solutions is responsible for developing and maintaining relationships with key decision makers that lead to future business opportunities.The position ...Show moreLast updated: 30+ days ago
    • Promoted
    Regional Operations Director

    Regional Operations Director

    Davita Inc.Milwaukee, WI, United States
    Full-time
    W Wisconsin Ave, Milwaukee, Wisconsin, 53208-3155, United States of America.We are seeking an inspiring and motivated leader who will lead approximately 10 dialysis centers, 200 teammates and provi...Show moreLast updated: 30+ days ago
    Healthcare Simulation Operations Specialist - FT

    Healthcare Simulation Operations Specialist - FT

    Mount Mary UniversityMilwaukee, WI, USA
    Full-time
    Quick Apply
    The Healthcare Simulation Operations Specialist (SOS) is a cross-functional, technically skilled professional who ensures the seamless operation of simulation-based education.This role supports the...Show moreLast updated: 30+ days ago
    • Promoted
    LPN Med Care Manager

    LPN Med Care Manager

    Sunrise Senior LivingHighland Park, IL, US
    Full-time
    When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships wi...Show moreLast updated: 7 days ago
    Director of Nursing Oak Creek, WI

    Director of Nursing Oak Creek, WI

    GpacOak Creek, Wisconsin, United States
    Full-time
    Quick Apply
    Are you a compassionate, visionary nurse leader ready to make a meaningful impact? We’re seeking a .Proudly recognized as one of the . DON who shares our passion for serving seniors ...Show moreLast updated: 22 days ago
    • Promoted
    • New!
    VP, Account Management

    VP, Account Management

    USA JobsMilwaukee, WI, US
    Full-time
    Vice President, Account Management.The Vice President, Account Management is a mission critical role responsible for delivering on our client commitments, creating and maintaining strong customer r...Show moreLast updated: 4 hours ago