Talent.com
VP, LTSS – Health Care Operations (REMOTE)

VP, LTSS – Health Care Operations (REMOTE)

Molina HealthcareSaint George, UT, US
7 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 • Saint George, UT, US

    Related jobs
    • Promoted
    Mental Health Therapist

    Mental Health Therapist

    SonderMind CareersMesquite, NV, US
    Full-time
    SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with cutting-edge, AI-powered tools....Show moreLast updated: 30+ days ago
    • Promoted
    Transition of Care Coach (RN)

    Transition of Care Coach (RN)

    Molina Healthcare CareersSAINT GEORGE, Utah, US
    Full-time +1
    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...Show moreLast updated: 14 days ago
    • Promoted
    Rural Health Liaison (Locations : Fallon, Ely / Caliente, South Lyons / Virginia City, Winnemucca)

    Rural Health Liaison (Locations : Fallon, Ely / Caliente, South Lyons / Virginia City, Winnemucca)

    CareSourceMesquite, NV, United States
    Full-time
    We are looking to onboard 7 Rural Health Liaisons to support our NV market.Priority will be given to those located in Fallon, Ely / Caliente, South Lyons / Virginia City, Winnemucca.The Rural Health Li...Show moreLast updated: 24 days ago
    • Promoted
    Care Manager (RN)

    Care Manager (RN)

    Molina Healthcare CareersMESQUITE, Nevada, US
    Full-time +1
    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...Show moreLast updated: 14 days ago
    • Promoted
    Care Review Clinician RN (BH Licensed)

    Care Review Clinician RN (BH Licensed)

    Molina Healthcare CareersSAINT GEORGE, Utah, US
    Full-time +1
    Candidates who do not live in Nevada must be willing to work Pacific Business Hours.Provides support for member clinical service review processes specific to behavioral health.Responsible for verif...Show moreLast updated: 7 days ago
    • Promoted
    Licensed Psychiatric NP

    Licensed Psychiatric NP

    HeadwaySaint George, UT, US
    Full-time
    Licensed Psychiatric Nurse Practitioner.Wage : Between $89-$203 an hour.Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?.Whether you wan...Show moreLast updated: 5 days ago
    • Promoted
    • New!
    Care Manager (RN)

    Care Manager (RN)

    Molina HealthcareMESQUITE, NV, US
    Full-time
    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...Show moreLast updated: 15 hours ago
    • Promoted
    • New!
    Supervisor, Healthcare Services Operations Support

    Supervisor, Healthcare Services Operations Support

    Molina HealthcareSaint George, UT, US
    Full-time
    JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavior...Show moreLast updated: 7 hours ago
    • Promoted
    Telemedicine Physician

    Telemedicine Physician

    QuickMDIvins, UT, US
    Full-time
    QuickMD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essential medical trea...Show moreLast updated: 30+ days ago
    • Promoted
    Military Medicine Program Associate Director

    Military Medicine Program Associate Director

    InsideHigherEdIvins, Utah, United States
    Full-time
    Rocky Vista University in Ivins, UT has an opening for a.Military Medicine Program Associate Director (Full-Time).To be considered for this position applicants should submit a resume / cover letter a...Show moreLast updated: 30+ days ago
    • Promoted
    Restaurant Delivery - Flexible Onboarding

    Restaurant Delivery - Flexible Onboarding

    DoorDashIvins, UT, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show moreLast updated: 7 days ago
    • Promoted
    Clinical Nurse - Critical Care Float Pool

    Clinical Nurse - Critical Care Float Pool

    Phoenix Children'sMesquite, NV, United States of America
    Full-time
    Critical Care Float Pool Registered Nurses utilize a patient and family-centered approach to provide compassionate and high-quality care for children of all ages. Critical Care Float Pool RNs are as...Show moreLast updated: 27 days ago
    • Promoted
    • New!
    Transition of Care Coach (RN)

    Transition of Care Coach (RN)

    Molina HealthcareMESQUITE, NV, US
    Full-time
    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...Show moreLast updated: 15 hours ago
    • Promoted
    • New!
    Care Review Clinician RN (BH Licensed)

    Care Review Clinician RN (BH Licensed)

    Molina HealthcareMESQUITE, NV, US
    Full-time
    Candidates who do not live in Nevada must be willing to work Pacific Business Hours.Provides support for member clinical service review processes specific to behavioral health.Responsible for verif...Show moreLast updated: 15 hours ago
    • Promoted
    Physical Therapist - $10,000 Sign On Bonus + Relocation Available

    Physical Therapist - $10,000 Sign On Bonus + Relocation Available

    Phoenix Children'sMesquite, NV, United States of America
    Full-time
    This position provides physical therapy services to pediatric population, neonate to adolescence, including evaluation and treatment, using modalities such as exercise, heat, water, electricity, ma...Show moreLast updated: 27 days ago
    • Promoted
    Travel MRI Technologist - $2,743 per week

    Travel MRI Technologist - $2,743 per week

    LRS Healthcare - AlliedSaint George, UT, US
    Full-time +1
    LRS Healthcare - Allied is seeking a travel MRI Technologist for a travel job in St George, Utah.Job Description & Requirements. LRS Healthcare - Allied Job ID #30I-27585.Pay package is based on 8 h...Show moreLast updated: 4 days ago
    • Promoted
    Care Review Clinician, PA (RN)

    Care Review Clinician, PA (RN)

    Molina Healthcare CareersSAINT GEORGE, Utah, US
    Full-time +1
    Candidates who do not live in NV must work Pacific Business Hours permanently.Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate...Show moreLast updated: 14 days ago
    • Promoted
    • New!
    Care Review Clinician, PA (RN)

    Care Review Clinician, PA (RN)

    Molina HealthcareMESQUITE, NV, US
    Full-time
    Candidates who do not live in NV must work Pacific Business Hours permanently.Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate...Show moreLast updated: 15 hours ago