Vice President General Management - Full-time / Part-time

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)

Vice President, General Management

Positions in this function include those responsible for management and administration of multiple functions, or management of general business operations. May manage the P&L of a business or part of a business unit. Manage daily operations of multiple levels of staff and multiple functions/departments across one or more business units. May include day to day site operations,
management leadership internal and external to organization, accountable for financial and non-financial results (budgets andactuals). Project management and implementation, staff management.

- Provides leadership to and is accountable for the performance and results of diverse or broad functions through multiple layers of management.
- Impact of work is most often at the business segment or enterprise level.

Owns output of the entire system made up of all related processes.
- Drives programs that impact markets of customers and consumers.
- Develops, translates and executes strategies or functional and operational objectives at the segment level.
- Product, service or process decisions are most likely to impact the entire enterprise, industry, and/or marketplace.

Plan/Implement/Manage Operations Programs and Strategies

-Utilize standard project plan templates to create and/or tailor project plans to specific customers' needs
-Analyze RFP/contract language and incorporate requirements into project plans
-Assist internal and/or external business partners with completion of tasks and resolution of issues and problems with program
implementation
-Establish and/or implement internal and/or external service level agreements in order to ensure ability to monitor and measure
program performance (e.g., turnaround time; quality; effectiveness)
-Identify and/or secure resources (e.g., funding; staffing; system security; real estate and/or telecommuting requirements;
hardware/software) required to implement programs
-Review, create, and/or maintain workflows to ensure they are up-to-date and operationally efficient
-Provide guidance, expertise, and/or assistance to internal and/or external partners (e.g., claims; call center; benefits; clinical) to
ensure programs and strategies are implemented and maintained effectively
-Communicate with and help internal and/or external partners interpret contractual requirements in order to ensure effective problem
solution and strategy implementation
-Provide input to internal and/or external stakeholders (e.g., sales;

Evaluate Operations Program and Strategy Performance

Seek feedback from customers to determine success of overall project management and implementation
-Monitor project performance against internal and/or external service level agreements
-Work with internal and/or external partners (e.g., claims; call center) to ensure accurate reports are produced to validate program
performance review
-Ensure performance is tracked accurately utilizing internal tools and processes (e.g., dashboards; scorecards; reports)
-Request and/or receive relevant performance data from internal partners and review for accuracy
-Manipulate provided data into applicable tools and reports in order to facilitate performance review and analysis
-Review consolidated operational performance reports in order to determine overall effectiveness, make necessary changes, and
identify opportunities for new programs or program consolidation or expansion
-Incorporate operations program performance information into strategic and business planning
-Delegate post-implementation tasks to appropriate stakeholders to fulfill RFP/contractual agreements
-Analyze operational performance on relevant criteria (e.g., targeted financial metrics; quality indicators; performance guarantees
and/or incentives)

Build/Maintain/Manage Relationships with Operations Stakeholders

Build and demonstrate an understanding of relevant business areas' leadership, structure, responsibilities, and work flow
-Provide standard performance reports (e.g., scorecards) to update relevant internal and/or external stakeholders on the status of
work projects
-Conduct regular meetings (e.g., JOCs; QBRs) with relevant internal and/or external stakeholders to review and discuss updates
and outstanding issues (e.g., project implementation readiness; compliance and/or quality audit results; out-of-compliance issues;
staffing issues)
-Develop corrective action plans to address and/or resolve relevant internal and/or external stakeholders' concerns or issues
regarding operational issues
-Conduct deep dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous
improvement
-Ensure relevant internal and/or external stakeholders (e.g., vendors; providers; leased network) are provided with correct and/or
updated processes, programs, and/or policies (e.g., fee schedules)
-Partner with relevant internal and/or external stakeholders to develop and/or review potential operational strategies, programs, and
plans (e.g., affordability initiatives; quality programs; projected resource needs)

Support/Develop/Ensure Compliance with Operations Policies, Procedures, and Regulations
-Demonstrate understanding of and adhere to relevant policies, procedures, and regulations
-Stay abreast of changes and/or updates in relevant policies, procedures, and regulations
-Train and educate internal stakeholders on relevant policies and procedures
-Communicate and coordinate with and/or help internal and/or external partners interpret contractual requirements in order to
ensure compliance with contractual and regulatory stipulations
-Provide input into, develop, and/or modify policies and procedures
-Ensure staff utilize relevant websites required in order to obtain up-to-date policies, guidelines, procedures, and regulations
-Track attendance on training for required policies, procedures, and regulations
-Monitor and/or report on-going compliance and related outcomes (e.g., claim denials; complaints; clinical metrics) to relevant
internal and/or external stakeholders (e.g., regulatory agencies; customers; vendors)

Review/Manage/Drive Operations Efficiency, Quality, and Financial Performance

-Utilize stakeholder input to help shape and implement continuous improvement in operational quality and financial performance
(e.g., encourage participation in Six Sigma projects)
-Ensure internal partners and/or external vendors adhere to business and contractual agreements
-Conduct end-to-end testing of applicable processes, tools, procedures, and systems platforms to validate adherence to
RFP/contract requirements
-Ensure that business continuity/emergency response plans are reviewed and tested regularly, up-to-date, and can be readily
executed
-Utilize relevant systems and tools to identify and/or test opportunities for efficiency improvements (e.g., parallel variable testing)
-Demonstrate understanding of budgeting and forecasting tools, terminology, and processes
-Analyze budget performance and variances throughout the fiscal year, and recommend and/or make necessary adjustments and
corrections
-Work with relevant internal partners (e.g., Finance; Underwriting) to identify resource requirements