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VP Health Plan Operations

ExecuNet Chicago Full-Time
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Join the talented strategic leadership team for this innovative health plan positioned for incredible growth.

We need a results driven leader with exceptional skill in root cause analysis and process improvement. Success in this role could position you for a C '"suite opportunity.

Generous relocation - high visibility

  • Partner with multiple stakeholders and leadership to establish strategic visions, operational objectives, and policies and procedures ensuring compliance with state contracts, related laws, regulations and executive orders.
  • Oversee business operations, procurement opportunities, new product implementations and complex initiatives for business development utilizing cross-functional business units and corporate teams to meet business unit and corporate strategic objectives.
  • Monitor and report achievement of committed action plans to senior management.
  • Direct the development and implementation of operational work processes and systems with direct oversight for multiple departments within the business unit.
  • Accountable for budget, revenue targets, and Profit & Loss.
  • Lead and oversee new business implementation and procurement activities for all products and complex projects, including RFP responses.
  • Evaluate program opportunities and recommendations for effectiveness and ROI.
  • Oversee preliminary discovery, due diligence for potential liabilities, internal control weaknesses, and financial integrity.

Qualifications:

  • Bachelor's degree in Business Administration, Finance, Accountancy or related field
  • Master 's degree preferred
  • 9 + years of operations, management, or administration in an MCO, ACO or Health Insurance industry.
  • Experience in business development and/or Request for Proposal (RFP) experience.
  • Extensive knowledge of state legislative and regulatory processes
 

Skills required

Coordinating
Leadership
Decision Making
Mentorship
Team Building
Performance Improvement
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Job ID: 584837

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