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Regional VP Operations

Indianapolis, IN, United States

Description

Responsibilities

The LTSS Program Manager (aka RVP, Operations/ COO) is dedicated full-time to the Indiana Pathways Program. The LTSS Program Manager (aka RVP, Operations/ COO) oversees day-to-day operations of the Indiana Pathways program, implementing strategic plans and fostering key relationships with stakeholders. They promote intradepartmental coordination, data and trend analysis, and quality improvements, establishing long range goals, objectives, and plans that evolve along with the needs of members, providers, and FSSA. They also monitor financial and operational performance, ensuring adherence to contract requirements and performance goals.

Responsibilities

Directs and coordinates day-to-day plan functions, including reporting, claims administration, encounter data quality, grievances and appeals, member services, provider services, and business continuity planning and emergency coordination

Liaises between FSSA, plan leadership, and corporate leadership responsible for the execution of contract deliverables

Works with the President to maintain important stakeholder relationships throughout Indiana

Leads internal infrastructure to review and improve operational functions

Manages implementation of strategic plans developed in cooperation with the President

Oversees development and maintenance of operational policies and procedures

Effectively implements business plans and oversees audit processes

Owns execution of daily operating objectives and goals, including key performance metrics

Plans organizational growth and potential staff successions

Develops and cultivates a diverse and inclusive environment

Maintains intimate familiarity with contractual requirements and stipulations

Understands and actively manages ongoing adherence to local, state, and federal regulatory and programmatic requirements

Mitigates risks potentially impacting the state of Indiana and the plan by proactively monitoring any risk factors and red flags that may arise during operations

Communicates with FSSA and direct plan/corporate leadership regarding any necessary operational or regulatory changes

Leads conflict resolutions to maintain positive relationships with members, providers, FSSA, subcontractors, and other stakeholders

Required Qualifications

Bachelor's degree in Business, Operations Management, Healthcare Administration, or related field

Minimum 5 years of prior experience in administering managed long-term care programs OR Equivalent experience in administering long-term services and supports programs, including HCBS (Home and Community Based Services), or Manage Care Health plan operations

3 or more years of Leadership experience in a management role

Experience leading departmental activities to ensure accurate and timely accounting, financial and statistical reports

Candidate will reside in the state of Indiana or willing to relocate there within 3 - 6 months of hire.

Must be able to travel in-state and willingness to commute to Indianapolis, IN on a weekly basis for leadership and state meetings

Preferred Qualifications

Master's degree in Business, Operations Management, Healthcare Administration, or related field

Experience in strategic and thought leadership in supporting Medicaid health plans

Additional Information

This position reports directly to the President, Humana Healthy Horizons in Indiana

The state calls this role LTSS Program Manager at Humana the role is leveled as a Regional VP, Operations

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ****

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Regional VP Operations jobs in Indianapolis, IN, United States

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