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Valid8 Financial, Inc.
Austin, TX, United States
Curative is reimagining health insurance - with $0 out of pocket costs and by reducing barriers to people seeking care. Help us create a better healthcare experience for our members by making it easy & intuitive for them to access the care they need. We believe in a clear, simple health plan that allows our members to get zero-cost in-network care
Job Source: Valid8 Financial, Inc.CSC Generation
Austin, TX, United States
CSC Generation (Shared Services - US) – Finance / Full Time / Hybrid LinkedIn profile Loading We'll share your profile. The job poster may use it for jobs with other companies. Learn more Let the employer know what pronouns you use so that they can address you correctly. Current company ✱ Links LinkedIn URL Twitter URL Other website VP Finance
Job Source: CSC GenerationCscgeneration
Austin, TX, United States
CSC Generation Holdings family of brands is an Altos Ventures backed technology company that is saving retail by acquiring store and catalog-based retailers, and transforming them into high performing, “digital first” brands. In just seven years, we’ve acquired and turned around brands including: Sur La Table, Z Gallerie, Direct Buy, One Kings Lan
Job Source: CscgenerationWay
Austin, TX, United States
Way helps businesses unlock the power of brand activations. Headquartered in Austin, Texas, with a European office in Paris, we are building the world’s first B2B software platform that enables consumer brands to launch experiences and activations at scale. In a world where 76% of consumers would rather spend their money on experiences over materia
Job Source: WayDoorDash
Austin, TX, United States
About The Team DoorDash is revolutionizing the delivery experience for merchants and customers by offering the next generation of fulfillment services. We’re looking for someone to join the Drive New Verticals team to rapidly scale our next big bet. About The Role The Director, Drive Strategy and Operations will build the roadmap for what partne
Job Source: DoorDashHomeward
Austin, TX, United States
The Opportunity Join us in tackling healthcare for rural America! We’re seeking a VP, Clinical Strategy who is passionate about having a positive societal impact and using technology for good – solving issues of health inequity for communities that have been perennially underserved. You will be responsible for driving the evolution of our care d
Job Source: HomewardCircle
Austin, TX, United States
Circle is a financial technology company at the epicenter of the emerging internet of money, where value can finally travel like other digital data — globally, nearly instantly and less expensively than legacy settlement systems. This ground-breaking new internet layer opens up previously unimaginable possibilities for payments, commerce and market
Job Source: CircleHomeward.io
Austin, TX, United States
Homeward is a technology-enabled healthcare provider delivering quality, affordable and comprehensive care to those who don't have it. Starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outco
Job Source: Homeward.ioAustin, TX, United States
Curative is reimagining health insurance - with $0 out of pocket costs and by reducing barriers to people seeking care. Help us create a better healthcare experience for our members by making it easy & intuitive for them to access the care they need. We believe in a clear, simple health plan that allows our members to get zero-cost in-network care anytime they need it. We want to put healthcare back in the hands of the patient and clinicians, with a focus on preventative care.
Essential Functions
Lead capacity planning across health plan operations to scale for dynamic membership growth while maximizing performance, driving efficiencies, and creating market leading operational administrative cost structure
Direct vendor strategy to maximize health plan operations capabilities and cost structure including contract negotiations and oversight of team leading implementation and process build-out with integration to other teams (i.e. claims payment optimization, ID cards, etc)
Participate in due diligence for acquisition candidates from health plan operational capabilities, financial impacts, and organizational integration
Oversee team members driving process design, training, policies and procedures to promote scalability, support system build-outs and identify leading market service delivery capabilities
Partner with teams to recommend and implement medical cost savings initiatives and population health initiatives across health plan operations
Oversee Health Plan Ops Manager and continue to build out health plan ops team as we develop end to end workflows to develop infrastructure to deliver on high membership growth with a focus on superior customer, provider, and member experience
Responsibilities
Curative is rapidly growing, and is raising the bar in what people expect from their health plan. We’re looking for someone who can think creatively, has attention to detail, and can help us scale an aggressively growing business by making health plan operations are onboarded quickly and accurately.
Create capacity plan across health plan operations including cost benefit analysis and budgeting
Drive KPI, quality and performance metrics resulting in superior health plan operations delivery
Identify how we can improve our delivery through both internal capabilites and vendors (fraud, waste, & abuse, appeals and grievances, etc)
Lead competitive benefit and member service strategy and build-out across claims, account management, marketing and customer service with interface into network, clinical, pharmacy, marketing and compliance teams
Establish key OKR metrics and tracking across internal and vendor functions
Lead and participate in key operations team projects, medical cost savings initiatives, and cross organization initiatives representing the operations team
Please Reach Out If This Describes Your Experience
Knowledge of medical health coverage and health plan operations
Experience in modeling and planning for a dynamic growth agenda
Skilled in budgeting and financial analysis to maximize operational cost structure
Ability to oversee programmatic implementations, building processes and scaling operations
Experience in vendor contracting and performance management
Proven track record managing teams and driving process improvement initiatives
Bonus points for
M&A due diligence experience
A strong desire to make healthcare better, to be part of a big change in the health insurance market
Qualifications
10+ years leadership experience within Health Insurance environment
Bachelor’s Degree, MBA preferred
Remote position, with occasional travel
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VP, Health Plan Operations & Strategy jobs in Austin, TX, United States
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