Description of VP Operations MLTSS IN PA
|VP Operations MLTSS IN PA
DESCRIPTION: We have been retained by Centene Corporation, a national leader in the healthcare services field. Centene is one of the largest providers of Medicaid, Medicare Advantage, and other government-sponsored and commercial programs in the country. They provide access to affordable healthcare to more than 12 million members across the country and are committed to delivering a wide range of specialty services that provide quality outcomes for their members. They provide a comprehensive portfolio of innovative solutions and remain deeply committed to delivering results for their stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations.
Centene is one of three MCO’s chosen to implement Pennsylvania’s Community HealthChoices LTSS program, and is seeking a VP of LTSS. The VP role will ensure the program is designed, implemented and operated within defined parameters under Centene’s CHC Program based in Harrisburg, Pennsylvania. P/L responsibility is projected to be over 2 billion dollars. This role reports to the Product President for Pennsylvania. Reporting to this role will be a Regional Director of Service Coordination, a Senior Director of Operations, and Director of Community Outreach, with a total of 700-800 employees as the program expands.
•Develop strategy and oversee implementation for LTSS for Pennsylvania Health and Wellness
•Ensure the corporate strategic objective are maintained at the health plan
•Direct development and implementation and work processes and operational systems, including oversight of the Service Coordination function and the Call Center
•Research changes and updates to government regulations and health plan guidelines
•Create Network Development Plan and integrate LTC and other network providers
•Identify trends and root causes of problems; provide recommendations for improvements, documentation and training
•Participate in integration of specialty products in health plan operations
•Oversee staffing for both clinical and non clinical direct reports
This is an exciting opportunity to join a thriving and expanding company. Our client offers a most competitive and generous salary coupled with an exceptional benefits package including up to 30% bonus as well as generous stock options.
All inquiries are held in strict confidence.
EXPERIENCE: The successful candidate will have a proven progressive background in LTSS or MLTCP management with a strong operations background including oversight of large staffs. A Bachelor’s degree is required; a Master’s degree is a plus, but not required. He/she shall have strong managed care experience at the Director, AVP or VP level and must be a driven self starter with excellent interpersonal, analytic, problem solving and leadership skills. This individual must be a strategic thinker and have excellent computer literacy, including proficiency in Windows environment as well as spreadsheet and database software. Prior team leadership experience with the proven ability to lead, coach, and motivate a high performing team is required.