VP, Provider Operations at Alignment Healthcare USA, LLC in Orange, California

Job Description:

Overview of the Role:

The VP will oversee the operations throughout our providers' lifecycle and help build new services for the Management Service Organization (MSO). The ideal candidate should possess a strong healthcare administration, operations management, and leadership background, with a proven track record of driving organizational growth and excellence. Initially, the VP of Provider Operations will lead the following teams while also expanding into other opportunities:

• Provider Services and Relations
• Credentialing
• Delegation Oversight
• Provider data operations

Strategic Leadership:

• Develop and execute a strategic provider operations vision for Alignment Health, aligned with our overall objectives.
• Identify opportunities to optimize the operations across the provider lifecycle.
• Develop and implement a continuous improvement methodology and framework (Alignment Health Continuous Improvement and Operating System) Drive operational excellence to improve the performance of our provider and key company KPIs.

• Oversee all aspects of provider operations, including provider optimization, provider services, provider relations, credentialling and delegation oversight.
• Develop and implement policies, procedures, and workflows to streamline operations and ensure compliance with regulatory requirements.
• Monitor key performance indicators (KPIs) and metrics to track performance, identify areas for improvement, and drive operational excellence.

• Supporting operational plans and execution for clinical and market leadership teams
• Collaborate on efforts to expand and strengthen the direct provider network.
• Collaborate with internal stakeholders, including network management, sales, and marketing teams, to drive provider performance efforts.

• Develop and manage the department budget, forecasting financial performance and ensuring fiscal responsibility.
• Identify opportunities for cost savings to improve profitability, financial sustainability with focus on future scale.
• Monitor and report on financial performance against budget and KPIs, analyze variances, and implement corrective actions as needed. Monitor execution of corrective actions and provide guidance.

• Provide strong leadership and mentorship to the team, fostering a culture of collaboration, innovation, continuous improvement, and accountability.
• Recruit, develop, and retain top talent, building a high-performing team.
• Promote professional development and growth opportunities for team members, empowering them to excel.

Yes

Required Skills and Experiences:

• 10+ years of leadership experience in managed care healthcare administration, with a proven track record of driving organizational growth and excellence.
• Bachelor's Degree or a combination of education and experience
• Strong knowledge of healthcare industry trends, provider operations, regulations, and best practices, with expertise in optimizing operations and engagement.
• Demonstrated leadership abilities with excellent communication, interpersonal, and team-building skills.
• Exhibited operational expertise able to transform operations in high-growth environments.
• Experience in $5bn organization implementing operational excellence programs and leading a continuous improvement function.
• Strong financial acumen and analytical skills, experience managing budgets and a proven track record of reducing operating costs.
• Proven ability to build and maintain strong relationships with healthcare providers, stakeholders, and industry partners.