VP, LTSS – Health Care Operations (REMOTE)

Job Description

Job Summary

Responsible for the business performance oversight of Long-Term Services and Supports for the enterprise which includes the operational and compliance management of the product line. This role works with teams across the enterprise to assess, facilitate, plan, and coordinate best practices that deliver outcomes for members.  Focus is person-centered and strengths-based activities of daily living support needs, community integration and stability goals for all populations and member progress towards independence.  The role also includes the analysis of clinical trends, operational/quality performance and program evaluation that impact member outcomes and financial performance of the product.

Job Duties

• Evaluates business results, recommends opportunities, and implements initiatives to achieve business goals.
• Effectively communicates to a variety of audiences regarding the LTSS’s overall performance, drivers of performance, opportunities, and risks, and plans for ensuring program success.
• Executes strategic, tactical, and operational goals in partnership with market and LTSS leadership and cross-functional partners. Navigates and influences multiple cross-functional teams in a complex, matrix work environment
• Fosters and builds a collaborative working environment with internal and external colleagues and constituents.
• Ensures the overall level of quality for delivery of LTSS services meets or exceed appropriate standards.
• Interprets national and state LTSS policy and regulatory guidance to understand business impact.
• Responsible for supporting LTSS business growth by collaborating with Growth Leaders and departments across the organization to achieve strategic and corporate business objectives.
• Provides LTSS expertise to develop and implement LTSS programs in a highly matrixed environment
• Must be able to work across multiple disciplines and business units to implement and manage programs that enable older adults and individuals with disabilities to live independently in a setting of their choice while improving health outcomes and quality of life.
• Ensures programs are established to comply with all relevant federal, state and local regulations.
• Partners with operations, market, and LTSS leadership to develop short- and long-term financial and operational plans, as well as appropriate metrics required to strengthen the performance of the organization.
• Ensures that current reporting systems and oversight processes monitor and accurately identify relevant performance issues on a daily, weekly, and monthly basis. This includes both financial and key operating reporting systems and metrics, ensuring systems and processes accurately predict performance issues and allow for timely course corrections. Collaborates with operations leaders to ensure that plans are developed and implemented to address performance issues.

Job Qualifications

Preferred Education:

MSN/BSN level Registered Nurse or BA Business Administration or Public Health

Required Experience/Knowledge, Skills & Abilities:

• Minimum 10 years of experience in health care, leading state Medicaid long-term care services programs, in a multi-faceted health plan, health care system, or similar service delivery organization, including but not limited to operational performance management, provider relationships, financial planning and budgeting, strategic planning, risk management, capital generation, revenue management (patient billing, revenue), controllership and internal audit required.
• Experience in working across regulatory agencies in program development and implementation.
• Previous experience managing and developing a team.

Preferred License, Certification, Association:

RN, or other clinical health care related licensure

Physical Demands:

• Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in a remote environment. Must have the ability to sit for long periods.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
• Ability to travel approximately 25%
• To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
• Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.