COO - Health Plan - WellPoint Amerigroup (Austin, TX)
Responsibilities:
1.
Establish overall standards, policies and objectives for all Health Plans in accordance with applicable regulatory requirement; ensure alignment and support with overall mission, goals and objectives.
2.
Act as a liaison to regulators for operational matters and to home office personnel by working cooperatively to ensure development and nurturing of a collaborative work environment to facilitate involvement in planning and operations as appropriate.
3.
Serves as the liaison to all support services, Claims, Enrollment, MPS, Finance, Business Control, Med/Finance, Regulatory Compliance, IT, etc.
, in Virginia Beach.
Participates in cross-company operational activities on an ad hoc (e.
g.
, Service Center Audits) and ongoing (e.
g.
, MOR; QOR) basis.
6.
May be accountable for other areas of Plan operations including, but not limited to, marketing, operations, and specific products such as long term care.
7.
Leads and manages the Plans performance management/earnings improvement activities.
Assists in developing policy and programs to achieve business results through effective financial management.
8.
Assists CEO with development and management of the Plans annual administrative, medical and capital budget process, monthly reporting and review of financials/accruals.
11.
Other duties as assigned.
Qualifications:
EDUCATION AND EXPERIENCE Education Required:
Bachelors degree in relevant field of work or equivalent experience in Business, Healthcare Administration or related field.
Preferred:
Masters degree.
Years and Type of Experience Required:
At least 14 years of relevant experience including ten years of in-depth experience in the HMO/healthcare field.
At least 10 years of leadership/management experience.
Language Skills Required:
English Functional Competencies Comprehensive knowledge of managed care delivery systems and how they can work to improve quality of care and reduce costs.
Strong financial management skills.
Proven project management skills with demonstrated ability in organizing, planning and executing development project from conception through implementation.
Ability to understand major objectives and break them down into meaningful action steps.
Ability to understand business strategy and formulate concise solutions to managed care problems.
Proven ability to affect change and meet business goals, monitor progress and take corrective action when necessary.
Proven ability and prior experience with negotiating and maintaining public and legislative relationships.
SCOPE INFORMATION # Direct Reports:
As Assigned # Indirect Reports:
As Assigned Budgetary $ Responsibility:
As Assigned PHYSICAL REQUIREMENTS # Positions:
1 Type:
Regular Full-Time (30
hours) Estimated Salary: $20 to $28 per hour based on qualifications.
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