Vice President, Audit and Advisory leading federal services for Trilogy Federal. Driving innovative solutions and managing high - performing teams in financial and government sectors.
About the role
- AVP, LTSS responsible for healthcare strategy implementation and operational management. Building relationships to ensure compliance and quality across the care services.
Responsibilities
- Responsible for oversight of development, execution and implementation of the LTSS model
- Direct, execute and manage strong relationships with key partners throughout the enterprise
- Develops, performs, and promotes interdepartmental integration and collaboration
- Establish strong operational metrics and auditing to ensure quality and compliance
- Collaborate with market and executive leadership to formulate and implement business strategies
- Establish post-implementation strategy and goals to mitigate program risks
- Evaluates operational process effectiveness and manages operation process improvement activities
- Provide leadership and support for product expansion
- Recognizes and proactively manages operational dependencies and risks across market operations initiatives
- Build strong working relationships with all markets and ensure alignment
- Lead activities ensuring high-quality initiatives that result in optimum outcomes for members, providers, and program goals
- Recruit, develop, and lead key staff
Requirements
- Bachelor's degree required
- Equivalent years of relevant work experience may be accepted in lieu of required education
- Eight (8) years of clinical operations/healthcare administration experience required
- Seven (7) years of experience driving performance and process improvements in the health care insurance industry required
- Three (3) years of experience with Government-regulated (Federal and/or State) health insurance products including Medicaid, Managed Care Waiver, FFS and Medicare preferred
- Three (3) years of experience implementing programs with focus on integration preferred
- Two (2) years of project management experience required
- Ability to communicate effectively with all levels of leadership
Benefits
- Comprehensive total rewards package
- Bonuses tied to company and individual performance
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