Exemption Status:

United States of America (Exempt)

Exemption Status:

$156,839 - $223,496 - $290,152

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

Verdegard is looking for extraordinary people to join our team!

Why join Verdegard? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

Job Description

Summary

The Vice President, Operations oversees the operational and quality activities at every level of the organization.  Leads operations projects from requirements definition through deployment, identifying schedules, scopes, budget estimations, and implementation plans, including risk mitigation.  The VP of Operations also strategizes process improvements to ensure tasks are completed on schedule.

This position has direct oversight for Claims Operations, Stop Loss, Customer Service, Enrollment, Documentation; all aspects of TPA Operations.

Provides leadership in order to recruit, manage and retain the necessary resources to successfully perform the duties of the assigned work group(s).  Manages work group(s) to achieve service commitments, including sustainable, measurable, accurate, reliable, and timely execution of project deliverables. Provides day-to-day leadership and direction including, developing and administering policies, business processes, quality standards, measurement criteria, and operating budgets. Sets high standards and encourages new ideas for improving organizational performance. Takes appropriate corrective action as needed to promote optimal employee performance and maintain low staff turnover.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Oversees/leads all functions/operations of Verdegard Administrators.
• Design and directs implementation and execution of operating and service policies, guidelines, and practices for the enterprise.
• Continually investigates and introduces operational process improvement measures and presents suggestions to the General Manager for consideration.
• Strives to ensure operations move forward & stay current while maximizing innovation.
• Maintain constant communication with management, staff, and vendors to ensure proper operations of the organization;
• Prepare and present progress updates to appropriate management channels on a regular basis, ensuring that innovation is being achieved;
• Coordinate internal and external resources to ensure that projects remain within scope, schedule, and budget, collaborating with staff in various departments;
• Manage data collection for updating metrics to achieve productivity targets, eliminate errors, and deliver excellent customer service;
• Partner with cross-functional teams to improve proprietary tools and systems;
• Grow the efficiency of existing processes and procedures to enhance and sustain the organization’s internal capacity;
• Actively pursue strategic and operational objectives;
• Ensure operational activities remain on time and within a defined budget;

Supervisory Responsibilities        

Manages assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of the unit. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary.

                                   

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).  One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Qualifications

To perform this