- Bachelor's Degree
- Master's Degree
- Profit & Loss
- Project Management
- Microsoft Office
- Analysis Skills
- Leadership Experience
KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. KEPRO is seeking resumes for a highly experienced professional
Vice President, Operations (Federal Programs)
This position has full P&L responsibility and provides overall planning, direction and control to assigned lines of business to achieve operating and financial goals.
Establish productivity expectations to ensure assigned programs achieve financial and contract targets. Identify opportunities for further operational effectiveness through process improvement, re-design, automation, etc. .
Ensure headcount is right-sized to the operation, considering attrition rates and new customers, while meeting workload and financial targets. Develop and maintain an operational infrastructure that includes employee skill set requirements, gap analysis, performance management, and training plans. Create and implement effective retention plans in conjunction with Human Resources.
Provide leadership, expertise and project management skills to drive unprecedented success in revenue growth. Provide clear, direct communication to operational directors and other management to ensure consistent understanding of business opportunities, resource needs and profitability goals.
Develop and implement performance measurement reporting system to monitor compliance with existing policies, procedures and other requirements of URAC, ISO, etc.
Comply with contractual requirements within the operation by monitoring critical indicators, deliverables and budgets. Continually evaluate priorities to determine if they are consistent with customer(s) objectives.
Research and interpret appropriate legislation and regulations to identify strategies, new product opportunities and opportunities to capitalize on market changes.
Develop and maintain trusted relationships with key market influencers to support the acquisition of new business.
Participate in contract management strategy sessions, customer visits/presentation, and renewal activities. Identify and engage in “Up-Selling” opportunities to current customers. Identify, initiate, and support project initiatives that add value to the operations. Act as resource, demonstrating the value of KePRO’s healthcare suite of products/services.
Coordinate request for proposal (RFP) responses, including identification of response opportunities consistent with KePRO’s strategic objectives. Lead the response team including the development of timelines and work plans, delegates tasks, completes sections of the RFP, reviews the final draft product and compiles and submits the final RFP. Serve as Subject Matter Expert (SME) for appropriate programs.
Make presentations to senior management on a wide spectrum of health care issues, primarily related to commercial programs. Deliver presentations to promote strategic and national objectives of KePRO.
Drive and support a “one-company” orientation collaborating with partners across the entire organization; e.g., operations, human resources, IT, business development, data warehouse, contract compliance, etc. Perform cross-regional activities that enhance operating efficiencies.
The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.
Bachelor’s degree in health care administration, business administration, public health, nursing, health information administration, or related field required.
Master’s degree in a closely related field is strongly preferred.
Knowledge, Skills, Abilities (KSA)
Utilization management, managed care, and disease management.
Business development, strategic planning and tactical implementation.
Public or commercial sector health plan management.
Proficient with Microsoft Office Suite applications and common computer and office hardware and software functions.
Management—counsel, plan and train, while managing various staffing patterns
Program development and implementation
Advanced problem solving and analytical skills
Employee development and performance management
Successfully articulate the mission and vision of KePRO; ability to fluently respond to questions about the Company’s products, relationships, and services.
Leadership skills and ability to influence beyond this role; display a strong ability to build credibility and maintain a high profile in the organization.
Assess people and situations, while demonstrating a natural style to teach and mentor others.
Effectively communicate and influence at all levels within the organization and externally.
Operate in a highly matrixed environment, which includes working with all business units.
Extensive travel throughout the country.
Research, comprehend, correctly interpret and communicate regarding proposed final commercial and state regulations.
Perform detailed and disciplined work using standard methodologies in the analysis, design, development, evaluation, testing, documentation, implementation, and support of corporate health care goals.
Write correspondence, proposals, reviews, audit analysis and technical documentation, as well as present information effectively at all levels of the organization.
Use advanced reason to define problems, collect data, establish fact, draw valid conclusions, and design, implement, and manage appropriate action plans is required.
Use advanced reasoning to define data, establish facts, draw valid conclusions, and design, implement, and manage appropriate resolution are required.
Analyze and interpret financial and operational data and prepare business reports, projections, and recommendations.
Examine and re-examine operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
Position requires work experience in a complex, competitive environment with diverse racial, ethnic and socio-economic factors.
7+ years experience in program management for commercial sector health care entity.
Experience with contract administration functions.
Experience with Federal Programs required
Mental and Physical Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.
KEPRO offers challenging careers, excellent benefits and opportunities for advancement. For consideration, please submit resume and cover letter with salary requirements. Only those candidates identified for an interview will be contacted. No Phone Calls Please. Visit our website at www.KEPRO.com for more information on the KEPRO Family of Companies.
EOE AA M/F/Vet/Disability
KEPRO is an E-Verify employer. E-Verify is an internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.