Oversee business operations, procurement opportunities, new product implementations and complex initiatives for business development
Utilize cross-functional business units and corporate teams to meet business unit and corporate strategic objectives
Partner with multiple stakeholders and leadership to establish strategic visions, operational objectives, and policies and procedures ensuring compliance with state contracts, related laws, regulations and executive orders
Monitor and report achievement of committed action plans to senior management
Direct the development and implementation of operational work processes and systems with direct oversight for multiple departments within the business unit
Accountable for budget, revenue targets, and Profit & Loss
Lead and oversee new business implementation and procurement activities for all products and complex projects, including RFP responses
Evaluate program opportunities and recommendations for effectiveness and ROI
Perform duties as senior liaison between the business unit, corporate, and external stakeholders
Oversee preliminary discovery, due diligence for potential liabilities, internal control weaknesses, and financial integrity

Bachelor's Degree in Business Administration, Finance, Accountancy or a related field required
Master's Degree preferred
9+ years of operations, management, or administration in the Healthcare or Insurance industry experience required
Experience in business development and/or Request for Proposal (RFP) preferred
Extensive knowledge of state legislative and regulatory processes preferred
For Acaria Health Specialty Pharmacy, substitution of a PharmD coupled with 9+ years of experience is acceptable

Vice President, Claims Configuration Operations – Health Plan

Key skills