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Corporate Functions & Operations WellCare - Operations Leadership Careers

Strategic Operations - Senior Director Job

Full Job Title: Sr Director Strategic Operations

Job Number: 1701579

Location: Atlanta, GA

Date Posted: 4-5-2017

Position's focus is on strategy, policy, operational planning and execution of work processes for the company and/or major area(s) of responsibility. Position provides oversight for new business/expansion in markets for operations and includes leadership responsibility for end-to-end tesing, documenting root cause and implemeting solutions to improve financial/payment accuracy, increasing system adjudication rates, creating SATs for manual processing and compliance enforcement within the operation.

Reports to: COO

Dept.: Network Development

Location: Atlanta, GA

Essential Functions:

  • Manages and develops direct reports who include directors and/or managers
  • Defines and directs activities of area(s) of responsibility
  • Sets direction, allocates, and reallocates utilization of resources as required
  • Determines operational tactics to implement policies and strategies
  • Recommends and implements work processes to substantially improve performance
  • Sets overall goals, performance standards, and priorities for one or more functions and manages resources to goals and budget
  • With approval from members of executive management, establishes and monitors budget for cost centers within his/her span of control.
Additional Responsibilities:
  • Market communication on RPPC updates.
  • P&P development for Regulatory and Operational compliance.
  • Lead on key projects/initiatives for the provider operations
  • Responsible for collaborating with IT Team to improve efficiencies via technical solutions
Candidate Education:
  • Required A Bachelor's Degree in a related field
  • Required or equivalent work experience
Candidate Experience:
  • Required 10 years of experience in the areas of root cause analysis, quality improvements, and in managed care/healthcare industry.
Candidate Skills:
  • Advanced Demonstrated leadership skills
  • Advanced Demonstrated ability to deal with confidential information
  • Advanced Demonstrated written communication skills
  • Advanced Demonstrated interpersonal/verbal communication skills
  • Advanced Ability to multi-task
  • Advanced Ability to work in a fast paced environment with changing priorities
  • Advanced Demonstrated organizational skills
  • Advanced Ability to implement process improvements Ability to remain calm under pressure
  • Intermediate Other Ability to move about the office
  • Intermediate Other Provide proactive approach and support to emerging business activities established to remain competitive in the marketplace
  • Intermediate Other Solid understanding of managed care and its place in the health care industry.
  • Advanced Other Strong understanding of the various cross-functional business processes within a health plan, and how they work together to produce desirable results for the plan as a whole.
  • Intermediate Other In-depth functional knowledge, broad based multi-functional knowledge
  • Intermediate Other In-depth understanding of company and customer
Technical Skills:
  • Required Intermediate Microsoft Word
  • Required Intermediate Microsoft Excel
  • Required Intermediate Other Knowledge of and/or ability to utilize COGNOS for budgetary decisions or review.

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Last Updated On: 12/9/2015