Vice President, TPA Operations

📋 Description

• • Oversee and lead all operational and quality activities across the organization, ensuring seamless execution from requirements definition through deployment.
• • Drive the strategic direction and implementation of operational projects, meticulously identifying schedules, scopes, budget estimations, and comprehensive implementation plans, including robust risk mitigation strategies.
• • Spearhead process improvement initiatives, continuously analyzing existing workflows to identify opportunities for enhanced efficiency, accuracy, and timeliness, and presenting actionable suggestions to senior management.
• • Maintain constant, transparent communication with management, staff, and vendors to ensure the smooth and effective operation of the organization, fostering a collaborative and informed environment.
• • Prepare and deliver regular progress updates to appropriate management channels, highlighting achievements, challenges, and the successful implementation of innovative solutions.
• • Coordinate internal and external resources effectively to ensure all projects remain strictly within scope, adhere to established schedules, and stay within defined budgets, fostering strong collaboration across various departments.
• • Manage the collection and analysis of data to update key performance metrics, aiming to achieve productivity targets, eliminate errors, and consistently deliver exceptional customer service.
• • Partner proactively with cross-functional teams to enhance and optimize proprietary tools and systems, driving technological advancements and operational synergy.
• • Lead the growth and efficiency of existing processes and procedures, developing and implementing strategies to sustain and enhance the organization’s internal capacity and competitive edge.
• • Actively pursue and champion strategic and operational objectives, ensuring alignment with the company's overall mission and vision.
• • Ensure all operational activities are executed on time and within defined budgetary constraints, demonstrating fiscal responsibility and operational discipline.
• • Provide direct oversight for critical TPA (Third Party Administration) operations, including Claims Operations, Stop Loss, Customer Service, Enrollment, and Documentation, ensuring excellence in all facets.
• • Develop and administer enterprise-wide operating and service policies, guidelines, and practices, ensuring consistency and adherence across the organization.
• • Foster an environment that encourages innovation and continuous improvement, ensuring operations remain current and maximize forward-thinking approaches.
• • Recruit, manage, and retain a high-performing team, providing leadership and direction to achieve service commitments and deliver sustainable, measurable, accurate, reliable, and timely project deliverables.
• • Set high performance standards for the team and encourage the generation and implementation of new ideas for improving organizational performance.
• • Implement corrective actions as needed to promote optimal employee performance, maintain low staff turnover, and cultivate a positive and productive work environment.
• • Manage assigned staff within the segment area, overseeing the overall direction, coordination, and evaluation of the unit.
• • Uphold and enforce all company policies and procedures in a fair and consistent manner, taking appropriate corrective action when necessary.
• • Demonstrate exceptional customer service and interpersonal communication skills (listening, verbal, written) in all client interactions, both internal and external.
• • Effectively manage difficult or emotional client situations with professionalism and empathy.
• • Respond promptly and effectively to client needs, solicit client feedback to drive service improvements, and consistently meet commitments made to clients.
• • Apply strong analytical and problem-solving skills to define issues, collect data, establish facts, and draw valid conclusions to inform decision-making.
• • Utilize mathematical skills to calculate figures and amounts, apply concepts of basic algebra and geometry, and interpret financial data relevant to operations.
• • Effectively present complex information and respond to questions from diverse groups including managers, clients, customers, and the general public.
• • Drive business acumen, direct others effectively, demonstrate organizational agility, and excel in conflict management.
• • Exhibit a strong drive for results, possess political savvy, maintain a customer-focused approach, and champion innovation management.
• • Demonstrate strategic agility, make sound decisions, and possess managerial courage to address challenges and drive change.