Vice President Operations

Position Description

Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Dominion National at the time of posting and may be modified in the future. Dominion National offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more. 

Dominion National, a rapidly growing and leading provider of dental and vision benefits has an exciting opportunity for an experienced Vice President of Business Development.

The Vice President of Operations is responsible for the development and execution of operational strategies and processes of a dental plan. Work involves aligning and implementing effective operational strategies to optimize efficiencies and effectiveness, increase scalability, proactively prepare for future growth and deliver a best-in-class customer experience. Responsibilities include but are not limited to providing oversight of operational functions to support contractual business and management service agreement functions, implementation of process enhancements that align with strategic plans, providing leadership and management that supports the company’s mission, vision, and core values; and oversees policy and procedure development to ensure compliance with industry regulations. Promotes organizational wide understanding, communication and coordination of the programs. Performs other duties as assigned.

Responsibilities and Qualifications

• Effectively provides leadership and direction for the translation of strategic business decisions into operational practices.
• Serves as a subject matter expert on competitive information and trends within the employee benefits industry. Collect such information and disseminates to appropriate Dominion personnel in support of the organization’s business strategy.
• Accountable for effective collaboration, development, implementation, and oversight of Operational Action Plans.
• Provides leadership, oversight, direction, and organization of the following departments: Claims, Members Services, Provider Relations, Information Systems, Quality Assurance, Billing, Reporting and other service areas as assigned.
• Accountable for the effective use and oversight of third-party vendors.
• Leverage technology to streamline efficiencies within the operation’s group and third party management.
• Accountable that management and staff maintains focus on efficiency and execution and organizational benchmarks and goals.
• Accountable for research and implement new strategies and techniques to ensure the company remains at the forefront of modern practice.
• Create new policies and amend existing policies to improve operations as needed. Present recommendations on the operations of the organization and propose changes to mitigate risk and facilitate future growth.
• Demonstrates effective and collaborative leadership that encourages employee delegation, productivity and responsiveness to the needs and satisfaction of current and prospective members, providers, groups and regulatory agencies/staff. Ensure programs are established to comply with all relevant federal, state and local regulations.
• Ensure ongoing management of information security policies, procedures, and technical systems meet evolving standards for HIPAA HITECH and IT Security
• Ensure that the access control, disaster recovery, business continuity, incident response, and risk management needs of the organization are properly addressed.
• Maintains working knowledge and compliance of any local, state, and national regulations identified as regulatory requirements.
• Forecast, create, and maintain annual budgets, reviewing on a monthly and quarterly basis to ensure financial goals are within acceptable targets.
• Promote growth and development of leadership staff for effective management of assigned areas.
• Provide guidance to improve reporting, monitoring, and measuring to goals and benchmarks and scaling of operational areas such as fulfillment, customer service, enrollment, claims, and application configuration.

The minimum qualifications for the ideal candidate include: 

• Minimum of 10 years’ experience in healthcare industry (preferred dental industry) required. Claims processing and/or system configuration experience strongly preferred.
• Minimum of five years BPO / TPA oversight and management experience necessary.
• Bachelor’s degree Business or related field required. Master’s degree in a business related field preferred.
• Demonstrated experience utilizing MS Office Suite and project management software.
• Must possess the ability to assess potential problems and make sound judgment around issues that may have an adverse impact on the company.
• Must be a strategic planner and leader with sound technical skills, analytical ability and strong operational focus.
• Must have strong ability to strategically lead, plan and engage at all levels of the organization
• Must possess excellent communication, both written and oral, facilitation and presentation skills.
• Demonstrated ability to work in a fast-paced environment and successfully prioritize multiple, competing tasks and demands. Seeks support and assistance, when necessary, on strategy driven deadlines and projects.
• Working knowledge of medical or dental information systems, medical or dental claims payment process, medical or dental terminology and coding, managed care, and Medicare programs necessary.
• Strong understanding of the current and future state of the healthcare industry and trends.
• Comprehensive knowledge of the healthcare industry, customer and market dynamics, local market, competitors’ products and capabilities as well as key differentiators required.
• In-depth knowledge of HIPAA Security Rule and other government technology laws

Physical Demands:

• 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.
• While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

Other:

• This is a full-time position, Monday through Friday and hours of work may fall between 7:30 a.m. and 6 p.m. Extended hours may be necessary to meet the operational needs of the organization.
• Travel is required for this position.