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VP, Health Services

Glen Allen, VA, USA | Leading Healthcare - Hospitals Company

  • Industry:
    Healthcare - Hospitals
  • Position Type:
  • Functions:
    General Management
    Operations / Production
  • Experience:
Job Description:
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Responsible for the leadership and performance of the health services function for an assigned site and/or strategic business unit (SBU) in the delivery of high quality and cost effective care and service. Serves in a results-oriented operations role and is accountable for clinical results, including all utilization, medical and health plan programs and outcomes for all product lines. Accountable for the consistent implementation and effective management of clinical policies, procedures and best practices.

Plans, develops and manages the Uniform Assessment System (UAS) function, partnering with Finance and the State to ensure scores and premiums are forecasted correctly to drive revenue to the plan.

Develops and communicates health services team objectives.

Establishes performance goals for health services staff and ensures continuous feedback regularly, throughout the year.Manages attrition effectively.

Implements and manages cost-effective and high quality utilization, care, disease management and other clinical programs, including health plan performance reviews, corrective actions and plans.

Sets performance standards and implements processes to regularly and consistently measure qualitative performance.

Implements processes to identify developmental needs of team members and a means of addressing those needs.

Manages cost of care, utilization and UAS to achieve the most effective financial performance while ensuring appropriate quality of care. Manages financial performance on a unit cost and operating basis.

Develops and manages clinical operating budget.Participates in strategic planning and clinical model and policy development as requested by leadership.

Avoids payment of performance penalties and optimizes opportunities to earn incentives.

Participates in underwriting process.

General Job Information


VP, Health Services



Job Family

Clinical Services Group


United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date


Date Requisition Created


Minimum Qualifications


Bachelors: Nursing (Required), Masters: Behavioral Health (Required)

License and Certifications - Required

LMSW - Licensed Master Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt

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