**Location:** Avera Health Plans **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Position Highlights** **You Belong at Avera** **Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.** **A Brief Overview** The VP - Health Plan Center of Operational Excellence is a senior-level executive who leads the development and implementation of operational strategies and initiatives within the health plan to enhance efficiency, improve quality, and drive cost reduction. This role is responsible for supporting core operations at the Health Plan leading execution, shaping operational strategies and overseeing enabling services to support the organization in achieving exceptional results. The position requires collaborating with other departments, managing teams, and ensuring health plan compliance with applicable regulations. In this role, the VP is critical in assuring that operational processes aligns with the strategic and business goals and objectives. The VP must resourcefully respond to key business opportunities, regulatory changes and competition. Accountable for responding to emerging business needs and refining practices to achieve a level of service excellence that produces high member satisfaction and customer retention. This role requires a visionary leader with a passion for operational excellence who can aid in inspiring the Health Plan to drive operational excellence and foster a culture of innovation and accountability. The position offers an exciting opportunity for an individual who thrives in fast paced, transformational environment and is eager to make a significant impact on our Avera Health Plan experience. **What you will do** + Directs timely and accurate processes supporting vital initiatives across the Health Plan including but not limited to operational readiness for 1/1, customer renewals and new program implementations and/or large-scale initiatives. Utilize customer journey mapping to ensure optimal customer experience at all touchpoints across the organization. + Responsible for the systemic efficiency and integrity of the core operating system; ensure the overall integrity of the core operational processes including related policies and procedures, performance standards and operational work instructions. + Develop and maintain programs to ensure adequate training and quality underpin the core operational processes enabling high performance for enrollment, claims adjudication and call services. + In conjunction with product line directors, identify shared priorities and timelines for which cross-functional teams will be held accountable, establish and maintain effective communication channels with the Avera Health Insurance Division functional leaders, product directors, and C-Suite members to ensure alignment and awareness to operational readiness. Assist in the development of fixed and variable staffing models with functional leaders. + Fosters a culture of continuous improvement and supports the organization with process re-engineering and process design to enable optimal efficiency, process innovation, and streamline work to ensure seamless E2E (end-to-end) organizational alignment resulting in excellent customer experiences at our member touch points. Utilizes industry standard process improvement methodologies and best practices. + Responsible for operational issue management governance ensuring all issues are tracked and remediated with a cross-functional team. Including root cause analysis and measurement of impact to organization to prioritize issues and mitigate organizational risk. + Oversight of core operational performance reporting, supporting functional leaders with daily, weekly and monthly dashboards including ensuring proper plans are in place and executed upon to return KPIs to acceptable performance levels. + Leadership and support of the transformation team supporting implementation and success of key organizational initiatives and large-scale projects, ensuring operational readiness. Foster collaboration, accountability and continuous improvement. + Develops, educates and supports functional leaders in oversight of external vendors supporting core operational functionals. Including proper oversight controls and remediation efforts. + Support the Avera Health Plan COO with operational strategy and execution. Focusing on the improvement of operational efficiency, effectiveness, and administrative costs. + Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems. **Essential Qualifications** The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Bachelor's In Health or Business Administration or similar field. + 4-6 years Progressive management experience and influencing stakeholder alignment, education and communication. + 4-6 years Experience in multiple core health plan functions and domains, understands E2E dependencies for overall health plan success. + 1-3 years Continuous improvement experience, leveraging industry standard methodology including experience in leading and teaching best practices. + 1-3 years Leading large scale initiatives and programs. + Experience managing budgets and measuring administrative savings and program/initiative ROI. + Experience working in a complex multi layered environment with multiple stakeholders. **Preferred Education, License/Certification, or Work Experience:** + Experience building and using customer journey maps to enhance overall customer experience. **Expectations and Standards** + Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. + Promote Avera’s values of compassion, hospitality, and stewardship. + Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. + Maintain confidentiality. + Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. + Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. **Benefits You Need & Then Some** Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. + PTO available day 1 for eligible hires. + Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan + Up to 5% employer matching contribution for retirement + Career development guided by hands-on training and mentorship _Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to_ _talent@avera.org_ _._ At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward. The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444. Additional Notices: For TTY, dial 711 Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.