The VP, MCO Solutions is responsible for the daily operations, regulatory compliance, revenue cycle and customer satisfaction in the Managed Care Organization (MCO) setting. The VP, MCO Solutions works in collaboration with our Account Executives, Operations, MTM support departments, and Transportation Providers to ensure the most appropriate and cost-effective delivery of transportation services for their assigned plan(s). The VP, MCO Solutions will collaborate with internal stakeholders to ensure MTM is fully compliant with contract requirements as well as meeting the financial objectives of the organization.
This role is located in the Eastern region of the country.
What You’ll Do:
Provide day-to-day oversight and monitoring to ensure business outcomes and goals are defined and met
Accountable for building and leading the account management team
Deliver the highest level of customer service, quickly and adeptly solving customer problems and responding with timely and accurate information
Develop, implement, review and revise policies and procedures for MCO operations
Maintain and drive ongoing relationships and growth with established clients
Ensure and monitor compliance with local, state and federal regulations
Utilize business intuition and experience to anticipate client and industry marketing concerns and proactively address them
Ensure all program activities are being performed accurately and consistently to ensure the program’s ongoing contractual and institutional compliance
Identify new client opportunities and support Senior Management in sales presentations
Manage and maintain existing account/client relationships
Assist in the development of RFP’s and marketing materials
Manage ongoing accreditation and quality management programs as required by client contract
Plan and implement systems to provide ongoing monitoring of compliance with systems redesign when needed
Provide leadership and management of direct and non-direct reports
Gain knowledge of and understand all aspects of the Client(s) and the contract(s)
Act as a liaison to ensure expectations are met and any requests for information are responded to in a timely manner
Track and maintain department budget to meet established financial goals
Monitor Client Satisfaction beyond statistical data
Other duties as assigned
What You’ll need:
Bachelor’s degree or equivalent work experience
6+ years’ experience managing a large team of both direct and indirect reports
Experience managing complex contracts with SLA’s and government compliance
Experience contracting and negotiations
Experience establishing and managing all aspects of performance management
Experience managing employees at all levels of the organization
Even better if you have...
Master’s Degree, preferred
Experience with Lean processes; Six Sigma Certification preferred
Experience working with Medicaid and/or State programs preferred
At least 8 years previous experience in managing transportation, logistics or fleet management fields preferred
Ability to build and maintain good relationships with community agencies and other critical stakeholders involved in healthcare access issues
Knowledge of Federal, State and local regulations pertaining to Mobile Integrated Health required
Proficient in the use of Microsoft Office Applications to include Microsoft word, Outlook, PowerPoint. Advanced Excel skills is required
Excellent interpersonal skills and ability to work with a variety of people and job positions required
Must be easily adaptable to ever changing environment and requirements
Excellent interpersonal skills and the ability to work with people at all levels of the organization
Excellent organizational skills with the ability to manage multiple concurrent projects
Account management background preferred
Excellent documentation skills required
Proven leadership and communication skills are required
Excellent problem-solving skills with the ability to anticipate and resolve problems
Knowledge of managed care, quality improvement, contracting
Ability to establish and maintain operational structure
Ability understand and communicate Company vision
Strong business and financial acumen
Strong analytical and strategic planning skills
What’s in it for you:
· Health, Life Insurance, Dental and Vision Plans
· 401(k) with a company match
· Flexible Scheduling
· Paid Time Off, Holiday Pay and Birthday Holiday
· Maternity/Paternity Leave
· Casual Dress Environment
· Tuition Reimbursement
· MTM Perks Discount Program
· Leadership Mentoring Opportunities
Salary Min: $175,000
Salary Max: $195,000
This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location. We offer competitive pay that varies based on individual skills, experience, and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more, you are welcome to discuss with us as you move through the selection process.
Equal Opportunity Employer: MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law. If you are in need of accommodations, please contact MTM’s People & Culture.
