Vice President Technical Services - Business Operations
Cambia Health Solutions

Vice President Technical Services - Business Operations

Portland, OR; Seattle, WA; Salt Lake City, UT or Boise, ID

The Vice President Technical Services - Business Operations provides strategic leadership vision and direction for the Business Operations Technical Services teams to ensure effective management of technology systems, production support, automation, Business Agile delivery and business process outsourcing. Identifies strategies and aligns them with the changing business environment. Effectively uses data analytics, standard methodologies, world class operations transactions and creative thinking to strengthen consumer satisfaction.

This role will require extensive collaboration with internal teams throughout the organization including IT, Procurement and Finance to ensure business needs are appropriately addressed.

General Functions and Outcomes

• Provides oversight and support to define, resource, schedule and delivery system and technology initiatives within the Facets ecosystem.
• Ensures that the consumer is at the center of thinking and action within span of responsibility.
• Provides systems and technology services that improve performance of Health Plan Operations.
• Provides the leadership vital to plan, develop and direct the activities for Configuration effort.
• Oversees all activities related to the various electronic systems used to support Cambia product activities.
• Leads and directs the activities performed by membership management to assure performance goals are met including efficiency, accuracy, timeliness and quality of service to our members and business partners.
• Participates in the formulation of Operations Business strategic and business plans, assessing cost and feasibility of system requests and ensuring plans support both strategic and near-term needs.
• Establishes appropriate working relationships with existing and new strategic vendors, deriving the maximum value from negotiated contracts for technology services and products.
• Participates appropriately in contract negotiations with existing strategic vendors.
• Ensures, through regular measurement and partnership with IT and vendors, that the technology service provided throughout Business Operations (e.g. Customer Service, Membership, Claims) meets the business need.
• Leads the development, implementation, execution and testing of automation and business continuity.
• Meets regularly with business leaders and partners to understand, and address key issues. Researches industry trends and partners with Operations leaders to determine where opportunities exist for process improvements and increased levels of service effectiveness.
• Understands how data is used within business processes and its impact on desired business process outcomes and reporting. Demonstrates awareness of the security, privacy and quality requirements for critical data entities and develops processes to optimize quality and value.
• Presents sophisticated concepts in a manner that is easily understood by individuals who do not have a technical background.
• Regularly communicates organizational objectives and communicates a compelling vision or sense of core purpose. Establishes team goals and performance objectives that align with the goals of the business.
• Monitors, measures, and report results tied to specific key performance indicators within operations.
• Meets regularly with team members to discuss status of assignments, development plans, goals and performance objectives. Holds direct reports accountable for achieving performance objectives and provides appropriate feedback and mentorship.
• Manages financial targets and department budget, authorizes expenditures, supervises workforce allocation and resources, and is responsible for project plans.
• Implements business system plans, directing development, implementation and ongoing maintenance of company business applications.
• Develops and maintains effective and positive relationships with all business partners, from Senior Leaders to entry-level employees.

Minimum Requirements

• Demonstrated deep Facets and Network system functional and technical knowledge including demonstrated experience leading technical services within the Facets platform.
• Demonstrated Health Plan Operations knowledge coupled with ability to provide thought leadership on Health Plan Operations issues, problems and opportunities.
• Demonstrated business consulting skills, ability to collaborate with business and vendor partners to conceptualize solutions and define scope, deliverables and implementation plans.
• Successful experience handling the delivery of technology services with high volume processing in customer-focused operations (such as customer service, membership and/or claims).
• Experience leading change initiatives including planning and implementing organizational, process and technology change on a large scale.
• Capability to lead internal and external suppliers ensuring they deliver value and meet agreed upon commitments using SWOT analysis, Service Level Agreements, Key Performance Indicators and improvements plans.
• Demonstrable ability to make sound data driven decisions using data reporting, analytics, and operational metrics and to create effective business cases with associated return on investment and total cost of ownership.
• Demonstrated analytical skills, ability to analyze complex situations, learn quickly and synthesize corresponding solutions, options and action plans.
• Demonstrated ability to lead successful teams, manage managers, and direct vendors.
• Demonstrated experience in directing processes and automation improvement projects.
• Strong communication, facilitation, and relationship-building skills with all levels of the organization, including the ability to resolve issues and build consensus among groups of diverse business partners.
• In-depth knowledge of health insurance industry trends and technology and how to best partner with delivery systems to achieve desired outcomes.
• Demonstrated proficiency in leading and managing cross-functional teams to ensure project
• objectives are obtained.
• Proven ability to identify, evaluate and implement tools in the market to improve process automation.

The Vice President Technical Services, Business Operations would have a Bachelor's degree in business management, healthcare administration, technology or related field; 15 years' experience in technical and business operations including 10 years of management experience with at least 5 years managing technical services within the Facets platform or an equivalent combination of education and experience.

FTEs Supervised

75-120

Work Environment

• Travel may be required, either locally or out of state
• May be required to work outside normal working hours

This position includes 401(k), healthcare, paid time off, paid holidays, and more. For more information, please visit www.cambiahealth.com/careers/total-rewards.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

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