Senior Director, Operations

Senior Director, Operations page is loaded## Senior Director, Operations locations:
Camarillo, CA:
California-Remote time type:
Full time posted on:
Posted 7 Days Agojob requisition :
JR100092

Come Grow With Us  At Gold Coast Health Plan, we are driven to create the health plan of the future - today. We are disrupting the conventions of the health care industry by creating and applying leading-edge solutions to its many challenges.

Working at Gold Coast Health Plan means working alongside a team of committed individuals who are reshaping the organization and redefining how the needs of the whole person – health, health care, and social services and supports – are met. We are seeking collaborators, innovators, and those who are driven to be their very best.

If you are looking for a career of purpose and are passionate about having an impact on society’s health care challenges, then Gold Coast Health Plan is where you should be. Here, you will be challenged and rewarded in equal measure.

About this role:

** POSITION SUMMARY
** The Senior Director of Operations is a strategic leader that can direct and oversee Operations which includes the management of daily operations for Gold Coast Health Plan’s (GHCP) as well as various outsourced services.  The Senior Director of Operations reports directly to the Chief Operating Officer and plays a key leadership role, interacting with all levels of GCHP staff and Commissioners and external stakeholders, including regulators and legal counsel.

This position is also expected to establish and maintain a high performing staff and communicate business results in a clear, concise and easily understood way in both written and verbal communication forms.

Additionally, this role is responsible for ensuring robust Quality Assurance practices across all operational functions, including the development and implementation of performance monitoring systems, compliance audits, and continuous improvement initiatives to maintain service excellence and regulatory adherence.
** Reasonable Accommodations Statement
** To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.
** ESSENTIAL FUNCTIONS
**** Job Function & Responsibilities*
* • Enter responsibilities. Providing leadership and direction in the day-to-day operations of Operations including but not limited to provider and Member Call Centers.  
• Oversee the integration of operational departments in order to maximize the effective use of all resources towards meeting established goals, compliance and quality requirements, and policies and procedures.  
• Facilitate data-driven decision making across operational areas that leads to meaningful actions.  
• Responsible to participate in and oversee operational health plan internal & external audits/assessments, responses, and corrective action plans in conjunction with the compliance department.

• Review operations metric and quality reports and analyze performance reports.  
• Act as the primary liaison/consultant between outsourced operations vendor and the GCHP   
• Effectively organizes communication content and formats analyses to facilitate understanding and decision making for GCHP senior leaders  
• Coordinates the production, development and delivery of materials for any outsourced vendors joint operating meetings as well as collaborate with operational departments on the development and implementation of dashboards, scorecards, status reports for purposes of performance and analytical review  
• Work closely with staff, vendors and peers to set goals, clearly define operations, and develop appropriate performance standards, metrics and reporting tools.  Monitor Service Level Agreements and initiate any financial or operational corrective action plans.

• Implement new initiatives and resolve problems that cross multiple departments by forming ad-hoc work groups and assessing intangible variables, automated processes, manual workflows, and impact to providers and…