Louisiana Medicaid Health Plan COO job in Baton Rouge at CVS Health

 
 

Company Description

CVS Health, the Woonsocket, Rhode Island-based healthcare company, offers clinical, retail pharmacy, specialty pharmacy, pharmacy benefit management, and prescription mail order services in the US, the District of Columbia, and Puerto Rico. CVS’ mission is to provide people assistance on their path to better health, making quality care more affordable, accessible, simple and seamless.The company seeks to attract individuals whose beliefs and behaviors are in alignment with CVS core values of collaboration, innovation, caring, integrity and accountability. The multi-award winning company (e.g. Military Friendly Employer, America’s Top Corporation for Women Business Enterprises) provides opportunities to a diverse work experience that empowers the team for career success. CVS offers a benefits package to its employees, including medical, prescription, dental and vision coverage, a company contribution to a health savings account (HSA), employee stock purchase plan, adoption benefits, life, accident and disability insurance, paid time off, tuition reimbursement, and colleague discount.

Job Description

Job Description

Only candidates that live in or are willing to move to Louisiana will be considered.The Manager of Operations is responsible for leading and managing all hands-on operational aspects and activities of various functional areas within the Plan which may include: Claims, Provider Services, Information Technology, Grievance and Appeals, Member Services, Medical Management and the Medicare and Long Term Care lines of business. Assists the Plan leader in the successful growth and performance of the Plan. The Manager of Operations also interfaces, collaborates and works cooperatively with corporate office functional leaders and centralized business departments.

Required Qualifications

Provides day-to-day leadership and management to a service organization that mirrors the mission and core values of the company. Interfaces with corporate office staff as required.* Responsible for driving the Plan toachieve and surpass performance metrics, profitability, and business goals and objectives.* Responsible for employee compliance with, and measurement and effectiveness of all Business Standards of Practiceincluding Project Management and other processes internal and external. Provides timely, accurate, and complete reports on the operating condition of the Plan. Develops policies and procedures for assigned areas. Ensuring that other impacted areas, as appropriate, review new and changedpolicies.* Assists the Plan leader in collaborative efforts related to the development, communication and implementation of effective growth strategies and processes. May be required to spearhead theimplementation of new programs, services, and preparation of bid and grant proposals.* Collaborates with the Plan management team and others to develop and implement action plans for the operational infrastructure ofsystems, processes, and personnel designed to accommodate the rapid growth objectives of the organization.* Assists in defining marketing andadvertising strategies within State guidelines. Participates in the development and implementation of marketing policies for the Plan, and ensures their compliance with program regulations.* Provides assistance inpreparation and review of budgets and variance reports for assigned areas.* Works cooperatively with Network Development team in the development of the provider network. Acts as “client-care officer” through direct contact with all stakeholders. Serves as a liaison with regulatory and other state administration agencies and communicates activity to CEO and reports back to Plan. * Communicates, Motivates and leads a high performance management team. Attract, recruit, train, develop, coach, and retain staff. Fosters a success-oriented, accountable environment within the Plan.* Ensures that performance evaluations and compensation decisions for employees are not influenced by the financial outcomes of claimsdecisions.* Assures compliance to and consistent application of law, rules and regulations, company policies and procedures for all assigned areas. * Prompt response with a sense of urgency/priority to customer requests.Documented follow through/closure. Assists as assigned or required in performing other duties, assignments and/or responsibilities. **Must have a managed care experience.

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications

10+ years work experience that reflects a proven track record of proficiency in the competencies noted.Ability to work collaboratively across many teams, prioritize demands from those team, synthesize information received, and generate meaningfulconclusions.Ability to conceive innovative ideas or solutions to meet clients requirements.Excellent communication and relationship management skills. Express thoughts in an organized and articulate manner. Listen very effectively and build a climate of trust and respect with prospective and existing clients andthe consulting communityAbility to work closely with client service, operations, and investment personnelProven leadership and negotiation skills.Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategicplanning and analysis, mergers and acquisitions, strategic planning, risk management.Recent and related managed health care experience.

Education

Bachelor’s degree required; Master’s degree preferred.

Business Overview

At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

 This position is open. This job was posted on Wed Jun 01 2022 and expires on Fri Jul 01 2022.

Minimum $58,343

$102,897 average

Maximum $131,709

Tasks

• Direct or coordinate an organization’s financial or budget activities to fund operations, maximize investments, or increase efficiency.
• Appoint department heads or managers and assign or delegate responsibilities to them.
• Analyze operations to evaluate performance of a company or its staff in meeting objectives or to determine areas of potential cost reduction, program improvement, or policy change.
• Direct, plan, or implement policies, objectives, or activities of organizations or businesses to ensure continuing operations, to maximize returns on investments, or to increase productivity.
• Prepare budgets for approval, including those for funding or implementation of programs.
• Confer with board members, organization officials, or staff members to discuss issues, coordinate activities, or resolve problems.
• Implement corrective action plans to solve organizational or departmental problems.
• Direct human resources activities, including the approval of human resource plans or activities, the selection of directors or other high-level staff, or establishment or organization of major departments.
• Establish departmental responsibilities and coordinate functions among departments and sites.
• Preside over or serve on boards of directors, management committees, or other governing boards.
• Negotiate or approve contracts or agreements with suppliers, distributors, federal or state agencies, or other organizational entities.
• Coordinate the development or implementation of budgetary control systems, recordkeeping systems, or other administrative control processes.
• Review reports submitted by staff members to recommend approval or to suggest changes.
• Deliver speeches, write articles, or present information at meetings or conventions to promote services, exchange ideas, or accomplish objectives.
• Interpret and explain policies, rules, regulations, or laws to organizations, government or corporate officials, or individuals.
• Prepare or present reports concerning activities, expenses, budgets, government statutes or rulings, or other items affecting businesses or program services.
• Review and analyze legislation, laws, or public policy and recommend changes to promote or support interests of the general population or special groups.
• Administer programs for selection of sites, construction of buildings, or provision of equipment or supplies.
• Direct or conduct studies or research on issues affecting areas of responsibility.
• Direct or coordinate activities of businesses or departments concerned with production, pricing, sales, or distribution of products.
• Make presentations to legislative or other government committees regarding policies, programs, or budgets.
• Refer major policy matters to elected representatives for final decisions.
• Direct or coordinate activities of businesses involved with buying or selling investment products or financial services.
• Conduct or direct investigations or hearings to resolve complaints or violations of laws or testify at such hearings.
• Direct non-merchandising departments, such as advertising, purchasing, credit, or accounting.
• Prepare bylaws approved by elected officials and ensure that bylaws are enforced.
• Serve as liaisons between organizations, shareholders, and outside organizations.
• Attend and participate in meetings of municipal councils or council committees.
• Represent organizations or promote their objectives at official functions or delegate representatives to do so.
• Organize or approve promotional campaigns.
• Nominate citizens to boards or commissions.

Skills

• Reading Comprehension – Understanding written sentences and paragraphs in work related documents.
• Active Listening – Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
• Writing – Communicating effectively in writing as appropriate for the needs of the audience.
• Speaking – Talking to others to convey information effectively.
• Mathematics – Using mathematics to solve problems.
• Critical Thinking – Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Active Learning – Understanding the implications of new information for both current and future problem-solving and decision-making.
• Learning Strategies – Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
• Monitoring – Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
• Social Perceptiveness – Being aware of others’ reactions and understanding why they react as they do.
• Coordination – Adjusting actions in relation to others’ actions.
• Persuasion – Persuading others to change their minds or behavior.
• Negotiation – Bringing others together and trying to reconcile differences.
• Instructing – Teaching others how to do something.
• Service Orientation – Actively looking for ways to help people.
• Complex Problem Solving – Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
• Operations Analysis – Analyzing needs and product requirements to create a design.
• Judgment and Decision Making – Considering the relative costs and benefits of potential actions to choose the most appropriate one.
• Systems Analysis – Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
• Systems Evaluation – Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.
• Time Management – Managing one’s own time and the time of others.
• Management of Financial Resources – Determining how money will be spent to get the work done, and accounting for these expenditures.
• Management of Material Resources – Obtaining and seeing to the appropriate use of equipment, facilities, and materials needed to do certain work.
• Management of Personnel Resources – Motivating, developing, and directing people as they work, identifying the best people for the job.

Knowledge

• Administration and Management – Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
• Economics and Accounting – Knowledge of economic and accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data.
• Sales and Marketing – Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
• Customer and Personal Service – Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
• Personnel and Human Resources – Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.
• Mathematics – Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
• Psychology – Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
• Education and Training – Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
• English Language – Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
• Public Safety and Security – Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
• Law and Government – Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.

CVS Health

Description

CVS Health, the Woonsocket, Rhode Island-based healthcare company, offers clinical, retail pharmacy, specialty pharmacy, pharmacy benefit management, and prescription mail order services in the US, the District of Columbia, and Puerto Rico. CVS’ mission is to provide people assistance on their path to better health, making quality care more affordable, accessible, simple and seamless.The company seeks to attract individuals whose beliefs and behaviors are in alignment with CVS core values of collaboration, innovation, caring, integrity and accountability. The multi-award winning company (e.g. Military Friendly Employer, America’s Top Corporation for Women Business Enterprises) provides opportunities to a diverse work experience that empowers the team for career success. CVS offers a benefits package to its employees, including medical, prescription, dental and vision coverage, a company contribution to a health savings account (HSA), employee stock purchase plan, adoption benefits, life, accident and disability insurance, paid time off, tuition reimbursement, and colleague discount.

Type

Company – Public

Size

Large

Revenue

Over $10B

Location

Baton Rouge, LA, and others

Industry

General Hospitals, Outpatient Care Centers

Founded

1963

CEO

Larry J. Merlo

Website

Visit Website

Total job postings in the past

Based on 130 job boards, duplications excluded

Current job openings

15%

6 months

1,504%

1 year

5 weeks

Average posting lifetime

Total job posting distribution in the past

Based on 130 job boards, duplications excluded

Job category Distribution 6 months 1 year

 
 

 
 

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