Director, Operations – Strategic Initiatives

This is a fully remote position, open to applicants in Florida.

📋 Description

• Collaborate with plan leaders to formulate strategy and achieve results

• Facilitate coordination among Clinical, Quality, Operations, Network, Finance, Compliance, Claims, Member Services, and IT shared services

• Foster alignment, tackle business challenges, and assist in the execution of organizational priorities

• Supervise cross-functional initiatives and navigate competing priorities

• Manage strategic and operational initiatives for the Florida Medicaid health plan

• Oversee vendor strategy, governance, and performance

• Convert strategic objectives into execution plans with milestones, accountability, and measurable outcomes

• Direct multiple large-scale, cross-functional projects and transformation efforts

• Represent the Florida Medicaid health plan in enterprise initiatives requiring Florida-specific activities

• Facilitate readiness and execution for Medicaid policy changes, regulations, contractual obligations, system implementations, and operational enhancements

• Coordinate outcomes from Clinical, Quality, and Population Health teams for behavioral health, chronic disease management, preventive care, maternal health, and LTSS implementations

• Assess program outcomes using HEDIS, CAHPS, quality metrics, access standards, operational indicators, and population health outcomes

• Ensure adherence to contractual obligations and operational excellence

• Cultivate relationships with providers, community organizations, vendors, and state stakeholders

⛳️ Requirements

• Over 10 years of experience in managed care

• Comprehensive understanding of healthcare operations, business processes, and industry trends

• Proven experience working with cross-functional stakeholders, including senior leadership, business partners, and operational teams

• Strong skills in relationship management

• Experience in creating executive-level presentations and PowerPoint decks

• Robust project management experience leading complex initiatives and juggling multiple priorities

• At least 3 years of experience in analysis and problem-solving

• Ability to synthesize complex data, identify trends, and formulate actionable recommendations

• Experience using data for business storytelling and strategic insights

• Capacity to support and influence business decisions through data analysis, reporting, and performance measurement

• Exceptional verbal and written communication abilities

• Willingness and capability to travel 10–20% as required

• Bachelor’s degree or equivalent professional experience

🏝️ Benefits

• Medical coverage

• Dental coverage

• Vision coverage

• Paid time off

• Retirement savings options

• Wellness programs

• Additional resources supporting physical, emotional, and financial well-being

• CVS Health bonus, commission, or short-term incentive program

• Equity award program