Vice President of Operations – Post-Acute Dialysis

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

📋 Description

• Provide executive leadership for all Post-Acute operations and define the strategy, priorities, standards, and operational cadence to expand the division across various markets and states.

• Develop a leadership framework that supports clinically sound and financially sustainable operations in at least five states.

• Create scalable systems, standardized workflows, management routines, escalation pathways, and decision-making rights.

• Identify operational risks, constraints, and capability gaps, implementing corrective measures accordingly.

• Oversee daily operations of SNF dialysis programs through Area Managers.

• Ensure reliable, safe, efficient, and contract-compliant service delivery across the designated facilities.

• Assist Area Managers with staffing, scheduling, treatment completion, documentation, inventory management, facility readiness, customer communication, physician coordination, and local financial performance.

• Establish and track operational scorecards covering TUR, staffing productivity, labor variance, overtime, travel, missed treatments, census, referrals, quality outcomes, and customer issues.

• Direct resolution efforts for staffing shortages, scheduling failures, supply disruptions, equipment impacts, and service continuity risks.

• Develop contingency plans for business continuity and emergency operations.

• Assume responsibility for the entire Post-Acute divisional P&L, gross profit, EBITDA, labor, travel, supplies, implementation costs, and operating expenses.

• Collaborate with Finance to develop the annual operating budget.

• Review profitability, identify financial leakages, and enhance productivity, utilization, reimbursement, cost control, and contribution margin.

• Engage in pricing model development and operational assumptions.

• Partner with Finance, Admissions & Billing, and Revenue Cycle to enhance documentation, authorizations, claims support, denials, collections, and revenue integrity.

• Collaborate with Clinical Quality & Compliance, the Chief Medical Officer, Medical Directors, and clinical leaders to ensure compliance with CMS, state regulations, HIPAA, accreditation, policies, and contracts.

• Oversee the operational implementation of quality and compliance requirements and corrective action plans.

• Analyze quality trends and ensure a swift response to adverse events, infection risks, missed treatments, documentation failures, medication issues, and survey findings.

• Ensure readiness for surveys, required audits, and timely resolution of identified gaps.

• Manage the implementation of new Post-Acute programs following contract execution until operations are stabilized.

• Ensure that site assessments, feasibility reviews, construction and equipment readiness, staffing, credentialing, training, physician coverage, supplies, technology, billing setup, and regulatory requirements are completed prior to launch.

• Develop stabilization plans, census ramp strategies, customer communication schedules, and post-launch performance evaluations.

• Conduct post-implementation reviews and enhance future launches.

• Maintain executive operational relationships with Post-Acute customers after contract execution.

• Lead service recovery initiatives and address customer concerns.

• Conduct and enhance Quarterly Business Reviews.

• Identify opportunities for expansion within existing health systems or customer relationships.

• Establish relationships with nephrologists, Medical Directors, attending physicians, facility medical leadership, and the Chief Medical Officer.

• Address physician engagement, rounding, coverage, documentation, order, communication, and accountability issues.

• Directly lead, coach, develop, proactively hire, and evaluate Area Managers and supporting roles.

• Foster an accountable culture and participate in the hiring, onboarding, and initial assessments of managers.

• Collaborate with Market Development Managers on referrals and census.

• Work alongside Biomedical Operations, Human Resources, Marketing, Clinical Quality & Compliance, Contracting, Finance, IT, Supply Chain, Clinical Education, Sales, and other divisions.

• Report directly to the Chief Operating Officer.

• Travel regularly to operating markets, customer locations, physician meetings, implementations, and leadership meetings (20-25%).

• Address urgent operational, quality, customer, staffing, or physician issues outside of normal business hours as necessary.

⛳️ Requirements

• A Bachelor's degree in healthcare administration, business administration, nursing, operations management, or a related field is required; equivalent executive healthcare operations experience may be accepted.

• A Master's degree in business administration, healthcare administration, nursing, public health, or a related discipline is preferred.

• At least seven years of progressively responsible healthcare operations experience.

• Significant leadership experience overseeing multi-site operations for geographically dispersed teams.

• Proven track record of building, scaling, or significantly improving a multi-state or multi-market healthcare operation.

• Experience leading through managers, developing leaders, and establishing sustainable operating systems.

• Ability to analyze quality, compliance, operational, customer, and financial data and translate findings into actionable plans.

• Proficient in managing full P&L, budget, labor, productivity, and financial performance analysis and tracking.

• Experience in managing executive-level customer relationships, physician partnerships, clinical quality, regulatory risk, and cross-functional initiatives is essential.

• Dialysis experience is preferred but not mandatory.

• Preference for candidates with post-acute, long-term care, home-based care, specialty clinical services, physician practice, hospital, or other regulated healthcare operations experience.

• Must possess the ability to read, write, speak, understand, and effectively communicate in English.

• Strong technical skills with laptops, tablets, Outlook, Excel, PowerPoint, Word, SharePoint, etc.

• Capability to quickly learn various technical systems and equipment.

• Regular travel to operating markets, customer locations, physician meetings, implementations, and leadership meetings is required (20-25% expected).

• Must be available to respond to urgent issues outside normal business hours when executive intervention is needed.

• Must be able to push, pull, and lift up to 50 pounds.

• Availability to work Monday through Friday and some weekends as needed based on travel and unit requirements.

🏝️ Benefits

• Exceptional employee benefit package.

• Employer contribution to H.S.A.

• F.S.A. tax savings benefits.

• A 4% dollar-for-dollar company match to the 401k plan with immediate vesting.

• Tuition reimbursement program.

• Employee referral bonus program.

• Comprehensive employee recognition and appreciation initiatives.

• High-quality employee training and development opportunities.

• Comprehensive Medical Benefits.

• Vision insurance.

• Dental insurance.

• STD/LTD/Voluntary Life insurance.

• Accident, Critical Illness, and Hospital Indemnity Plans.

• Pet Insurance.

• Discounted auto and home insurance.

• Discounted legal services program.

• Employer-paid life insurance for 1x employee salary.

• Employer-paid assistance program providing complimentary counseling, wellness, and legal sessions for employees and household members.

• Option to work remotely from home or in a skilled nursing facility environment.