Vice President of Operations, Post-Acute Dialysis

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

📋 Description

• Provide strategic executive leadership for all Post-Acute operations, establishing the necessary strategy, priorities, standards, and operational cadence to scale across multiple states and markets.

• Develop a leadership structure that supports clinically sound and financially sustainable operations across at least five states as the division expands.

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

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

• Ensure consistent, safe, efficient, and contract-compliant service delivery across assigned facilities.

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

• Direct the resolution of staffing shortages, scheduling failures, supply interruptions, equipment impacts, and service continuity risks.

• Develop contingency plans for business continuity, emergency operations, staffing limitations, and facility disruptions.

• Manage the complete Post-Acute divisional P&L, gross profit, EBITDA, labor, travel, supplies, implementation costs, and operating expenses.

• Collaborate with Finance and the COO to formulate the annual operating budget.

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

• Engage in the development of pricing models and operational assumptions.

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

• Ensure compliance with CMS Conditions for Coverage, state regulations, HIPAA, accreditation standards, company policies, and contractual obligations.

• Lead the implementation of quality and compliance requirements along with corrective action plans.

• Review quality trends and ensure timely responses to adverse events, infection risks, missed treatments, documentation failures, medication issues, and survey findings.

• Ensure readiness for surveys, required audits, and prompt closure of identified gaps.

• Oversee the implementation of new Post-Acute programs from internal kickoff to stabilized operations.

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

• Develop stabilization plans, census ramp plans, customer communication cadences, and post-launch performance assessments.

• Conduct post-implementation reviews to enhance future launches.

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

• Lead service recovery initiatives and resolve customer concerns.

• Conduct and refine Quarterly Business Reviews.

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

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

• Address issues related to physician engagement, rounding, coverage, documentation, orders, communication, and accountability.

• Directly lead, coach, develop, proactively recruit, and evaluate Area Managers and support roles.

• Foster an accountable leadership culture and participate in the hiring and interviewing of managerial staff.

• Collaborate with Market Development Managers on referrals and census strategies.

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

• Remain accountable for operational implementation, corrective actions, verification, and sustained closure.

• Report directly to the Chief Operating Officer.

• Travel regularly to operating markets, customer locations, physician meetings, implementations, and leadership meetings.

⛳️ Requirements

• A Bachelor's degree in healthcare administration, business administration, nursing, operations management, or a related field is mandatory; 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.

• A minimum of seven years of progressively responsible healthcare operations experience is required.

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

• Proven success in building, scaling, or significantly enhancing a multi-state or multi-market healthcare operation.

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

• Capability to interpret quality, compliance, operational, customer, and financial data, translating findings into actionable plans.

• Experience with full P&L, budgeting, labor, productivity, and financial performance analysis and tracking.

• Proven experience managing executive customer relationships, physician partnerships, clinical quality, regulatory risks, and cross-functional initiatives is essential.

• Dialysis experience is preferred but not mandatory.

• Experience in post-acute, long-term care, home-based care, specialty clinical services, physician practice, hospital, or other regulated healthcare operations is preferred.

• Ability to read, write, speak, understand, and effectively communicate in English.

• Strong technical/computer proficiency with laptops, tablets, Outlook, Excel, PowerPoint, Word, SharePoint, etc.

• Ability to quickly learn a range of 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 address urgent issues outside of standard business hours when executive intervention is crucial.

• Capability to push, pull, and lift up to 50 pounds.

• Availability to work Monday through Friday, with some weekends based on travel and unit needs.

🏝️ Benefits

• Comprehensive employee benefits package.

• Employer contribution to Health Savings Account (H.S.A.).

• Flexible Spending Account (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.

• Robust employee recognition and appreciation initiatives.

• Quality training and development programs for employees.

• Comprehensive medical benefits.

• Vision coverage.

• Dental coverage.

• Short-term disability (STD), long-term disability (LTD), and voluntary life insurance.

• Accident, critical illness, and hospital indemnity plans.

• Pet insurance options.

• Discounts on auto and home insurance.

• Discounted legal services program.

• Employer-paid life insurance equal to 1x the employee's salary.

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

• Options for remote home office or work in skilled nursing facility environments.