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 while establishing scalable strategies, priorities, standards, and operating rhythms across multiple markets and states.

• Construct the leadership framework, operating systems, workflows, management routines, escalation pathways, and decision-making rights necessary for scaling across a minimum of five states.

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

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

• Manage staffing, scheduling, treatment completion, documentation, inventory, facility readiness, customer communication, physician coordination, and local financial performance.

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

• Address staffing shortages, schedule failures, supply disruptions, equipment impacts, and service-continuity risks.

• Formulate contingency plans for business continuity, emergency operations, severe staffing constraints, and facility disruptions.

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

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

• Analyze profitability, identify financial leakage, 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.

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

• Oversee the operational implementation of quality and compliance requirements and 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 the timely closure of identified gaps.

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

• Verify 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.

• Establish stabilization plans, census ramp plans, customer communication schedules, and post-launch performance reviews.

• Conduct post-implementation reviews to enhance future launch repeatability, speed, cost, and quality.

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

• Lead service recovery efforts and address customer concerns.

• Conduct and enhance Quarterly Business Reviews.

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

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

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

• Lead, coach, develop, hire, and evaluate Area Managers and supporting roles.

• Foster a culture of accountability, support, authority, resources, follow-through, communication, and problem ownership.

• Participate in manager-level hiring, interviewing, onboarding, and initial 90-day assessments.

• Work with Market Development Managers to support referrals and maintain census.

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

• Ensure cross-functional issues progress from identification to corrective action, verification, and sustained resolution.

⛳️ 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 considered.

• 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 experience in healthcare operations.

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

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

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

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

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

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

• Dialysis experience is preferred but not mandatory.

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

• Proficiency in reading, writing, speaking, understanding, and effectively communicating in English.

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

• Ability to quickly learn various technical systems and equipment.

• Regular travel to operating markets, customer locations, physician meetings, implementations, and leadership meetings; 20–25% travel is expected.

• Capability to respond to urgent issues outside of normal business hours when executive intervention is necessary.

• Ability to continually stand, walk, twist, crouch, use hands to handle or feel, and reach with hands and arms.

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

• Close vision and the ability to adjust focus.

• Availability to work Monday through Friday and some weekends depending on travel and unit needs.

🏝️ Benefits

• A comprehensive employee benefits package.

• Employer contribution to the 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.

• A robust employee recognition and appreciation program.

• Quality employee training and development programs.

• Comprehensive medical benefits.

• Vision coverage.

• Dental coverage.

• 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 equivalent to 1x the employee's salary.

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

• Option for remote home office or skilled nursing facility work environment.