Humana · 4 weeks ago
Associate Operations Director - Las Vegas
United States
Full-time
Remote
Mid, Senior Level
$104K/yr - $143K/yr
5+ years expHumana is a healthcare company focused on putting health first. The Associate Operations Director leads clinical operations in multiple centers, ensuring smooth operations and optimal patient outcomes through strategic management and collaboration with healthcare professionals.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Proven experience in clinical operations and financial management, including P&L responsibilities
Proficiency in monitoring and analyzing key performance indicators (KPIs) such as Membership, Retention, Patient Engagement, Access, Scheduling, Referral turnaround time, phone abandonment rates, PCP/voluntary alignment change forms, and more
Monitor and manage data analytics, scorecards, cost & utilizations, HCC coding, and NPS Scores, focusing on patient satisfaction and performance improvement
Supervision and management of operational staff and guiding them on performance expectations, managing daily schedules, and supporting organizational change management
Engage in recruitment, development of internal leaders, and fostering continuous learning and improvement
Ensure team of healthcare professionals are trained in the principles and practices of Value Based Care (VBC)
Responsible for contributing to leadership and financial discussions during monthly meetings with Market CAs and Regional AMD, utilizing exceptional presentation and facilitation skills to simplify complex information and engage audiences
Demonstrates strong financial acumen and managing Profit & Loss (P&L) to connect strategy with business results
Collaborates with Community Engagement Professionals and Providers to develop and execute growth tactics within the center and community. Prioritizes centers for targeted growth investments
Evaluates performance of all operational staff directly reporting
Ensures accuracy of all supply ordering, invoices, and expense submissions as well as management of VSP resources
Ensure all standard operating procedures are adhered to within the center and all compliance required signage is visible in patient-facing areas and back-office to include breakrooms
Ensure growth targets and financial levers are understood and being met
Understand and support center incident reporting and maintenance/facility needs
Represent CenterWell/Conviva brands in community and media activities while collaborating with the recruitment team to build and network a pipeline of high-quality primary care clinicians (physicians, APPs, MAs, and other clinical professionals)
Experienced in managing outpatient care teams to maintain high patient satisfaction and strong brand in the community
Ensures centers are focused on obtaining and managing Google reviews
Ensure high levels of patient satisfaction by addressing clinician performance issues and fostering a patient-centric environment and culture of care
Focus on patient outcomes and integrate VBC principles into daily operations
Collaborate with providers on patient terminations in collaboration with compliance
Conduct monthly safety audits, manage MSDS and OSHA concerns, and address clinic operation opportunities
Ensures Center Administrators are addressing patient service recovering as needed and any clinician concerns are discussed with AMD to define any action
Collaborate with providers on patient terminations in compliance with regulations
Maintains awareness of the competitive health care environment and escalates any issues
Ensures centers are completing monthly audits of payor directories to ensure providers within the center are accurately represented. Escalate necessary changes to Market President
Collaborate with the Associate Medical Director to achieve shared goals, ensuring consistent communication and unified decision-making
Align on performance management, clinical and operational strategies, growth (sales and retention) tactics, and present a unified voice to respective teams
Partner on operational budgeting and strategic planning, determining services, providers, and expected outcomes collaboratively
Focus on utilization management and review provider schedules to meet patient access goals, with biannual reviews of incentive plans
Monitor and communicate incentive and performance plans effectively
Collaborate to manage performance/disciplinary issues, either within the clinical or operational team
Ensure patient access across all centers overseeing balancing new patient access and acute needs for existing patients
Qualification
Required
5+ years of healthcare management experience in clinical care or related field, with experience driving results in a full-risk VBC environment
Bachelor's degree or equivalent experience preferred. Degree preferably in Business administration Healthcare Administration, or a related field
Strong understanding of healthcare regulations, compliance, and managed care
Skilled in EMR systems, DataHub, NPS, and other relevant software tools
Current CPR certification
Must be able to work at the CenterWell Care clinic
Must have a valid driver's license as there will be travel between centers
Demonstrated interpersonal skills, enabling effective interaction both internally and externally with a diverse range of individuals, including physicians, office staff, hospital executives, medical groups, IPAs, community organizations, and other health plan staff
Candidates selected for this job will be required to adhere to Humana's flu vaccine policy
Solid understanding of medical care delivery, managed care financial arrangements and reimbursement
Proven ability to function effectively in matrix management environment and as a member of an interdisciplinary team
Experience managing a budget of $1M+
This role is considered patient facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
Preferred
Basic knowledge of Population Health and how it comes to life in a global risk primary care environment
Familiarity with Medicare and Risk model
Bilingual in both English and Spanish
Benefits
Blue Cross and Blue Shield Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Medical, dental and vision benefits
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-09
2026-01-07
2026-01-06
Company data provided by crunchbase