[Remote] Associate Operations Director - Las Vegas

Note: The job is a remote job and is open to candidates in USA. Humana 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. 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 Skills • 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 • 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 Overview • Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is Company H1B Sponsorship • Humana has a track record of offering H1B sponsorships, with 202 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job