Executive Director, Operations

United States·Hmsa Bldg-Hms-Oahms - HonoluluNormalexecutive

OperationsOperations Specialist

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Quick Summary

Key Responsibilities

Medicare Advantage Value-based care Population health Provider operations Care management Quality improvement Healthcare regulatory requirements. Demonstrated success leading cross-fu

Technical Tools

OperationsOperations Specialist

Operational Leadership
- Direct and oversee the daily operations of the MSO to ensure efficient, high-quality service delivery.
- Develop and implement operational strategies that support organizational growth and value-based care objectives.
- Establish standardized operational workflows, policies, and performance expectations across the organization.
- Ensure operational alignment across all departments.
Provider Operations
- Oversee provider operational support, including onboarding, practice engagement, and ongoing relationship management.
- Primary focus: oversee the field / operations team; coordinate day to day engagement with provider in market.
- Ensure provider organizations receive timely operational support related to quality, risk adjustment, care management, and value-based initiatives.
- Monitor provider satisfaction and implement continuous service improvements.
Population Health Operations
- Coordinate operational execution of:
  - Care gap closure initiatives
  - Risk adjustment workflows
  - Population health programs
  - Care management activities
  - Quality improvement initiatives
  - Ensure effective collaboration between clinical, operational, and analytics teams.
Performance Management
- Develop operational dashboards and key performance indicators.
- Monitor departmental performance and implement corrective actions as necessary.
- Drive accountability for operational goals and service standards.
Process Improvement
- Lead Lean, Six Sigma, or other continuous improvement initiatives.
- Identify operational inefficiencies and implement scalable solutions.
- Standardize best practices across participating provider organizations where appropriate.
Cross-Functional Leadership
- Collaborate closely with:
  - President
  - Chief Financial & Analytics Officer
  - Director, Burden of Illness
  - Medical leadership
  - Health plan partner (HMSA)
  - Primary POC with internal program office team
- Ensure seamless execution of enterprise initiatives.
Regulatory Compliance
- Ensure operational compliance with CMS regulations, health plan contractual requirements, accreditation standards, and organizational policies.
- Oversee operational readiness for audits and reporting requirements.
Leadership & Talent Development
- Recruit, develop, and mentor high-performing operational leaders.
- Foster a culture of accountability, collaboration, innovation, and service excellence.
- Lead change management initiatives across the organization.
Performs all other miscellaneous responsibilities and duties as assigned or directed.

Bachelor's degree and eight years of related experience; or equivalent combination of education and experience.
Five years of management experience.
Experience leading physician organizations, MSOs, IPAs, ACOs, or integrated delivery systems.
Strong knowledge of:
- Medicare Advantage
- Value-based care
- Population health
- Provider operations
- Care management
- Quality improvement
- Healthcare regulatory requirements.
Demonstrated success leading cross-functional operational teams.
Excellent communication, organizational, and leadership skills.