Vice President, Health Services

Job description

FLSA Status: Exempt Department: Health Services: Reports To: Chief Medical Officer: GENERAL DESCRIPTION OF POSITION: The Vice President, Health Services is responsible for optimizing the quality and value of health care received by health plan members by providing consistent, innovative leadership and direction to design, implementation, analysis, monitoring and reporting of effective and efficient health management services across all lines of business. This includes management and oversight of all strategic and operational functions of the Case Management, Utilization Management, Quality Improvement, Behavioral Health, Pharmacy and Long Term Supports Services departments. The position is also responsible for ensuring compliance with the state and federal requirements for these departments as well as related vendors. This position is also responsible for working in close collaboration with various Departments of Santa Clara County and Santa Clara Valley Health. ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. Provides leadership, direction, and oversight to all of the Hea...