VP, Operations

Reliant Health Partners

. Lead and transform a multifunction healthcare cost-containment organization overseeing approximately 25 employees .

Posted 10/14/2026full-timeRemote • United StatesLead💰 $170,000 - $190,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive expertise in healthcare operations management, particularly in leading multifunction teams and overseeing complex processes related to the No Surprises Act and Independent Dispute Resolution. Proven ability to implement technology solutions, manage operational performance, and drive continuous improvement in service quality and compliance.

Highest-signal resume keywords

Healthcare Operations ManagementNo Surprises Act ExpertiseIndependent Dispute Resolution (IDR)KPI-Driven Management SystemsAI-Assisted Document Processing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Operational Performance ManagementWorkflow RedesignData Quality ManagementCost ManagementStaffing ModelsNegotiation SkillsClaims RepricingProcess MappingAudit Trail ManagementCapacity Planning

Soft Skills

Executive CommunicationDecision-MakingRisk ManagementJudgmentPrioritization

Tools & Technologies

Workflow AutomationDocument IntelligenceDashboardsOperating-Management SystemsPerformance Review Systems

Industry Keywords

Medicaid RepricingProvider Data OperationsCost-ContainmentThird-Party AdministratorsPayer Services

About the role

Key responsibilities & impact

Lead and transform a multifunction healthcare cost-containment organization overseeing approximately 25 employees
Manage teams negotiating No Surprises Act disputes before Independent Dispute Resolution (IDR)
Own end-to-end IDR operational performance, including intake, case matching, filing milestones, decisions, repricing, client notifications, exceptions, and audit trails
Lead negotiation and resolution of appeals related to out-of-network repricing products
Oversee Provider Data Management, including data quality, throughput, capacity, and automation opportunities
Lead Client Services with clear service levels, issue ownership, and escalation
Oversee the dedicated Medicaid claims repricing operation supporting the Kaiser account
Own operating results across quality, timeliness, productivity, service, compliance, capacity, and cost
Implement dashboards and operating-management systems covering backlog, throughput, staffing productivity, exceptions, deadlines, and trends
Design and document process maps, handoffs, ownership, escalation pathways, reconciliations, and completion evidence
Build NSA/IDR controls for communications, critical dates, claim-to-dispute matching, client communication, financial exposure, and auditability
Lead cross-functional redesign with IT, product, finance, legal/compliance, and account management
Translate business requirements into prioritized technology roadmaps
Deploy AI, document intelligence, and workflow automation with human review, privacy, and control safeguards
Develop staffing and capacity models, resource plans, budgets, succession coverage, and organizational structure
Coach managers and establish weekly performance reviews, risk escalation, and continuous improvement
Communicate risks and recommendations to executive leadership
Support enterprise integration, standardization, growth, and acquisition readiness
Establish operational baselines, validate IDR controls, produce workflow documentation, implement operating reviews, and present a sustainable staffing and leadership structure within the first 90–180 days

Requirements

What you’ll need

15+ years of progressive healthcare operations experience, including substantial senior leadership responsibility for complex, multi-team operations
Demonstrated hands-on expertise in the federal No Surprises Act, open negotiation, federal IDR processes, out-of-network claims and repricing, and associated operational deadlines and communications
Proven record of building KPI-driven management systems, redesigning workflows, improving service and quality, and scaling operations
Experience leading managers and cross-functional teams through operational change, technology implementation, and high-stakes issue resolution
Strong quantitative and financial acumen, including workload forecasting, staffing models, productivity, and cost management
Excellent executive communication, judgment, prioritization, decision-making, and risk-management skills
Experience with health plans, third-party administrators, cost-containment vendors, claims administrators, or related payer services (preferred)
Demonstrated implementation of AI-assisted document processing, intelligent intake, workflow orchestration, and automated operational reporting (preferred)
Experience with Medicaid repricing, provider data operations, appeals negotiations, or post-acquisition integration (preferred)
Bachelor’s degree or equivalent experience; advanced degree desirable

Benefits

Comp & perks

Comprehensive medical, dental, vision, and life insurance coverage
401(k) retirement plan with employer match
Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
Paid time off (PTO) and disability leave
Employee Assistance Program (EAP)