Vice President of MSO Operations
Company: Kinsley Power Systems
Posted on: September 21, 2022
Vice President of IPA Operations
Prospect Medical Systems
Reporting: Chief Operations Officer, Prospect Medical Systems
Seated: California Remote, with occasional travel to Orange CA.
Required to reside in Central/Mountain/PST time zone and willing to
work PST business hours
Develops and leads company's operational policies, objectives and
initiatives to support ongoing national growth for all product
lines (including Medicare, Medicaid, Commercial, Exchange), risk
models (value-based care, professional risk, global risk) and
delegation levels. Creates and executes strategies to attain short-
and long-term financial and mission-critical operational goals,
while ensuring compliance with federal, state and health plan
regulations/policies. Utilization of continuous process improvement
techniques and technology solutions will be key to successfully
delivering on quality and productivity goals.
- Provides leadership and direction for key operations
departments & functions, to include Claims Payment; System
Configuration for contracts/benefits/DOFRs; Encounter Data;
Customer Service; Credentialing and Provider Data
- Ensures department & staff goals are established & monitored to
drive company goal achievement annually. Includes oversight of
external vendors, as well as internal staff. Presents periodic
performance reports and metrics to the chief operating officer and
- Maintains working knowledge of healthcare regulations and
health plan policies to ensure compliance for all lines of business
(Medicare, Medicaid, Commercial, Exchange) and in all operating
states. Monitors regulatory and health plan audit results to
identify and address any adverse trends. In addition, establishes
and monitors internal quality assurance audit processes as a part
of continued operational improvements.
- Provides leadership, mentoring and management to departments to
ensure adequate, ongoing training & quality assurance; goal
attainment; and ongoing elevation of individual skill sets. Ensures
teams' compliance with regulatory, health plan and company policies
& procedures and strategic use of tools and reports. Develops
metrics and tools to measure/affect progress on company, team and
individual goals, monitoring & implementing new/revised action
plans as warranted. Includes management to budget.
- Collaborates with Executive Team and key business units to
identify, evaluate and implement data automation and process
- Supplies operational expertise and guidance on potential
acquisitions, projects and systems.
- Collaborates with other divisions and departments to carry out
the organization's goals and objectives.
Job Knowledge, Skills, and Abilities:
To perform this job successfully, an individual must be able to
perform the job description satisfactorily. This job description
reflects management's assignment of essential functions; it does
not prescribe or restrict the tasks that may be assigned. The
requirements listed below are representative of the knowledge,
skill, and ability required. Reasonable accommodations may be made
to enable individuals with disabilities to perform the essential
- Excellent verbal and written communication skills.
- Strong supervisory and leadership skills.
- Extensive knowledge of the principles, procedures, and best
practices in the industry.
- Excellent organizational skills and attention to
- Strong analytical and problem-solving skills.
- Proficient with Microsoft Office Suite.
- Bachelor's degree in Business Administration, Healthcare
Management or other industry-related field required.
- At least 10 years of industry-related experience including
three years in upper management required.
- MBA preferred.
Established in 1996, Prospect Medical Holdings, Inc. has grown into
a significant provider of coordinated regional healthcare services
in Southern California, Connecticut, Pennsylvania, Rhode Island,
Arizona and South Central Texas.
Prospect Medical Holdings, Inc. has grown to over 20,000 employees,
17 acute care and behavioral hospitals, over 600,000 members and
includes a network of over 6,600 doctors and specialists.
Prospect Medical is a family of mission-focused healthcare
professionals offering hospital and community-based health
services. In partnership with our physicians, our hospitals and
affiliated medical groups are committed to high-quality healthcare
services tailored to the unique needs of the communities we
With over 6,600 primary care and specialist physicians to serve our
600,000 members, Prospect Medical Systems is proud to be among the
most innovative medical systems in 6 states: California, Texas,
Rhode Island, Arizona, Pennsylvania, and Connecticut. Locations in
California include Los Angeles, Orange County, Riverside County,
San Diego, and San Bernardino County. Our extensive care services
range from primary care and specialty physician services to acute
care hospitals and skilled nursing facilities to behavioral health
and wellness services.
Each of our Independent Physician Associations (IPAs) and networks
support the use of advanced diagnostic and treatment tools to
provide our members with convenient access to state-of-the-art
healthcare. Prospect Medical Systems currently manages 20 IPAs and
networks - contracts with all major health plans and has a
successful track record of growth, cost management, and outcome
Job Location Profile
This role is 100% remote.
Our main office is located at 600 City Pkwy West in Orange, CA.
Prospect Medical Systems houses employees from across the
enterprise at this location, as well as several hotel offices and
cubicles for our local remote employees. We are conveniently
located near the Outlets of Orange and are accessible from the 5,
22, and 57 freeways for an easy commute. This location is near
dining options and offers free on-site parking. Our other office
locations include Rancho Cucamonga, CA, and San Antonio, TX as
Keywords: Kinsley Power Systems, Orange , Vice President of MSO Operations, Executive , Orange, California
Didn't find what you're looking for? Search again!