Vice president, network operations job description

RESPONSIBILITIES:

• Developing the company's strategy for using technological resources.
• Ensuring technologies are used efficiently, profitably and securely.
• Evaluating and implementing new systems and infrastructure.
• Responsible for monitoring Corporate, Linear, VOD and PPV applications and operational architecture through a Network Operating Center (NOC) environment to ensure Service Level Agreements are met
• Participate in the planning, acquisition, and implementation of applications, monitoring tools and physical equipment including servers, network hardware.
• Developing the company's strategy for using technological resources
• Ensuring technologies are used efficiently, profitably and securely
• Evaluating and implementing new systems and infrastructure
• Provide escalation status notification throughout the enterprise on service impacting events.
• Make decisions and take actions to prevent network interruptions and service degradation through proactive Network Monitoring.
• Assist in system related maintenance and changes as requested, and provide assistance in testing new or upgraded applications.
• Management of large cross-departmental work flows
• Track and update events in the trouble ticketing system in a clear and efficient manner.
• Establish, maintain and update NOC standards, policies and work flows.
• Supervise projects, documentation of work flows and inventory.

MINIMUM QUALIFICATIONS
: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• At least a Bachelor's degree in Information Technology or Systems, Computer Science or Systems & Network Administration.
• Exceptional leader, people manager and customer advocate with a passion for technical support.
• Additional training/certification in relevant area of study strongly preferred.
• Cisco Certified Network Associate (CCNA) or equivalent work experience.
• At least 7 years of management experience in a 24/7/365 environment.
• Knowledge of Microsoft, Linux and MAC operating systems.
• A clear understanding of IP, multicast and network routing.
• Highly responsible, self-motivated, and able to thrive in an energetic, fast pace, high growth, entrepreneurial environment.
• Strong team player who can build strong relationships at all levels of the organization.

Vice President of Operations and Network Services
Job Summary:
SSE is seeking a Vice President of
Operations and Network Services
at our headquarters in St. Louis, MO. The Vice President will plan, direct, coordinate, and oversee operational activities in the organization, ensuring development of people and implementation of efficient operations and cost-effective systems to meet current and future, strategic growth objectives of the organization. The VP will ensure SSE can scale it’s operations to capitalize on SSE’s leading position as a provider of network and cybersecurity solutions to the defense and financial services’ markets. The successful candidate will serve as a member of the executive team and as an important partner to the firm’s sales and marketing, technology, cybersecurity, and financial functions.
Supervisory Responsibilities:

• Recruits, interviews, hires, and trains management-level staff in the department.
• Oversees the daily workflow of the department.
• Handles discipline and termination of employees in accordance with company policy.

Duties/Responsibilities:

• Establishes, implements, and communicates the strategic direction of the organization’s operating divisions
• Collaborates with executive leadership to develop and meet company goals while supplying expertise and guidance on operations projects and systems.
• Collaborates with other divisions and departments to carry out the organizations goals and objectives.
• Collaborates with other divisions and departments in working/managing with clients
• Identifies, recommends, and implements new processes, technologies, and systems to improve and streamline organizational processes and use of resources and materials.
• Ensures that departmental decisions and project plans such as those for staffing, development, organization, material efficiency, hardware acquisitions, and facilities are in line with the organizations business plan and vision.
• Establishes, communicates, and implements operations-related policies, practices, standards, and security measures to ensure effective and consistent support and execution.
• Reviews and approves cost estimates and staffing requirements for projects.
• Establishes and administers the department’s budget.
• Presents weekly performance reports and metrics to the chief executive officer and other leadership.
• Maintains knowledge of emerging technologies and trends in IT operations management.
• Identifies training needs and ensures proper training is developed and provided.
• Performs other related duties as assigned.

Required Skills/Abilities:

• Excellent verbal and written communication skills.
• Strong supervisory and leadership skills.
• Extensive knowledge of the principles, procedures, and best practices in the IT industry, ITIL preferred.
• Excellent organizational skills and attention to detail.
• Strong analytical and problem-solving skills.
• Proficient with Microsoft Office Suite, Remote Monitoring Management (RMM), Professional Service Automation (PSA) or related software.

Education and Experience:

• Bachelors Degree in Business, Logistics, Engineering, or other industry-related field required; MBA preferred.
• ITIL Certification preferred with practical business experience applying the framework (or a similar framework) within an IT organization.
• At least 10 years of IT service industry-related experience including at least three years in upper management required.

About NYC Health + Hospitals

MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health' s network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus Health has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Position Overview

The Vice President of Provider Network Operations has direct responsibility over credentialing, provider data management, regulatory compliance, training and network reimbursement resolution.

Job Description

• Responsible for primary source credentialing verification, delegated credentialing, provider enrollment and ensure compliance with CAQH standards, state and federal regulations requirements.
• Analyze and implement process improvements to enhance efficiency of credentialing; Conduct on-going program evaluations and audits of data integrity.
• Oversee provider training to internal and external stakeholders.
• Data steward who owns the accurate collections, maintenance, and dissemination of all provider data.
• Identify data anomalies and provide sustainable corrective action plans such as duplicate record reconciliations, demographic updates, etc.,
• Coordinate with internal matrix partners (e.g. Credentialing, Quality, IT) to standardize and develop policies and procedures for Network Operations.
• Assess network by factors such as provider type, specialty, health system, and geographic area for adequacy and develop strategies for long-term sustainability.
• Monitor access and availability and other routine/ad-hoc regulatory provider surveys/certifications and ensure regulatory compliance.
• Work with all parties to adequately address and resolve data discrepancies to reduce financial and compliance risks to the plan.
• Review and communicate network reimbursement issues, adhoc claims projects, perform root cause analysis and identify strategies to reduce claims payment discrepancies.
• Oversee external audits and regulatory reporting (e.g. PNDS, CMS, etc.) related to provider network; assist with other audits and reviews as needed where network metrics are required.
• Provide performance improvement reports based on analyses of compliance and/or audit findings.
• Develop and implement approved modifications to workflows and policies and procedures to improve performance;
• Oversees the research, analysis and resolutions of complex problems with claims development and finalization.
• Provide day-to-day oversight of network operations.
• Research and recommend automation solutions where feasible.
• Support Account Management team with regular and ad-hoc provider data requests.
• Perform other responsibilities as assigned.
• Establishes plans of action, allocation of staffing resources, scheduling, etc., to ensure operational efficiency consistent with corporate and departmental goals.
• Conducts special projects including business analyses, strategic planning, and implementation efforts on new business acquisitions and changing corporate requirements.
• Coordinates and supervises operational analyses and implementation support on major workflow and activity modifications.
• Implements changes for operational methods, procedures, policies and workflows affecting the assigned network operations staff.
• Manages the overall budget in support of the responsibilities of the areas and corporate initiatives and responsibilities.

Minimum Qualifications

• Master's Degree in public health, business, or related field. Managed care experience preferred.
• Minimum of 10 years of combined network management, credentialing or regulatory affairs.
• experience, operations, claims preferably in a managed care or insurance environment.
• An equivalent combination of training, education and experience in related fields and educational disciplines.
• Data management, data analytics, quality assurance, and project management skills required. Working knowledge of Medicare and Medicaid required. Ability to efficiently standardize and reconcile disparate data effectively.
• Effective oral, written, and interpersonal communication skills required.

Professional Competencies:

• Integrity and Trust
• Customer Focus
• Functional/Technical Skills
• Written/Oral Communications