Jobs
>
Boston

    Vice President of Medical Operations - Boston, MA, United States - Blue Cross Blue Shield of Massachusetts

    Blue Cross Blue Shield of Massachusetts
    Blue Cross Blue Shield of Massachusetts Boston, MA, United States

    3 weeks ago

    Default job background
    Description

    Ready to help us transform healthcare? Reporting to the Senior Vice President of Risk and Audit Management, the Vice President of Enterprise Risk Management provides leadership to ensure the optimal design and alignment of all risk management functions in support of Blue Cross and Blue Shields (BCBSMAs) mission, vision and values.

    Serves as a key executive leader and strategic advisor on risk management across the enterprise. Leads the development and implementation of a risk management vision that delivers strategic thought and partnership across the enterprise.

    Develops risk management programs that are designed to identify, eliminate or reduce, and insure against potential risks to BCBSMA and its related entities and customers.

    Develop BCBSMAs Enterprise Risk Management strategy and objectives.

    • Work closely with senior executives to understand and manage enterprise strategic, financial, and operational, risks
    • Develop, implement, and oversee various risk management vehicles as they evolve from time to time including, but not limited to, the current corporate liability insurance portfolio and a Vermont domiciled captive insurer.
    • Lead corporate resiliency and preparedness through, among other things, a robust business continuity and disaster readiness program and crisis management response plan.
    • Lead Third Party/Vendor Security Risk assessment program and related traditional Governance, Risk, and Compliance (GRC) program.
    • Define and develop standards, processes and policy for the evaluation of risk across the enterprise to ensure the organization operates within stated policies.
    • As a member of the senior management team, participates in company-wide strategic planning, policy formulation, and budgeting.
    • Present strategy, objectives and other deliverables to the Board of Directors and Senior Management.
    • Represent the SVP Audit and Risk at internal and external venues including but not limited to with the Division of Insurance
    • Provide independent and objective risk assessments to executive management, the Board of Directors, BCBS Association and state/federal regulatory agencies as required.
    • Monitor major and critical risk issues including frequent reporting of outstanding exception items and timeframe for remediation to senior management and board of directors
    • Create a comprehensive risk-based audit approach that is responsive to BSBCs internal control, financial and operational risks and reflects a thorough understanding of the companys business and operations and the changing regulatory environment.
    • Lead the execution of complex projects, anticipating and providing solutions to complex issues, and allocating and coordinating the necessary resources.
    • Continue to enhance the companys risk appetite and limit; structure risk assessment and internal auditing processes relative to best and leading practices.
    • Establish and maintain effective working relationships with senior management and influences appropriate action across the organization to increase the likelihood of achieving operational objectives and minimizing risks.
    • Performs management duties including, but not limited to: hiring, training, evaluating, coaching, and developing direct reports. Work with senior stakeholders within the business divisions, strengthening and developing the risk framework and its individual components
    • Oversee contemporary reporting that informs Senior Leadership
    • Remain current on business drivers, regulatory and industry changes impacting the business, identify new or emerging risks to which the business is exposed.
    • Create meaningful partnership with Operations team (IT and Claims) to including consistent participation in staff meetings and other business meetings and forums.
    Highly credible risk professional with strong financial acumen.

    • A seasoned business leader with 15 years experience including experience in Risk Management within the health insurance industry.
    • Successful leadership of major risk assessments resulting in successful outcomes.
    • Extensive knowledge and experience with compliance policies, regulations, and procedures.
    • Bachelors degree required (Accounting/Finance/Risk Management preferred).
    • An employees pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

    We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

    You can also join our Talent Community ( to stay in the know on all things Blue.

    We provide a flexible hybrid work model in which roles are designated as resident (on site 4-5 days/week), mobile (on site 1-3 days/week), or eworker (on site 0-3 days/month).

    #
  • Sodexo Group

    Director, Medical Operations

    3 weeks ago

    Sodexo Group Boston, MA, United States

    Unit Description · You are a strategic, innovative facilities leader ready to help clients optimize their business · Sodexo Facilities Solutions is seeking a Director 2, Facilities Project Manager in Boston, MA to supervise projects within the Facilities Engineering Department ...

  • Kalvista Pharmaceuticals Inc

    Medical Operations Coordinator

    6 days ago

    Kalvista Pharmaceuticals Inc Cambridge, United States

    Job Description · Job DescriptionAbout KalVista Pharmaceuticals, Inc.KalVista Pharmaceuticals, Inc. ) is focused on the discovery, development, and commercialization of novel, oral therapies for diseases with significant unmet need, with an initial focus on hereditary angioedema ...

  • Biogen Idec

    Associate Director, Medical Operations and Innovation

    3 weeks ago

    Biogen Idec Cambridge, United States

    Company DescriptionJob Description · About This Role · As the Associate Director, Medical Operations and Innovation, you will play a pivotal role in shaping and owning critical medical operation systems within the US Medical team. Reporting directly to the Head of Medical Strateg ...

  • Boston Medical Center

    Director, Inpatient Operations

    5 days ago

    Boston Medical Center Boston, United States

    ***: · The Operations Director is responsible for the management of services across BMC's stabilization programs, specifically in the areas of administration, personnel, fiscal management, strategic planning, and operations. Manages facility activities to meet BMC's needs and obj ...

  • Capsule

    Pharmacy Operations Associate

    1 week ago

    Capsule Boston, United States Part time

    **About Capsule** · Capsule is a new kind of pharmacy. One that is smarter, friendlier, faster and hand-delivers your medication, same-day, for free. We have a national presence and have raised over $500MM from the best healthcare and technology investors in the world. People suc ...

  • Beth Israel Deaconess Medical Center

    Medical Assistant, Neurosurgery

    1 week ago

    Beth Israel Deaconess Medical Center Boston, United States

    Job Type: Regular · Time Type: Full time · Work Shift: Day (United States of America) · FLSA Status: Non-Exempt · When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. · The Beth Israel Deaconess Medical Center Neurosurge ...

  • Koala Health

    Pharmacy Operations Lead

    1 week ago

    Koala Health Boston, United States

    At Koala Health, we have our eyes set on an ambitious goal: to make managing your pet's health simple and delightful. We've already launched our pharmacy service that allows people to shop for their pets' medications and supplements online and get them delivered to their doorstep ...

  • Synterex

    Medical Writer

    1 week ago

    Synterex Boston, United States

    Synterex, Inc. is a consortium of highly experienced clinical development professionals specializing in medical writing, submission publishing, and clinical science and operations support. Synterex offers remote or on-site services, with a focus on providing clear, concise, accur ...

  • Brigham & Women's Hospital(BWH)

    Pharmacy Technician Trainee/40 Hours/rotating/bwh

    2 weeks ago

    Brigham & Women's Hospital(BWH) Boston, United States

    **Pharmacy Technician Trainee/40 hours/rotating/BWH PHARMACY** · Under the direction of a staff pharmacist and/or certified pharmacy technician, follow established policies and procedures to perform a variety of routine technical and clerical support tasks that are integral to th ...

  • Massachusetts General Hospital(MGH)

    Pharmacy Technician Specialist

    1 week ago

    Massachusetts General Hospital(MGH) Boston, United States

    **Pharmacy Technician Specialist - Medication Access** · GENERAL SUMMARY/ OVERVIEW STATEMENT · Under the direction of a staff pharmacist and/or pharmacy leadership team, follow established policies and procedures to perform a variety of highly advanced technical and clerical supp ...

  • Beth Israel Deaconess Medical Center

    Medical Assistant

    2 weeks ago

    Beth Israel Deaconess Medical Center Boston, United States Full time

    Job Type: Regular · Time Type: Full time · Work Shift: Day (United States of America) · FLSA Status: Non-Exempt · When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. · Supports smooth and efficient practice operations, ...

  • Boston Medical Center

    Public Safety Officer

    5 days ago

    Boston Medical Center Boston, United States

    ***: · Provides services as a Public Safety Officer within BMC Department of Public Safety to provide police, security, parking, transportation and control center services as necessary. Ensures consistent and safe service delivery throughout the medical center involving all membe ...

  • The Boston Home

    Unit Secretary

    5 days ago

    The Boston Home Boston, United States Part time

    **Active, Innovative Long-Term Care Community Seeks Dynamic, Caring **Unit Secretaries (part-time)** · The Unit Secretary is responsible for performing the specific duties that will assist with management of medical records, referrals, staff schedules, resident requests, communic ...

  • Boston Medical Center

    Public Safety Officer

    6 days ago

    Boston Medical Center Boston, United States

    ***: · Provides services as a Public Safety Officer within BMC Department of Public Safety to provide police, security, parking, transportation and control center services as necessary. Ensures consistent and safe service delivery throughout the medical center involving all membe ...

  • Tufts Medicine

    Medical Scribe-dermatology

    1 week ago

    Tufts Medicine Boston, United States

    We're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. · **Job Profile** Summary** · This role focuses on providing administrative and business support to the organization in order to achieve operational goals. In addition, this rol ...

  • Sentara Healthcare

    Operations Coordinator

    2 weeks ago

    Sentara Healthcare Suffolk, United States

    **Benefits**: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. · Our success is supported by ...

  • Brigham & Women's Hospital(BWH)

    Executive Director of Cancer Services, Brigham and

    1 week ago

    Brigham & Women's Hospital(BWH) Boston, United States

    **Executive Director of Cancer Services, Brigham and Women's Hospital** · As a not-for-profit academic health system, Mass General Brigham (MGB) is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Comp ...

  • Tufts Medical Center

    Unit Coordinator

    2 weeks ago

    Tufts Medical Center Boston, United States

    We're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. · **Company Description**: · It takes a lot of very smart, hard-working and talented people to provide the level of care that we give to our patients. Tufts Medical Center is an ...

  • Brigham & Women's Hospital(BWH)

    Medical Assistant

    2 weeks ago

    Brigham & Women's Hospital(BWH) Boston, United States

    **MEDICAL ASSISTANT** · **GENERAL SUMMARY/ OVERVIEW STATEMENT**: · The Medical Assistant (MA) is an integral member of the healthcare team and is accountable for patient care as assigned by a licensed independent provider (LIP: MD, NP, PA), a Licensed Practical Nurse (LPN) or a R ...

  • Boston Medical Center

    Supplychain Operations Backorder Management

    1 week ago

    Boston Medical Center Boston, United States

    ***: · Reports to Distributions Supply Chain Operations (SCO) Manager. Performs the multitude of Distribution Supply Chain Operation Backorder activities ensuring the timely distribution of Medical and Surgical Supplies to all operating rooms, endovascular/IR, (Cath Lab) services ...