(VERY URGENT) SENIOR DIRECTOR – HEALTHCARE OPERATIONS

Are you an experienced healthcare operations leader ready to take ownership of large-scale healthcare BPO operations?

We are looking for a highly experienced Senior Director of Healthcare Operations to lead a 500–700 FTE organization, drive operational excellence, strengthen client relationships, and deliver outstanding business performance.

Key Responsibilities

• Provide strategic and operational leadership for 500–700 FTE healthcare operations.

• Oversee Utilization Management (UM), Care Management, and Disease Management programs.

• Drive operational KPIs, SLAs, productivity, quality, and regulatory compliance.

• Manage Directors, Senior Managers, and Operations Managers.

• Lead executive client relationships, business reviews, and governance meetings.

• Manage operational budgets, P&L, cost optimization, and profitability.

• Ensure HIPAA compliance, data privacy, and audit readiness.

• Drive process improvements, automation, and operational transformation.

• Develop leadership capabilities, succession planning, and employee engagement.

Mandatory Qualifications

• 10+ years of Healthcare Operations experience in BPO, shared services, or captive environments.

• 5+ years in senior leadership positions.

• Proven experience managing 500+ FTEs.

• Recent hands-on experience in Utilization Management, Care Management, or Disease Management.

• Strong knowledge of US healthcare processes and clinical workflows.

• Knowledge of MCG/Milliman, InterQual, CMS guidelines, and HIPAA.

• Experience in client management, budgeting, forecasting, and P&L management.

• Bachelor's degree in Nursing, Healthcare Administration, Business Administration, or related fields.

Highly Preferred: Active USRN license combined with recent, hands-on Utilization Management experience.

Important Hiring Restrictions

Former employees of the following companies are NOT eligible for rehire:

• Teleperformance (TP)

• PSG Global

• Majorel

• Aegis

Nice to Have: Medical Coding exposure (ICD-10, CPT, HCC), Lean Six Sigma, and experience managing multiple healthcare accounts.

Application Screening Questions

Interested candidates should provide:

1. Total years of Healthcare Operations experience.

2. Years of Senior Leadership experience.

3. Largest FTE headcount managed.

4. Healthcare processes handled (UM, Care Management, Disease Management).

5. Recent hands-on Utilization Management experience.

6. Are you an active USRN?

7. Experience with Prior Authorization, Clinical Review, and Medical Necessity.

8. Knowledge of MCG/Milliman, InterQual, CMS, and HIPAA.

9. Current/Last Drawn Salary.

10. Expected Salary.

11. Current Location.

12. Notice Period and availability.

13. LinkedIn Profile.

14. Have you previously worked for TP, PSG Global, Majorel, or Aegis?

Apply now! Executive healthcare leadership opportunity – Job opening available for immediate hiring.