Senior Director / Vice President of Operations

Gratitude Philippines; Manila; Sur place; PHP 6 000 000 - 12 000 000; Plein temps

Résumé du poste

Gratitude Philippines seeks a seasoned healthcare operations leader to steer a 500–700 FTE BPO operation in Manila, supervising Utilization Management, Care Management and Disease Management. The role emphasizes operational excellence, client satisfaction, regulatory compliance, and sustained profitability.

Onsite night shift at the MOA facility is required. Candidates must have extensive U.S. healthcare process experience and a current USRN license to be considered.

Qualifications

• 10+ years in Healthcare Operations.
• 5+ years in senior leadership.
• Experience managing 500+ FTEs.
• Active USRN license with hands-on UM experience.

Responsabilités

• Lead a 500–700 FTE healthcare BPO operation.
• Oversee Utilization Management, Care Management and Disease Management.
• Drive operational efficiency, client satisfaction, compliance and profitability.
• Manage client relationships, P&L ownership and budgeting.

Connaissances

Healthcare operations leadership

FTE management

Utilization Management

Care/Disease management

U.S. healthcare processes

HIPAA/CMS knowledge

P&L budgeting

Executive leadership

Formation

Bachelor's degree

MBA/Master's preferred

Description du poste

Role Overview: Lead a 500–700 FTE Healthcare BPO operation, overseeing Utilization Management (UM), Care Management, and Disease Management while ensuring operational efficiency, client satisfaction, compliance, and profitability.

Key Requirements:

• 10+ years of Healthcare Operations experience.
• 5+ years in senior leadership.
• Experience managing 500+ FTEs.
• Hands‑on experience in UM, Care Management, or Disease Management.
• Strong knowledge of U.S. healthcare processes, HIPAA, CMS, MCG/Milliman, and InterQual.
• Experience in client management, P&L, budgeting, and operational strategy.
• Bachelor's degree required; MBA/Master's preferred.

Top Priority: Active USRN license with recent hands‑on Utilization Management experience.

Target Companies:Optum, EXL, HGS, Sagility, Shearwater Health, UnitedHealthcare, Aetna/CVS, Cigna, Humana, Centene, Molina Healthcare, and Blue Cross Blue Shield.

Target Positions:VP/Senior Director of Healthcare Operations, Director of Operations, Director of Clinical Operations, Director of Utilization Management, and Director of Care Management.

Hiring Restrictions:Former employees of Teleperformance, PSG Global, Majorel, and Aegis are strictly ineligible for rehire.

Work Arrangement:Onsite in MOA, Philippine night shift.

Recruitment Process:CV Validation → Phone Screening → TA Interview → Three Interview Rounds (final face-to-face at EDSA/McKinley).

Recruiter Screening:Confirm healthcare experience, leadership tenure, FTEs managed, clinical domain expertise, USRN status, salary expectations, LinkedIn profile, availability, onsite flexibility, and complete employment history.

Sourcing Priority: Candidates with strong healthcare BPO leadership, recent hands‑on UM experience, and the ability to manage large-scale operations.