Senior VP, Healthcare Operations & Utilization Management

Gratitude Philippines

Manila

On-site

PHP 4,000,000 - 9,000,000

Full time

3 days ago

Be an early applicant

A complete application in a minute

Tailored resume and cover letter, ready to send.

Get past ATS filters

Job summary

Gratitude Philippines is seeking an experienced Senior Director / Vice President of Operations to lead large-scale healthcare BPO operations with a strong focus on Utilization Management, Care Management, and Disease Management.

The role will manage a 500–700 FTE organization, driving operational excellence, client satisfaction, regulatory compliance, and strong financial performance. USRN license and recent hands-on UM experience are highly preferred.

Qualifications

Bachelor's degree in Nursing or related field.
MBA or similar advanced degree preferred.
10+ years of Healthcare Operations experience in a BPO, shared services, or captive environment.

Responsibilities

Lead and manage large-scale healthcare operations, ensuring KPIs, SLAs, productivity, quality, and compliance targets.
Oversee Utilization Management, Care Management, and Disease Management operations.
Manage Prior Authorization, Clinical Reviews, Medical Necessity, Appeals, and Grievance workflows.
Lead senior management teams, including Directors, Senior Managers, and Operations Managers.
Manage executive client relationships, governance meetings, and QBRs.
Drive operational efficiency, process improvements, and business transformation initiatives.