(VERY URGENT) SENIOR DIRECTOR – HEALTHCARE OPERATIONS

Gratitude Philippines; Manila; Presencial; PHP 4.000.000 - 6.500.000; Jornada completa

Descripción de la vacante

Gratitude Philippines seeks a Senior Director of Healthcare Operations to lead a 500–700 FTE healthcare services organization in Metro Manila. You will drive operational excellence, strengthen client relationships, and deliver superior business performance in a complex BPO environment.

You will oversee UM, Care Management, and Disease Management programs while managing senior leaders and ensuring regulatory compliance and cost effectiveness.

Formación

• 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 UM, Care Management, or Disease Management.

Responsabilidades

• Provide strategic and operational leadership for 500–700 FTE healthcare operations.
• Oversee Utilization Management, 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.

Conocimientos

Healthcare Operations Leadership

Strategic Leadership

Client Relationship Management

Budgeting & P&L

HIPAA Compliance

Educación

Bachelor's degree in Nursing/Healthcare Administration/Business Administration

Descripción del empleo

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?