VP, Healthcare Operations & IDR Excellence

Reliant; Oregon; Hybrid; USD 170,000 - 190,000; Full time

Benefits offered by this job

Comprehensive medical, dental, vision,

401(k) with employer match

HSA & FSAs

PTO and disability leave

Employee Assistance Program (EAP)

Job summary

Reliant Health Partners is seeking a seasoned Vice President of Operations to lead a multi-team healthcare cost-containment organization. You will oversee about 25 employees, implement a robust operating system, and drive AI-enabled workflow improvements while maintaining strict NSA/IDR controls.

The role focuses on cross-functional design, risk management, and scalable processes, with strong executive communication and proven leadership in complex negotiations.

Qualifications

• 15+ years leading complex healthcare operations with multi-team oversight.
• Deep knowledge of the NSA, IDR, out-of-network repricing and related deadlines.
• Proven KPI-driven management systems, redesigned workflows and scalable ops.
• Experience guiding cross-functional teams through tech deployments.
• Strong financial acumen in forecasting, staffing and cost control.

Responsibilities

• Manage NSA disputes before IDR with deadlines, docs, outcomes and handoffs.
• Own end-to-end IDR operations: intake, case matching, milestones, decisions.
• Lead negotiations and resolution of appeals for out-of-network repricing.
• Oversee Provider Data Management, data quality and automation opportunities.
• Lead Client Services with clear SLAs, ownership and escalation.
• Oversee Medicaid repricing operations for Kaiser account.

Skills

Strategic leadership

Operational leadership

Executive communication

Cross-functional collaboration

Financial acumen

Education

Bachelor's degree or equivalent experience

Advanced degree desirable

Tools

AI-assisted document processing

Workflow orchestration

IDR/process tooling

Job description

Reliant Health Partners is seeking a seasoned Vice President of Operations to lead a multi-team healthcare cost-containment organization. You will oversee about 25 employees, implement a robust operating system, and drive AI-enabled workflow improvements while maintaining strict NSA/IDR controls.

The role focuses on cross-functional design, risk management, and scalable processes, with strong executive communication and proven leadership in complex negotiations.