Vice President Business Operations Jobs in Riverside, CA

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.The Vice President, New Market & Technology Implementations is a senior executive responsible for leading the successful implementation of approved Medicare Advantage health plan expansions into new geographic markets while overseeing enterprise technology implementation initiatives that enable operational scale, regulatory compliance, and exceptional member and provider experiences.This leader serves as the executive accountable for end-to-end market launch readiness, cross-functional implementation governance, operational deployment, and large-scale technology deployments following market selection and business development handoff. The role partners closely with Operations, Network Management, Business Development, Regulatory Affairs, Product, Finance, Clinical Services, Sales, Compliance, IT, and external vendors to ensure timely, compliant, and efficient market launches and system implementations.The Vice President will establish implementation frameworks, drive organizational readiness, mitigate operational risk, and ensure all deployments support strategic growth objectives, CMS requirements, and organizational performance goals.New Market Expansion LeadershipLead implementation planning, execution, and operational readiness for approved Medicare Advantage market expansions.Develop and oversee comprehensive implementation roadmaps, operational readiness plans, and launch milestones for approved new state, county, and regional market launches.Coordinate cross-functional activities to convert approved market strategies into executable launch plans and ensure readiness.Establish launch governance frameworks, milestone tracking, and executive reporting.Assess operational capabilities, launch dependencies, and implementation risks associated with approved market expansion activities.Ensure successful transition from implementation to ongoing operations, including post-launch stabilization and lessons learned.Technology Implementation LeadershipLead enterprise-wide technology implementation initiatives supporting Medicare Advantage growth and operational transformation.Partner with Information Technology and business leaders to define implementation strategies and execution plans.Drive business process redesign and operational optimization enabled by technology.Ensure seamless integration across systems, vendors, and operational functions.Program & Portfolio ManagementEstablish enterprise implementation management methodologies and best practices.Develop and maintain implementation governance structures and steering committees.Manage implementation portfolios consisting of multiple concurrent market and technology initiatives.Monitor implementation KPIs, budget performance, timelines, resource allocation, and risk mitigation activities.Provide executive-level reporting to senior leadership and board committees as required.Regulatory & Compliance OversightEnsure all market and technology implementations comply with:CMS Medicare Advantage regulationsState regulatory requirementsHIPAA standardsNCQA accreditation requirementsInternal compliance policiesPartner with Compliance and Regulatory Affairs teams to maintain implementation readiness and audit preparedness.Identify potential compliance risks and implement mitigation strategies.Operational Readiness & Change ManagementLead organizational readiness assessments and implementation planning activities.Develop comprehensive change management and communication strategies.Ensure workforce readiness through training, process documentation, and operational support planning.Drive adoption of new technologies, workflows, and operating models.Establish post-implementation review processes to identify lessons learned and continuous improvement opportunities.Supervisory Responsibilities:Oversees assigned staff. Responsibilities include: recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and performance management.Job Requirements:Experience:Required:12+ years of progressive leadership experience in health plan operations, healthcare consulting, implementation management, or healthcare technology leadership.7+ years of executive-level leadership experience.Demonstrated success launching Medicare Advantage products and/or entering new markets.Experience leading large-scale technology implementations in a managed care environment.Strong understanding of Medicare Advantage operational, regulatory, and financial requirements.Experience managing enterprise program portfolios exceeding $10M in implementation investments.Proven track record of leading large, cross-functional teams and complex organizational transformations.Education:Required:Bachelor's degree in Business Administration, Healthcare Administration, Finance, Supply Chain, Information Systems, or related field.Master’s degree in Healthcare Administration, Public Health, or related fieldSpecialized Skills:Required:Strategic thinker with strong execution discipline.Excellent leadership, influence, and collaboration skills across cross-functional teams.Strong analytical mindset and comfort interpreting clinical and financial data.Exceptional communication and presentation abilities.Demonstrated commitment to innovation, member-centric care, and continuous improvement.Essential Physical Functions:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.Pay Range: $227,952.00 - $341,928.00Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com. #J-18808-Ljbffr