Market Director of Operations

Join us in transforming healthcare. At Longevity, we're dedicated to advancing healthcare through innovation, compassion, and excellence. We're looking for passionate individuals to join our team and help us make a difference. The individual holding this position is required to support and demonstrate their commitment to Longevity Health’s purpose: To optimize the quality of life of people in long-term care by focusing on their individualized health needs.

About the Role

The Market Director of Operations is a market-based executive that provides leadership, management, and vision to effectively grow the local health plan, ensure operational effectiveness and efficiency, clinical outcomes optimization, and financial strength. The Market Director is responsible for Health Plan operations and activities, driving operational and financial outcomes, and supporting clinical results of the local health plan in a highly matrixed environment with corporate partners.

This role coordinates with Longevity Health Plan’s executive team, Clinical RVP, Market Director of Clinical Services (MDCS), and the local clinical team to achieve local goals in coordination with national and corporate objectives. The Market Director must reside in one of the states in which the Health Plan is licensed and assigned.

Responsibilities

• Establishes and maintains mutually beneficial relationships with local Skilled Nursing Facility partners and key healthcare providers in the market.
• Drives laser focus on improving the quality, affordability, and experience of healthcare for all patients, as well as a relentless focus on improving the care delivery experience for providers.
• Oversees the delivery of key strategic initiatives and operational plans of Longevity Health Plan that drive operational quality improvement, member growth, earnings, and regulatory compliance.
• Monitors key metrics and trends in sales, risk scores, utilization, unit cost, clinical key performance indicators, and other business drivers to understand their impact on financial performance and drive necessary actions to achieve performance objectives.
• Assists in the development of strategies to ensure continued growth and financial stability of the health plan in alignment with corporate objectives.
• Collaborates with Finance and Performance Analysis teams to identify cost savings initiatives and monitor contract performance.
• Controls expenses by gathering and submitting budget information, scheduling expenditures, monitoring variances, and implementing corrective actions.
• Implements operational changes in the market in concert with corporate and vendor operations to achieve financial and operational goals for the local plan in alignment with other Longevity plans nationwide.
• Provides strategic/tactical direction and support to the Network contracting team to ensure a strategic and CMS adequate network that meets care, service, compliance, and financial goals.
• Develops market team facility visit schedules, assigns and monitors work, ensures appropriate resources, implements productivity standards, resolves operations problems, maintains reference manuals, and implements new procedures.
• Maintains working knowledge of all market key metrics including MLR, APK, IP/OP costs, Admin costs, Hospice population, etc.
• Maintains documentation of market-based strategies and current partner interactions, barriers, action plans, etc., to drive increased engagement and high levels of I-SNP penetration.
• Assists in the development of market and building-specific monthly/annual enrollment targets.
• Supports Growth/BD Teams in communication with local Skilled Nursing Facility prospects.
• Oversees implementation of new partner Skilled Nursing Facilities utilizing market team and corporate resources as needed, setting go-live dates, and ensuring necessary network agreements and clinical resources are in place.
• Creates an enrollment plan and productivity targets for each Sales Engagement Specialist in the market to grow plan membership.
• Collaborates with Longevity Health Plan and executive leadership to develop compensation plans for Sales Engagement Specialists and monitors ongoing productivity against targets.
• Develops materials and presents during Regional Operating Review meetings, Business Development meetings, and partner-facing Joint Operating Committee meetings.
• Maintains a regular visit schedule for assigned SNFs, visiting each at least quarterly and ensuring ongoing communication with all relevant owner/operator teams.
• In collaboration with the executive leadership team, oversees the integration and delivery of current product offerings and supplemental benefit offerings in the market.
• Understands and facilitates legislation/regulations affecting Longevity Health Plan in the market.
• Develops and fosters effective collaboration between corporate and functions managed directly by the market.
• Collaborates with colleagues in operational risk, compliance, and internal quality audit to ensure robust policies and procedures are maintained and risks are identified and addressed quickly.
• Functions as a champion of Compliance and collaborates with corporate teams to ensure local staff and providers complete initial and annual Compliance, Model of Care, HIPAA, and FWA training.
• Represents Longevity Health Plan in external forums and develops the Longevity Health Plan brand with regulators, providers, AHCA, and local healthcare partners.
• Performs other related duties as assigned.

Supervisory Responsibilities

• Supervises all operations staff within their assigned market: (Licensed) Account Managers, Sales Agents, and Member Advocates.
• Responsible for recruiting, selecting, orienting, and training employees within the assigned market.
• Manages staff performance ongoing and provides coaching, counseling, and discipline as needed.
• Leads a weekly markets team call in collaboration with the clinical team and cohosts a clinical-focused monthly meeting together with the Market Director of Clinical Services.
• Implements and enforces systems, policies, and procedures.
• Maintains a safe and healthy work environment by establishing and enforcing organization standards and adhering to legal regulations.
• Communicates with each market team member regularly, ensuring focus on team priorities and progress toward goals.
• Ensures quality and customer service standards are followed by all market-based team personnel.

Requirements

• Minimum of 5-10 years of healthcare industry experience, with Medicare expertise required (either through health plan or provider organization).
• Strong local market knowledge of the skilled nursing home environment and experience in Medicare Advantage marketing and sales strongly preferred.
• Understanding of functional areas and their impact on overall performance (beyond operations, including clinical, finance, IT, compliance, and legal).
• Knowledge of the evolving healthcare delivery system, including expertise in population health management, Medicare health plan operations, and value-based care delivery models, as well as a passion for improving the quality and affordability of healthcare for the frail and elderly living in nursing homes strongly preferred.
• Strong entrepreneurial drive along with the operational skills needed to consistently drive results.
• Excellent written and oral communication skills with internal and external business partners and employees.
• Independent decision-maker and calculated risk-taker.
• Strong strategic and analytical orientation with the ability to drive operational excellence and strong business performance.
• The ability to maintain relentless personal and team focus on achieving long-term objectives in the face of potential distractions.
• Excellent planning and problem-solving skills that enable quick identification and efficient resolution of issues.
• Highly collaborative with the ability to influence others and build strong professional relationships, especially in a highly matrixed organization.

Qualifications

• MBA, MSN, or advanced degree in healthcare management, nursing with business education, or other relevant technical or operations field preferred.
• Licensure is not required for this position but preferred (e.g., LNHA, Health Insurance License, or Clinical board certification/license).
• Valid state driver’s license with a good driving record and proof of automobile insurance required. Auto insurance coverage must meet state requirements.