Vice President of Operations, Post-Acute Dialysis
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Job Description
Vice President leading multi-state dialysis operations in skilled nursing facilities for family-owned Rendevor Dialysis. Owning P&L, clinical quality, implementations, customer retention, and operational growth.
Responsibilities:
- Provide executive leadership for all Post-Acute operations and establish scalable strategy, priorities, standards, and operating cadence across multiple markets and states
- Build the leadership structure, operating systems, workflows, management routines, escalation pathways, and decision rights needed to scale across at least five states
- Oversee daily operations of SNF dialysis programs through Area Managers
- Ensure reliable, safe, efficient, and contract-compliant service delivery across assigned facilities
- Oversee staffing, scheduling, treatment completion, documentation, inventory, facility readiness, customer communication, physician coordination, and local financial performance
- Establish and monitor operational scorecards covering TUR, staffing productivity, labor variance, overtime, travel, missed treatments, census, referrals, quality outcomes, and customer issues
- Resolve staffing shortages, schedule failures, supply disruptions, equipment impacts, and service-continuity risks
- Develop contingency plans for business continuity, emergency operations, severe staffing constraints, and facility disruptions
- Own the full Post-Acute divisional P&L, gross profit, EBITDA, labor, travel, supplies, implementation costs, and operating expenses
- Develop the annual operating budget with Finance and the COO
- Review profitability, identify financial leakage, and improve productivity, utilization, reimbursement, cost control, and contribution margin
- Participate in pricing model development and operational assumptions
- Partner with Finance, Admissions & Billing, and Revenue Cycle to improve documentation, authorizations, claims support, denials, collections, and revenue integrity
- Ensure compliance with CMS Conditions for Coverage, state requirements, HIPAA, accreditation standards, company policies, and contractual obligations
- Own operational implementation of quality and compliance requirements and corrective action plans
- Review quality trends and ensure prompt response to adverse events, infection risks, missed treatments, documentation failures, medication issues, and survey findings
- Ensure survey readiness, required audits, and timely closure of identified gaps
- Own implementation of new Post-Acute programs after contract execution through stabilized operations
- Ensure site assessments, feasibility reviews, construction and equipment readiness, staffing, credentialing, training, physician coverage, supplies, technology, billing setup, and regulatory requirements are completed before launch
- Establish stabilization plans, census ramp plans, customer communication cadences, and post-launch performance reviews
- Conduct post-implementation reviews and improve future launch repeatability, speed, cost, and quality
- Own executive operational relationships with Post-Acute customers after contract execution
- Lead service recovery and resolve customer concerns
- Conduct and improve Quarterly Business Reviews
- Identify expansion opportunities within existing health system or customer relationships
- Build relationships with nephrologists, Medical Directors, attending physicians, facility medical leadership, and the Chief Medical Officer
- Resolve physician engagement, rounding, coverage, documentation, order, communication, and accountability issues
- Lead, coach, develop, hire, and evaluate Area Managers and support roles
- Build a culture of accountability, support, authority, resources, follow-through, communication, and problem ownership
- Participate in manager-level hiring, interviewing, onboarding, and first 90-day assessments
- Collaborate with Market Development Managers to support referrals and maintain census
- Collaborate with Biomedical Operations, Human Resources, Marketing, Clinical Quality & Compliance, Contracting, Finance, IT, Supply Chain, Clinical Education, Sales, and other divisions
- Ensure cross-functional issues progress from identification to corrective action, verification, and sustained closure
- Report directly to the Chief Operating Officer
Requirements:
- Bachelor's degree in healthcare administration, business administration, nursing, operations management, or a related field required; equivalent executive healthcare operations experience may be considered
- Master's degree in business administration, healthcare administration, nursing, public health, or a related discipline preferred
- Seven or more years of progressively responsible healthcare operations experience
- Significant multi-site leadership responsibility for geographically dispersed teams
- Demonstrated success building, scaling, or materially improving a multi-state or multi-market healthcare operation
- Experience leading through managers, developing leaders, and creating sustainable operating systems
- Ability to interpret quality, compliance, operational, customer, and financial data and translate findings into accountable action plans
- Experience with full P&L, budget, labor, productivity, and financial performance analysis and tracking
- Experience managing executive customer relationships, physician partnerships, clinical quality, regulatory risk, and cross-functional initiatives
- Dialysis experience preferred but not required
- Post-acute, long-term care, home-based care, specialty clinical services, physician practice, hospital, or other regulated healthcare operations experience preferred
- Ability to read, write, speak, understand, and satisfactorily communicate in English
- Strong technical/computer proficiency with laptops, tablets, Outlook, Excel, PowerPoint, Word, SharePoint, etc.
- Ability to quickly learn a variety of technical systems and equipment
- Regular travel to operating markets, customer locations, physician meetings, implementations, and leadership meetings; 20–25% expected
- Ability to respond to urgent issues outside normal business hours when executive intervention is necessary
- Ability to continually stand, walk, twist, crouch, use hands to handle or feel, and reach with hands and arms
- Ability to push, pull, and lift up to 50 pounds
- Close vision and ability to adjust focus
- Availability to work Monday through Friday and some weekends based on travel and unit needs
Benefits:
- Fantastic employee benefit package
- Employer contribution to H.S.A.
- F.S.A. tax savings benefits
- A 4% dollar-for-dollar company match to the 401k plan with immediate vesting
- Tuition reimbursement program
- Employee referral bonus program
- Robust employee recognition and appreciation program
- Quality employee training and development programs
- Comprehensive Medical Benefits
- Vision
- Dental
- STD/LTD/Voluntary Life
- Accident, Critical Illness and Hospital Indemnity Plans
- Pet Insurance
- Discounted auto and home insurance
- Discounted legal services program
- Employer-paid life insurance for 1x employee salary
- Employer-paid assistance program with complimentary counseling, wellness, and legal sessions for employees and household members
- Remote home office or skilled nursing facility work environment
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