Participates in the development and implementation of the surgical services strategic plan, and short and long-term objectives to ensure continued growth and provide necessary services to the community as approved by the senior leadership.
Manages operational processes for coverage determination and exception request and meets all regulatory requirements by governing agencies; ensures accurate processing and timeliness of claims and coverage determinations by developing and monitoring audit tools and metrics around pharmacy processes.
Leads performance improvement activities to ensure consistency in approach and execution of operations performance improvement strategies across the IDN; develops and maintains effective working relationships with division and entity leadership, operational and clinical services areas, finance, decision support and supply chain.
Establishes and maintains a participative management environment supportive of developing and optimizing human potential in order to meet organizational goals/objectives and quality, customer satisfaction, employee engagement, operational effectiveness and fiscal responsibility.
Provides development guidance and assists in the identification, implementation, and maintenance of information privacy policies and procedures in coordination with Corporate Compliance and legal counsel.
Provide technical leadership for organization's data architecture including the database design, metadata, data integrity, data management and operational reporting tools; ensures the strategy is in alignment with the business strategy and objectives.
Participates in Management approved educational programs and activities related to the organizational mission to keep abreast of current trends, best practices, and new developments in healthcare information technology as they relate to specific job responsibilities.
Respond to requests from end users, managers, developers and team members for specific IT contracts information; manages the performance of software vendors to defined deliverables, key indicators and scope as defined by contract terms, including guaranteed.