Director, Operations - South Care & Industrial Medicine - PE Physicians Enterprise Admin. - USA Health Physicians Group

USA Health

$100K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in business or health care field required; Master's Degree preferred
  • 4 years of health care administration experience, including 3 years in management required
  • Group practice experience preferred
  • Substitutions allowed for education based on additional experience
  • Compliance with various healthcare regulations, including CMS, OSHA, and HIPAA mandatory.

Responsibilities

  • Manage operations of assigned practices aligned with USA Health System policies
  • Create an operational environment catering to the needs of physicians, patients, and staff
  • Ensure financial compliance with budgets and monitor service performance
  • Foster communication and cooperation between faculty and administration
  • Prepare financial reports and discuss revenue enhancement opportunities
  • Ensure quality care through collaboration with nursing and other departments
  • Develop and negotiate practice agreements to optimize operations.

Benefits

  • Eligible for benefits with 20+ hours/week employment
  • Opportunities for professional development
  • Collaborative work environment with multidisciplinary teams
  • Focus on innovative practices and resource management
  • Supportive administration for achieving long-term objectives.
Full Job Description
Responsibilities

  • Responsible for the management and direction of all aspects of the operations of assigned practices in a manner consistent with established policies and procedures of USA Health System
  • Provides an efficient operational environment that meets the needs and expectations of physicians, patients, and staff
  • Ensures compliance with financial plans and budgets
  • Monitors financial and service performance of assigned practices and takes appropriate actions to ensure that financial goals are attained
  • Works to establish cooperation between faculty and administration by fostering an atmosphere of two-way communication and trust
  • Attends faculty meetings in place of or in conjunction with Assistant Administrator to keep the faculty fully informed about operational and financial issues
  • Provides financial reports, including charge and collection results
  • Discusses opportunities for revenue enhancement (charges and collections); seeks input from staff regarding opportunities for operational improvement
  • Communicates Health System policies and procedures and works with practice medical directors and staff to ensure compliance; works with the Assistant Administrator and Chairman to ensure that the practice functions cooperatively as a large multi-specialty group practice, striving for the success of the entire organization
  • Responsible for the operating process of clinics, including patient and paper flow, revenue controls, staff work environment and the development of new practice functions and activities; prepares reports on physician productivity (clinic/outpatient and inpatient activity) for Chair, Division Chief, and Assistant Administrator
  • Works with Chair and Office of Faculty Affairs to ensure that physicians meet guidelines for appropriate faculty rank
  • Works with internal and external billing functions and credentialing/enrollment to ensure proper credentialing according to health system policies
  • Works with administration, Chairs, and Director of Nursing to ensure that quality programs are in place to measure and improve quality of care to patients
  • Assists with development and negotiation of proposed agreements relating to the practices
  • Purchases medical and office supplies and equipment required in the operation of clinics, ensuring efficient inventory control and best pricing opportunities
  • Collaborates with departmental residency office to plan patient flow and resources for residency clinic
  • Works with the Chair and Assistant Administrator in the strategic planning process to ensure that the long-term objectives of the practices are achieved
  • Remains knowledgeable of the external environment to identify the competition, consumers and market opportunities
  • Serves as a resource to the Assistant Administrator and Chairman in the evaluation of the clinical physician staff and prepares business plans to make recommendations
  • Identifies opportunities for program and service development and marketing
  • Serves as a facilitator in the achievement of the vision established by the Chairman and Administration
  • Serves as a change agent seeking ways to position the practices to successfully meet the challenges in the marketplace
  • Accountable for the management of the revenue cycle through the evaluation of systems and procedures that impact the financial performance of the practices
  • Facilitates communication between the Compliance and Reimbursement office and physicians/staff in assigned practices regarding billing and coding practices
  • Ensures coding is done properly and that documentation supports the billing levels
  • Assists in training, as required
  • Monitors budgeted to actual performance and takes appropriate measures to ensure that fiscal goals are attained in conjunction with Assistant Administrator
  • Identifies capital equipment requirements and prepares justification for purchase
  • Prepares and/or reviews financial and operational reports
  • Evaluates performance relative to historical results, budget and similar practices
  • Makes recommendations to Assistant Administrator and develops action plans based on feedback to achieve desired results
  • Manages the Accounts Payable process for the practices
  • Establishes an efficient organization structure and staffing plan to meet the requirements of the practices to include evaluating staffing relative to industry standards
  • Develops and maintains position descriptions and prepares required paperwork for staff positions
  • Works with Human Resources to employ approved staff for new and vacated positions
  • Ensures compliance with applicable CMS, Risk Management, OSHA, CLIA, HIPAA and other federal, state, and institutional regulations
  • Completes all mandatory department, educational and hospital requirements
  • Adheres to current Infection Control and Safety Standards
  • Regular and prompt attendance
  • Ability to work schedule as defined and overtime as required
  • Related duties as assigned

  • Additional Information

    Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.
    Qualifications

  • Bachelor's Degree in business or a health care related field and 4 years of directly related experience in health care administration, 3 of which were in a management capacity Required
  • Master's Degree in business or a health care related field may substitute for up to 2 years of the required experience Preferred
  • Group practice experience Preferred
  • Additional directly related experience may sub on a year for year basis for the required education Preferred
  • Comparable combination of education and experience may substitute for the above requirements.

  • Knowledge, Skills, and Abilities
    • Demonstrated success leading systemwide initiatives involving clinical, operational, financial, capital, and technology stakeholders Demonstrated success leading systemwide initiatives involving clinical, operational, financial, capital, and technology stakeholders

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