Become a part of our caring community and help us put health first
The Associate Operations Director Clinic/Center Administration plans and directs the work of professional and support personnel who provide outpatient care to patients in a clinical setting. The Associate Director Clinic/Center Administration requires a solid understanding of how organization capabilities interrelate across department(s).
The Associate Operations Director (AOD) leads Senior Focused Primary Care clinical operations in a multiphysician office or clinical group typically overseeing 510 centers within a market. They ensure the smooth operation and performance of centers within their assigned accountability handling a range of administrative operational growth and leadership tasks. This role requires a strategic mindset financial acumen relationship building proficiencies strong organizational skills communication competencies and a passion for patient care. The AOD develops and implements staffing plans oversees change ensures adherence to policies and procedures and collaborates with their clinical dyad partner to achieve optimal patient outcomes and company initiatives including Quality HEDIS/STARs AHCA optimal patient scheduling financial management patient engagement recruiting/hiring and employee and patient retention. Responsibilities include resolving complex technical and operational issues and overseeing multiple managers/supervisors or specialized professionals.
KEY RESPONSIBILITIES
Leadership & Operational/Organizational Management:
- Proven experience in clinical operations and financial management including P&L responsibilities.
- Proficiency in monitoring and analyzing key performance indicators (KPIs) such as Membership Retention Patient Engagement Access Scheduling Referral turnaround time phone abandonment rates PCP/voluntary alignment change forms and more.
- Monitor and manage data analytics scorecards cost & utilizations HCC coding and NPS Scores focusing on patient satisfaction and performance improvement.
- Supervision and management of operational staff guiding them on performance expectations managing daily schedules and supporting organizational change management.
- Engage in recruitment develop internal leaders and foster continuous learning and improvement.
- Ensure team of healthcare professionals are trained in the principles and practices of Value Based Care (VBC).
- Responsible for contributing to leadership and financial discussions during monthly meetings with Market CAs and Regional Medical Directors utilizing exceptional presentation and facilitation skills to simplify complex information and engage audiences.
- Demonstrates strong financial acumen and managing P&L to connect strategy with business results while ensuring Center Administrators have the same skillset.
- Collaborates with Community Engagement Professionals and Providers to develop and execute growth tactics within the center and community. Prioritizes centers for targeted growth investments.
- Evaluates performance of all operational staff directly reporting.
- Ensures accuracy of all supply ordering invoices and expense submissions as well as management of VSP resources.
- Ensure all standard operating procedures are adhered to within the center and all compliance required signage is visible in patient facing areas and back office to include breakrooms.
Clinical/Patient Experience:
- Experienced in managing outpatient care teams to maintain high patient satisfaction and strong brand in the community.
- Ensures centers are focused on obtaining and managing Google reviews.
- Ensure high levels of patient satisfaction by addressing clinician performance issues and fostering a patientcentric environment and culture of care.
- Focus on patient outcomes and integrate VBC (ValueBased Care) principles into daily operations.
- Collaborate with providers and compliance on patient terminations.
- Conduct monthly safety audits manage MSDS and OSHA concerns and address clinic operation opportunities.
- Ensures CAs reporting are addressing patient service recovering as needed and any clinician concerns are discussed with Associate Medical Director to define any action.
- Collaborate with providers on patient terminations in compliance with regulations
- Maintains awareness of the competitive health care environment and escalates any issues.
- Ensures centers are completing monthly audits of payor directories to ensure providers within the center are accurately represented. Escalate necessary changes to Market President.
- Collaborate with the Associate Medical Director to achieve shared goals ensuring consistent communication and unified decisionmaking.
- Align on performance management clinical and operational strategies growth (sales and retention) tactics and present a unified voice to respective teams.
- Partner on operational budgeting and strategic planning determining services providers and expected outcomes collaboratively.
- Focus on utilization management and review provider schedules to meet patient access goals with biannual reviews of incentive plans.
- Monitor and communicate incentive and performance plans effectively.
- Collaborate to manage performance/disciplinary issues either within the clinical or operational team.
- Ensure patient access across all centers overseeing balancing new patient access and acute needs for existing patients.
Use your skills to make an impact
- Bachelors degree preferably in Business administration Healthcare Administration or a related field; or in lieu of a bachelors degree 10 years of relevant healthcare experience
- 5 years of management experience in clinical care or related field with demonstrated success driving results in a fullrisk VBC environment.
- Strong understanding of healthcare regulations compliance and managed care.
- Skilled in EMR systems selfservice business intelligence tools NPS and other relevant software tools.
- Job is considered patient facing and is part of Humanas Tuberculosis (TB) screening program. Candidates selected for this job will be required to be screened for TB.
- Must have a valid drivers license as there will be travel between centers.
- Demonstrated interpersonal skills enabling effective interaction both internally and externally with a diverse range of individuals including physicians office staff hospital executives medical groups IPAs community organizations and other health plan staff.
- Basic knowledge of Population Health and how it comes to life in a global risk primary care environment
- Familiarity with Medicare and Risk model
- Experience managing a budget of $1M
Additional Information
Alert:
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number if it is not already on file. When required an email will be sent from with instructions on how to add the information into your official application on Humanas secure website.
Interview Format: HireVue:
As part of our hiring process for this opportunity we will be using an interviewing technology called HireVue to enhance our hiring and decisionmaking ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Benefits:
Humana offers a variety of benefits to promote the best health and wellbeing of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial securityboth today and in the future including:
Health benefits effective day 1
Paid time off holidays volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
#LIBL1
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time 40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.
$100000 $141300 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana Inc. and its affiliated subsidiaries (collectively Humana) offers competitive benefits that support wholeperson wellbeing. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits Humana provides medical dental and vision benefits 401(k) retirement savings plan time off (including paid time off company and personal holidays volunteer time off paid parental and caregiver leave) shortterm and longterm disability life insurance and many other opportunities.
About Us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive preventive care to seniors including wellness visits physical exams chronic condition management screenings minor injury treatment and more. Our unique care model focuses on personalized experiences taking time to listen learn and address the factors that impact patient wellbeing. Our integrated care teams which include physicians nurses behavioral health specialists and more spend up to 50 percent more time with patients providing compassionate personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patients wellbeing.
About CenterWell a Humana company: CenterWell creates experiences that put patients at the center. As the nations largest provider of seniorfocused primary care one of the largest providers of home health services and fourth largest pharmacy benefit manager CenterWell is focused on wholeperson health by addressing the physical emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM) CenterWell offers stability industryleading benefits and opportunities to grow yourself and your career. We proudly employ more than 30000 clinicians who are committed to putting health first for our teammates patients communities and company. By providing flexible scheduling options clinical certifications leadership development programs and career coaching we allow employees to invest in their personal and professional wellbeing all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or veteran status. It is also the policy ofHumanato take affirmative action to employ and to advance in employment all persons regardless of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or protected veteran status and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions including but not limited to recruitment hiring upgrading promotion transfer demotion layoff recall termination rates of pay or other forms of compensation and selection for training including apprenticeship at all levels of employment.