Managed Care Program Administrator
Managed Care Program Administrator
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$ 70000 - 75000
1 Vacancy
Job Description
DEPT OF HEALTH SERVICES
The Arizona Department of Health Services promotes and protects the health of Arizonas children and adults. Our mission is to promote protect and improve the health and wellness of individuals and communities in Arizona. We strive to set the standard for personal and community health through direct care science public policy and leadership. ADHS promotes alternative work schedules flexible hours. We have positions that can fit any stage in your career from entry to senior level. We offer a robust benefit package including the ADHS Student Loan Assistance Program where eligible employees can receive up to $300 per month for their outstanding student loans. Come check us out and see how you can make a difference in the lives of all Arizonans.
Specialty Clinic Manager
Address: 501 N 24th Street Phoenix AZ. 85008
Salary: $70000-$75000
Grade: 24
The specialty clinic manager will manage and supervise the clinic staff including hiring training and performance evaluations. Responsible for overseeing the day-to-day administrative and operational activities ensuring the clinic runs smoothly and delivers quality patient care. Developing and implementing effective operational policies and procedures to ensure smooth clinic operations and compliance with regulations. Monitor and optimize patient appointment scheduling (on-site and off-site) ensuring optimal utilization of resources and minimal patient wait times. Collaborate with healthcare providers to establish and maintain high standards of patient care and service quality. Oversee the management of occupational health dental clinic podiatry clinic infection prevention and the management of clinic patient records ensuring accuracy confidentiality and compliance with privacy regulations. Coordinate with external partners and vendors to ensure necessary supplies and services are available for clinic operations. Oversee the clinics financial activities including billing and budgeting. Conduct regular staff meetings and training sessions to promote communication skill development and adherence to policies and procedures. Stay updated with industry trends regulations and best practices and make informed recommendations for improving clinic operations. Works with AHCCCS and other MCO plans to obtain necessary referrals and prior authorizations for required services.
-Oversee the management of occupational health dental clinic podiatry clinic and infection prevention. Overseeing the day-to-day administrative and operational activities ensuring the clinic runs smoothly and delivers quality patient care. Oversee the management of clinic patient records ensuring accuracy confidentiality and compliance with privacy regulations.
-Coordinate with external partners and vendors to ensure necessary supplies and services are available for clinic operations. Oversee the clinics financial activities including billing and budgeting.
-Develop and implement effective operational policies and procedures to ensure smooth clinic operations and compliance with regulations. Stay updated with industry trends regulations and best practices and make informed recommendations for improving clinic operations.
-Monitor and optimize patient scheduling (on-site and off-site) ensuring optimal utilization of resources and minimal patient wait times. Collaborate with healthcare providers to establish and maintain high standards of patient care and service quality. Works with AHCCCS and other MCO plans to obtain necessary referrals and prior authorizations for required services.
-Organize and supervise the administrative staff including a medical biller/coder scheduler and medical assistants. Manage and supervise the clinic staff including hiring training and performance evaluations.
-Develop and implement effective operational policies and procedures to ensure smooth clinic operations and compliance with regulations. Conduct regular staff meetings and training sessions to promote communication skill development and adherence to policies and procedures.
-Ensures adherence to regulatory agency rules/regulations/standards and to hospital policies and procedures.
-Other duties as assigned as related to the position (typically 5% - 10%)
Knowledge of:
-Electronic Health records systems
-Healthcare laws and regulations-
Healthcare marketing strategies
-Healthcare regulations compliance and best practices
-Hospital policies and procedures
-Performing and implementing research
-Team building and participation in team exercised at the management level
-Principles of adult learning
-Performance Management (PM) and Continuous Quality Improvement (CQI) and Lean methodologies.
Skill in:
-Financial management and budgeting
-Leadership or managerial role within a healthcare setting
-Proven track record of improving clinical operations
-Strong communication and interpersonal skills
-Ability to handle stressful situations calmly and effectively
-Strong leadership and team management skills with the ability to motivate and inspire staff to achieve outstanding results
-Strong time management organization privatization and multitasking
-Analytical mindset identifying areas for improvement and implementing effective solutions
-Flexibility and adaptability in a fast-paced and dynamic environment
Ability to:
-Perform audits analyze findings and implement suggest changes/action plans
-Utilize adult learning principles in educating mentoring and coaching of subordinate staff
-Lead and supervise a team
-Provide for staff assessed educational needs
-Communicate to a variety of staff at all levels
-Effectively manage and grow staff
-Present data to team members
-Support a diverse multi-cultural workforce that reflects the community promotes equal opportunity at all levels of public employment and creates an inclusive work environment that enables all individuals to perform to their fullest potential free from discrimination.
Masters degree in healthcare administration business management or related field with 3-5 yrs exp. as an outpatient or clinical manager or in a similar leadership role within a healthcare setting. Certification in healthcare management such as CMM or CMPE
Must be able to obtain and maintain CPR and NVCI certification.
A State Hospital employee must possess a valid level one fingerprint clearance card issues pursuant to A.R.S.41-1758.07 or must apply for a level one fingerprint clearance card within seven working days after beginning employment.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
The State of Arizona provides an excellent comprehensive benefits package including:
Affordable medical and dental insurance plans
Paid vacation and sick time
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
10 paid holidays per year
Wellness program and plans
Life insurance
Short/long-term disability insurance
Defined retirement plan
Award winning Infant at Work program
Credit union membership
Transit subsidy
ADHS Student Assistance Pilot Program
Learn more about the Paid Parental Leave pilot programhere. For a complete list of benefits provided by The State of Arizona please visit our benefits page
To help you build a financially secure future the State makes monthly contributions to finance your retirement benefit. The State will make a contribution to the ASRS in an amount equal to your other words you and the State will each pay 50% of the total cost of the benefit. New State employees have a 27 week wait period for contributions to begin.
The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling . Requests should be made as early as possible to allow sufficient time to arrange the accommodation. DHS is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E-Verify Employment Eligibility Verification.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
