Director-Regional Operations

Inspire health. Serve with compassion. Be the difference.

Job Summary

Providing strategic and operational leadership for multiple clinical practices ensuring high-quality compliant and efficient operations aligned with the organizations mission and strategic plan. The position oversees daily business and clinical functions leveraging data KPIs and continuous improvement methods to drive performance in patient experience access quality finance and operational effectiveness. Serving as a key liaison between practices medical group leadership and enterprise partners ensuring clear communication alignment with corporate goals and coordinated implementation of new programs standards of care and operational changes. Accountable for developing hiring training and performance-managing leaders and staff fostering collaboration accountability and a culture of excellence across teams. Financial stewardship is central to the position with responsibility for budget development and management resource utilization physician productivity reimbursement optimization and oversight of revenue cycle and billing processes. The role champions patient satisfaction by systematically gathering and acting on patient and referral feedback implementing process improvements and expanding or enhancing services to meet patient needs. Ensures robust quality assurance and regulatory compliance leading accreditation and quality reviews while monitoring and reporting clinical operational and safety outcomes across all assigned practice locations.

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Healths purpose: Inspire health. Serve with compassion. Be the difference.

• Manage Operations and Performance: Leads the daily business and clinical functions of multiple practices to ensure highly successful operation within the strategic plan and mission in coordination with departmental and medical group leadership. Ensure daily operations of multiple practices comply with health system policies and best practices. Initiates develops implements and maintains clinical department practice management procedures to ensure operational effectiveness and compliance with policies and procedures and the systems Code of Excellence. Track key performance indicators (KPIs) and implement improvements across areas including but not limited to patient experience access quality and finance. Address operational issues and find solutions across practices leveraging partnerships across departments and markets. Rounds regularly in practices and with team members managers and clinicians. Champions use of daily tiered huddles for practices of oversight as well as leading teams for regular use and updates of impact boards as part of Pulse Program. Ensures the coordination of clinical procedural changes new program development standards of care and ongoing activities with departmental and medical group leadership. Analyzes data to project staffing needs and ensure adequate staff coverage in all areas. Help develop implement and execute strategic and marketing plans at direction of departmental and medical group leadership. Responsible for all clinical department practice management functions including patient scheduling and pre-registration charge capture compliance pre-certification and other effective billing practices. Monitors the registration process to ensure efficient patient access and flow to and through practice. Measures and reports improvements to financial and overall operational performance of clinical department via regular review of and formal comment upon monthly presentations as well as other reports as deemed appropriate. Effectively engages Legal and Contracting Department in facilitation of contracts i.e. lease agreements equipment purchase/rental purchased/contracted services etc. through established system (currently CORE).

• Stakeholder Engagement and Communication: Builds and maintains strong working relationships with physicians APPs support staff and external partners. Convey and support corporate goals and decisions to staff and ensures effective and consistent communication within the department. Liaison between clinical department and Medical Group Leadership and responsible for accurately conveying related communications to physician faculty and staff in a timely manner. Responsible for communicating corporate goals decisions and operating guidelines to service line staff. Participates in the development and implementation of the annual marketing plan in coordination with the systems strategic direction. Actively engaged in providing regular flow of clinical department information to formal communication plan effort. Ensures that all internal and external communication material appropriately reflects the mission and values of Prisma Health.

• Develop Team Members: Lead and support Practice Managers Clinical Managers and teams. Hire train evaluate and manage to provide top tier staff performance. Encourage and develop collaboration between practice managers and clinical managers for enhancement of environment and patient care. Recruits and selects appropriate staff within the constraints of approved budgets. Trains managers and other team members on policies and procedures of department and Prisma Health. Evaluates and monitors work performance of designated staff. Counsels disciplines and terminates designated staff as necessary. Establishes productivity standards for support staff and monitors their adherence. Ensures the establishment of employees annual performance goals. Prepares and conducts timely and appropriate performance appraisals. Ensures that all positions have accurate valid position descriptions on file and that employees are familiar with the position description and the standards of performance. Ensures that the program operates in an environment where all employees are treated fairly and in accordance with policies and procedures. Participates in the recruitment and recommendation/selection of physicians and APPs. Ensures payroll is prepared and submitted in accurate and timely manner. Ensures compliance by all employees with time and attendance guidelines.

• Patient Satisfaction: Gather feedback from patients and referral sources and implement improvements through learning collaboratives leveraging standardized problem-solving approaches. Solicits feedback on overall satisfaction from patients and referral sources through satisfaction surveys. Evaluates feedback and makes recommendation for change to address identified issues. Establishes processes to identify new or improved services to meet client needs and implements those services where appropriate. Champions process improvements and implements leading measures to increase patient satisfaction in all areas of the patient experience.

• Financial Management: Assist with creation and management of annual budgets prepare financial reports and oversee resource utilization such as physical spaces supplies and human resources. Develops monitors and manages annual fiscal budgets. Prepares ad hoc financial reports. Responsible for the intra-departmental control of corporate assets and the effective/efficient management/utilization of clinical department resources. Measures and understands reimbursement rates physician productivity and staffing levels utilizing internal and external benchmarking tools and implement solutions for efficient resource utilization Facilitates responsible decision making to balance fiscal and academic missions. Coordinates and establishes the annual capital budget requests in accordance with equipment needs and the departments business and strategic plans. Measures and understands reimbursement by payer by procedure code for services rendered by the department. Measures and understands physician clinical productivity levels rendered against national norms by provider. Measures and understands appropriate staffing levels for services provided against national practice management benchmarks including tools and reports. Efficiently manages billing processes front office functions within parameters established by regulations (i.e. including charge capture coding documentation claims processing demand billing payment posting). Maintains a working knowledge of third-party payment practices including (as applicable) Medicare Medicaid managed care organizations private insurers workers compensation carriers and occupational medicine payment practices. Works with Revenue Cycle to review diagnosis and procedure codes utilized by the department to ensure greatest reimbursement while maintaining compliance with regulatory guidelines. Works with Revenue Cycle to maintain knowledge and expertise in billing related matters including denial management associated with department specialty and communicate pertinent information to staff and physicians. Ensures the resolution of third-party reimbursement issues by working with various departments to maximize reimbursement within the limits defined by law. Oversee billing processes patient registration and reimbursement issues.

• Quality Assurance and Compliance: Ensure practices meet quality standards and regulatory requirements including but not limited to medication safety infection prevention and clinical equipment deployment and usage. Ensure practices comply with regulatory and accreditation standards. Measures quality indicators such as cost effectiveness efficiency and outcomes data on a regular basis. Report measurements of quality indicators to staff as well as the department and medical group leadership. Responsible for leading the physician practice component of accreditation and quality reviews for their respective clinical department practice locations to ensure compliance.

• Performs other duties as assigned.

Supervisory/Management Responsibilities

• Job has direct and/or indirect supervision of team members that may include final budget authority hire/termination authority performance appraisal responsibility and disciplinary authority. Job will be considered a member of management staff at Prisma Health or affiliate and will have two or more direct reports.

Minimum Requirements

• Education Masters degree in healthcare or related field of study.

• Experience Five (5) years related experience

In Lieu Of

• In Lieu of the education and experience requirements noted above the following combination of education training and/or experience may be considered an equivalent substitution: Bachelors degreeand eight (8) years management level experience preferably in healthcare

Required Certifications Registrations Licenses

• NA

Knowledge Skills and Abilities

• Knowledge of office equipment (fax/copier)

• Proficient computer skills (word processing spreadsheets database)

• Data entry skills

Work Shift

Day (United States of America)

Location

Prisma Health Corporate Office

Facility

2543 Neurosciences Institute - Admin

Department

Neurosciences Institute - Admin-Practice Operations

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