OVERVIEW OF POSITION:
Responsible for planning, directing, coordinating and supervising the functions and activities of the IPA primary care network(s) and specialty delivery networks at Healthcare Partners (HCP). Develops and monitors goals, implements and manages budgets, oversees enrollment growth and retention, patient satisfaction, provider network relations and education. Assists the Vice President, regional Operations in the overall administrative direction of the region.
Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
Develops, implements, monitors and ensures adherence to policies and procedures for HCP and its IPA networks.
Manages start-up of new networks including provider contracts, credentialing and implementation
Implements and manages budgets for all accountable departments and functions.
Assists the Vice President, Regional Operations in the development, coordination and implementation of regional business plans and operational activities.
Works closely with the Regional Accountable Team (RAT) to assist in the monitoring of resource utilization in the region. Enacts plans to improve efficiencies or reduce expenses.
Develops and implements plans to enhance regional provider satisfaction and performance.
Monitors patient satisfaction in the region and implements plans to continually enhance services provided to our patients.
Makes recommendations for growth projects within the region and works collaboratively with other departments as needed to execute those plans.
Provides input and feedback to the RAT as it relates to initiatives and programs that promote excellence in the IPA operational services and implements those that are approved.
Works closely with central departments to ensure that issues impacting that region that involve central departments are resolved effectively and timely.
Administers all IPA incentive plans including input on plan design, producing plan documents, provider education and payouts.
Facilitates provider and staff education including community meetings, lunch and learns, provider office in-services, and other targeted in-services as necessary.
Identifies opportunities for improvement within the IPA and brings forward proposals to the RAT incorporating solutions.
Work closely with the physician leadership of the IPA to garner support for IPA initiatives and get their feedback as to what initiatives will be most successful.
Schedules operating meetings with selected physicians including ensuring the agenda is developed in advance, issuing minutes and tracking follow-up items to ensure completion.
Manages direct reports to ensure that they are meeting performance expectations and provides leadership and direction to them. Performs counseling as necessary.
Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Performs additional duties as assigned.
Bachelor’s degree from a four-year college and/or a professional certification requiring formal education beyond a two-year college.
Master’s degree in Health Care Administration, Business Administration or Nursing preferred.
Over 7 years and up to and including 10 years of experience.
4 to 6 years management experience in health care (preferably in a medical group or IPA setting).
IPA network development experience.
KNOWLEDGE, SKILLS, ABILITIES:
Proficient in Microsoft Office applications.
Proven leadership abilities.
Excellent verbal and written communication skills.
Ability to work cooperatively with peers and subordinates.
Ability to act professionally under pressure.
PHYSICAL REQUIREMENTS IN ACCORDANCE WITH ADA:
Carrying/Lifting: Occasional / 0-10 lbs
Standing: Occasional / Up to 3 hours per day
Sitting: Constant / Up to 8 hours per day
Walking: Occasional / Up to 3 hours per day
Repetitive Motion: Keyboard activity, telephone use, writing
Visual Acuity: Ability to view computer monitor and read newsprint with or without corrective lenses
Environmental Exposure: None
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