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, terminations, process improvement, and ad hoc analysis. Assists the Sr Director IPA, in the overall 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.
Ability to work with Operations and Corporate teams to understand issues and build processes to ensure consistent delivery of services to customers.
Manage team to ensure expectations are met and professional development goals are met for the team.
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 Sr Director IPA in the development, coordination and implementation of regional business plans and operational activities.
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.
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.
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.