Job Description

Company :

Allegheny Health Network

GENERAL OVERVIEW:

Provides operational and financial oversight to a network of physician practices. Is responsible for improving office operational efficiency and productivity while providing cost savings and revenue enhancing services.

ESSENTIAL RESPONSIBILITIES:

• Conducts on-site assessment of practice operations to identify opportunities for improvement in the areas of operational and process improvement, including patient access, care alignment, patient satisfaction, and maximizing revenue. Identifies barriers and implements corrective action measures to ensure positive outcomes.
• Develops, plans, and budgets on a strategic, tactical, and operational level for and with each practice. Manages and monitors key financial and revenue cycle metrics, including staff hours, resource allocation, expense budget, patient volumes, and the revenue cycle process.
• Supervises staff, resolves problems, and implements approved disciplinary action. Interviews, hires, trains, and conducts performance evaluations.
• Assumes day-to-day operations and oversight of employees of practice in the absence of the manager (i.e. leave of absence, resignation, etc.)
• Proactively manages physician contractual obligations by ensuring appropriate level of productivity (wRVUs), standardization of physician schedules and appointment times, and compliance with the 72-hour rule and same day availability for urgent patients.
• Manages all phases of onboarding in the practice acquisition process, including providing support to new managers and physicians, establishing processes, and site preparation. Manages all phases of exit process for departing practices, including medical records processing, site breakdown, and staff assignments.
• Trains new managers in policies and procedures. Provides ongoing guidance and support to established managers.
• Works constructively with all designated physicians, leadership, and health professionals to accomplish organization and practice goals.

QUALIFICATIONS
Minimum

• Bachelor’s degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 5-7 years of progressively responsible experience in physician practice operations, including two years’ management experience and oversight of multiple physician practices, offices, or clinics.
• Valid driver’s license.

Preferred

• Master’s degree.

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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