A primary focus of this position is to lead the efforts of Provider Based operations to successfully implement and monitor department projects. The position has responsibility for managing and coordinating multiple projects that impact provider-based sustainability and performance. The position supports the development and implementation of strategic initiatives by assisting with the creation of comprehensive program plans for key organizational initiatives. The position contributes to meeting the objective goals of the organization, which include system provider-based strategy and ensuring compliance with regulatory requirements to establish WVU Medicine as a premier clinical organization and optimizing reimbursement in every market.
MINIMUM QUALIFICATIONS
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s degree in Business Administration, Communications, Education, Finance or related field OR 1-2 year’s experience with Medicare Provider Based and RHC regulations
PREFERRED QUALIFICATIONS
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Strong communication and project management skills
2. Strong working knowledge of Microsoft Office
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Lead special projects and serve as the primary contact between multiple stakeholders, including ambulatory operations, clinical leadership, information technology, revenue cycle, and others.
2. Responsible for management of project communications, deliverables, deadlines, department initiatives, and stakeholder relationships.
3. Manage efforts to develop reports, develop presentations, and help communicate findings to leadership.
4. Ensures that the designated project is proceeding according to agreed upon timelines, meeting targets and expectations, and adhering to established operating parameters (negotiates all changes in project scope).
5. Responds to requests; explores and resolves problems as presented by Department Leadership, IT, clinical departments, and support staff.
6. Assist Director in standardization and process improvement techniques to improve operations. Identify ways to optimize best practices and operational workflows.
7. Initiates programs and projects in direct consultation with Directors and Senior Leadership and coordinates their implementation and completion in collaboration with appropriate internal and external customers.
8. Directs project review sessions with Directors and other project leaders in order to monitor progress against timelines, including issue audits and mitigation steps. Documents project plan progress. Interprets and advises key stakeholders on CMS provider-based compliance per 42 CFR 413.65 and alerts leadership to any pertinent changes.
9. Coordinate and perform onsite gap assessments for provider-based clinics and RHC’s across the health system as needed.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Ability to sit, stand, or remain in a stationary position for extended periods.
2. Frequent use of hands and fingers with full range of motion for typing, writing, and handling office equipment.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment.
SKILLS AND ABILITIES:
1. Excellent written and verbal communication skills.
2. Strong understanding of ambulatory operations, revenue cycle functions, and clinical workflows.
3. Self motivated and flexible in responding to shifting priorities or organizational changes.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Exempt)
Company:
SYSTEM West Virginia University Health System
Cost Center:
540 SYSTEM Finance and Reimbursement
The West Virginia University Health System, which operates under the brand WVU Medicine, is West Virginia’s largest health system and the state’s largest employer with more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues. The Health System is comprised of 25 hospitals – including J.W. Ruby Memorial Hospital, an 880-bed academic medical center, and the 150-bed WVU Medicine Golisano Children’s Hospital in Morgantown, West Virginia – and five institutes. To learn more, visit WVUMedicine.org.
