- Development in collaboration with Jackson Health System senior management an alignment strategy for JHS owed and affiliated practices that provides for physician participation in the governance, management and budgeting of those practices. Creates new physician practices. Directs, organizes and arranges for all activities, services, human resources and materials required to create and open a new practice.
- Obtains all required tax-id and billing numbers in advance. Develops and recommends clinical processes, programs and services that enhance safety, quality, efficiency, and regulatory compliance to promote excellent service. Monitors patient flow through the practices to ensure appropriate utilization of physician time and staff coverage.
- Prepares comparative analysis of practice data to industry standards including revenue, expenses, physician productivity, staffing patterns and scheduling patterns. Reviews charges, visit encounters and cash receipts for variations and patterns and conducts spot audits to ensure compliance. Accountable for ensuring physician billing and collection activities meet all compliance standards, including CPT -4 and ICD-9 coding. Must have a working knowledge of auditing and accuracy of documentation in relation to procedure coding.
- Meets no less than quarterly with each physician group to review productivity and quality indicators, as well as the financial performance and operational effectiveness of the practice. Role models behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
- The leader understands and adheres to JHS compliance standards as they appear in the Code of Conduct, Compliance Policies, and all other JHS Policies and Procedures and supports the commitment of JHS in adhering to federal, state and local laws, rules and regulations governing ethical business practices for health care providers by demonstrating knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family and organization information.
- The leader further understands that JHS is committed to its role in preventing health care fraud and abuse and complying with applicable state and federal laws related to health care fraud and abuse. This commitment is supported and enabled through an anonymous hotline which serves as one of several mechanisms for reporting suspected fraud, waste and/or abuse, as well as other compliance related issues. The leader to report through any of the reporting mechanisms (e.g., anonymous hotline, supervisor, Compliance Officer) any suspected health care fraud, waste and/or abuse as well as other compliance? Related issues. Performs all other related job duties as assigned. Qualifications
- Demonstrates the following Leadership Behaviors: Leads, influences, and empowers others by creating an environment that that fosters personal investment and excellence, actively encourages commitment to a common vision and shared values, creating opportunities and giving people latitude to develop and achieve and by promoting collaboration and teamwork. Fosters open dialogue: Promotes a free flow of information and communication throughout the organization (upward, downward, and across); Encourages open expression of ideas and opinions; Communicates effectively with all employees and all age-group patient populations.
- Effectively Influences and Negotiates: Promotes ideas and proposals persuasively; Positively shapes stakeholders opinions; Negotiates win-win solutions. Builds and Maintains Effective Relationships: Establishes open, candid, trusting relationships; Treats all individuals fairly and with respect; Cultivates an active network of relationships inside and outside of the organization; Stays in touch with employees at all levels. Envisions the Future /
- Demonstrates Strategic Thinking: Has a clear vision for the business, function, or operation; Maintains a long-term, big-picture view; Anticipates obstacles, creates contingency plans, and identifies opportunities; Generates breakthrough ideas. Demonstrates Industry Knowledge: Knows what it takes to be successful in the healthcare industry; Has a thorough knowledge of the healthcare industry history, clients, employees, and competitive environment.
- Effectively Shapes Strategy: Develops specific strategies to achieve competitive advantage; Translates broad strategies into specific objectives and action plans; Aligns the organization to support strategic priorities. Adapts to Continuous Change/ Leads Continuous Improvement: Initiates, directs and sustains efforts to ensure continuous change and improvement throughout the organization; Initiates and embraces change even when not supported by others.
- Demonstrates Adaptability: Maintains a positive outlook, resists stress, and works constructively under pressure and in the face of adversity; Responds resourcefully to change and ambiguity. Demonstrates Risk-Taking: Champions new ideas and initiatives; Fosters innovation and risk-taking. Drives for Results / Drives Execution: Assigns clear authority and accountability; Integrates efforts and across units and functions; Monitors results; Tackles problems directly and immediately.
- Demonstrates Financial Acumen: Understands the meaning and implications of key financial indicators; Manages overall financial performance of area function/operation; Uses financial analysis to evaluate strategic options and opportunities. Drives for Stakeholder Success: Sets and actively pursues aggressive goals; Demonstrates a strong commitment to organizational success; Works to do what is best for all stakeholders (i.e., patients, employees, management, the Board).
- Makes Effective Decisions: Takes all critical information into account when making decisions; Makes timely, tough decisions even under pressure; Puts the organizations needs before personal needs when making decisions.
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Associate Director Practice Management, Jackson Medical Group Physician Practices, Full time, Days - Miami, United States - Jackson Health
Description
Department: Jackson Medical Group (JMG) Physician Practices
Address: Variable practice sites
Hours: 8:30AM-5:00PM, M-F
Position Summary:
The Associate Director, Practice Management responsibilities include oversight of the organizational and governance infrastructure of the assigned Jackson Medical Group (JMG) physician practices territory. The JMG practice responsibilities may include practices made up of Jackson Health System (JHS) employed physicians. With the direction and supervision of the Director, Practice Management, the Associate Director provides planning and maintenance of the on-site operations of the assigned practices within assigned territory, including, but not limited to, supervision of Practice Managers, practice work-flow, coordination of coding/billing/reconciliation processes, and staff/physicians relations. With direction of Physician Services administration, coordinates new practice start-ups within assigned territory. Within assigned territory, has responsibility for implementation of JMG/JHS risk management policies, training & education programs to ensure best-practice compliance.
Duties & Responsibilities:
Experience:
Generally requires 7 to 10 years of related experience. Management experience is required. Prior physician practice/ outpatient management experience strongly preferred.
Education:
Bachelor's degree in related field is required
License Certification:
Valid license or certification is required as needed, based on the job or specialty.
Knowledge Skill Abilities:
Associate Director Practice Management, Jackson Medical Group Physician Practices, Full time, Days professionals in Miami
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Mackenzie McCloud
Health/Wellness Professional