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**Manager, Integrated Care Operations Specialist**
2 months ago
About HealthCHEC
HealthCHEC is a leading healthcare organization dedicated to delivering high-quality patient care and innovative healthcare solutions. Our mission is to improve the health and well-being of our patients and communities through exceptional clinical care, cutting-edge technology, and a commitment to excellence.
The Job
The **Manager, Integrated Care Operations Specialist** will play a critical role in overseeing and optimizing daily operations within clinical pods, ensuring alignment with HealthCHEC's strategic goals and enhancing healthcare delivery. This individual will be responsible for:
- Pod Process Implementation and Infrastructure Maintenance: Implement and maintain the infrastructure that supports daily pod operations, aligning with HealthCHEC's strategic initiatives, vision, and goals. Collaborate with central operations project teams to identify standardization opportunities and promote best practices.
- Healthcare Initiatives and Program Management: Design, implement, and manage new healthcare initiatives and programs to enhance the capabilities of the integrated care delivery program within pods. Oversee panel management to ensure effective patient assignment, route optimization, and PCP relationships.
- Performance Monitoring and Analysis: Monitor and analyze pod performance metrics, including ADK, visits per day, open notes, notifications, documentation, and RAF scoring. Identify trends and collaborate with the APC manager and Medical Director on process improvements. Prepare reports on pod performance for leadership.
- Communication and Collaboration: Conduct regular touchpoints with the APC manager and Medical Director to review pod performance metrics, identify coaching or performance management opportunities, address operational issues, and ensure alignment with clinical goals. Foster positive relationships with communities and community partners to enhance collaboration and service delivery by rounding in pod communities.
- Patient Engagement and Quality Care Delivery: Perform in-person rounding at pod communities, collaborating with the APC manager to engage with APCs, address concerns, and ensure quality care delivery. Address regional member issues and concerns promptly and effectively, ensuring resolution and member satisfaction.
- Team and Vendor Management: Recruit, onboard, manage, and coach the team supporting clinicians. Communicate expectations clearly, monitor job performance, motivate, and develop opportunities for career growth. Manage regional vendor issues and relationships, including communication with community stakeholders and escalation to central management for resolution.
- Operational Efficiency and Compliance: Develop, update, and audit pod operations workflows to optimize efficiency, improve quality, and ensure compliance with regulatory standards. Adhere to all quality, compliance, and regulatory standards to achieve HealthCHEC outcomes.
Your Qualifications
- Bachelor's or Master's degree in healthcare or business-related field preferred.
- Experience with Model of Care and Care Management requirements, including CMS audit experience required.
- Experience with mobile care delivery operations required.
- Experience with managed care preferred.
- 5+ years of people management experience required.
- Manager-level interpersonal, management, and communication skills.
- Strong diligence, data-driven decision maker.
- Demonstrated leadership and management skills.
- Strong skills in remote team management.
What's in it for you?
- Base Salary Range: $106,200.00 to $169,900.00 annually
- Work Mode: Mostly Remote
- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- 11 paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday
- Excellent 401(k) Retirement Saving Plan with employer match
- Robust employee recognition program
- Tuition reimbursement
- An opportunity to become part of a team that makes a difference to our patients and our community every day
