Executive Director of Clinical Operations
1 week ago
Salary: $95,000.00-$99,000.00 per annum
About Us:Public Health Solutions (PHS) is a leading non-profit organization dedicated to improving health equity and addressing health-related social needs for marginalized communities.
Job Description:We are seeking an experienced Executive Director of Clinical Operations to oversee the administration of our SRH centers, ensuring seamless operations and compliance with regulations.
Main Responsibilities:- Administration:
- Lead procurement processes, including purchase requisitions, vendor management, and cost control measures.
- Coordinate with facilities and vendors to ensure equipment maintenance and IT support.
- Develop and manage budgets, monitor expenses, and allocate costs to relevant budget codes.
- Supervise billing practices to optimize revenue and implement quality assurance recommendations.
- Quality Assurance/Compliance:
- Manage quality assurance processes, including personnel file management, chart audits, and 340B compliance.
- Document onboarding processes for clinical and non-clinical staff.
- Lead quality assurance reviews and share data with the team to support high-quality clinical operations.
- Maintain monthly Medicaid exclusion and provider review files.
- Support HMO, Medicaid, Medicare, Title X, and NYSDOH audits.
- Credentialing:
- Complete credentialing files for providers, secure documents, and communicate with insurance payors.
- Maintain current licenses for all required staff and update eCW records.
- Manage CAQH databases, licenses, and monthly attestations.
- Support insurance contract renewals and maintain staff hours for Nurse Health Services Corps (NHSC).
We offer a comprehensive benefits package, including medical, dental, and vision coverage, flexible spending accounts, commuter benefits, company-paid life insurance, disability coverage, and a 403(b) plan with employer matching.
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