Director of Physician Operations

4 weeks ago


Charleston, West Virginia, United States AlignMed Partners Full time
Job Description

We are seeking a highly skilled and experienced Director of Physician Operations to join our team at AlignMed Partners. This is a full-time position that requires a strong background in physician relations and operations, with a focus on coordinating and assessing provider performance, initiating and managing action plans, and determining provider training needs.

Key Responsibilities:
  1. Establish and maintain relationships with providers, including employed physicians, contracted physicians, and medical directors.
  2. Partner closely with center and market leadership to understand physician staffing needs and ensure alignment of clinical and operational goals.
  3. Negotiate contract terms and prepare agreements or contracts for prospective providers.
  4. Identify, develop, and implement strategies for recruiting targeted physicians, in collaboration with internal recruiters.
  5. Conduct interviews with candidates and coordinate physician interviews with key center and regional staff.
  6. Monitor payer credentialing process for new providers and communicate with appropriate parties for provider start date.
  7. Coordinate with the Training Ed Specialist, HR, and Clinical Education to ensure a smooth onboarding process.
  8. Identify performance management opportunities with current providers and work closely with Regional Medical Director (RMD) to create a plan of development.
  9. Analyze and monitor key performance indicators (KPIs) for AMP providers, including physician productivity, admissions, rehospitalizations, provider turnover, market penetration, patient census, billing, documentation, time off, continuing medical education, and incentive compensation plan goals.
  10. Collaborate with medical leadership, RMDs, to prepare data to present to providers with quality and outcome expectations.
  11. Coordinate communication in conjunction with the Chief Medical Officer, any necessary operational information for any Medical Director or AMP provider.
  12. Oversee ACO Providers progress with satisfying requirements to be eligible for the Medicare Shared Savings Program (MSSP).
  13. Collaborate with clinical leadership and center leadership to develop processes that will continue to define the AMP Medical Model in the facility and create opportunities to increase AMP patient census in each facility.
  14. Work closely with Center Leadership to introduce, orient, and manage the performance of AMP physicians throughout their employment/contract.
  15. Participate in scheduled team meetings, regional meetings, provider meetings, and internal and external marketing functions.
  16. Maintain accurate information in the CRM/ZOHO and other systems to support business operations.
  17. Work closely with the Area Clinical Practice Managers (ACPM) to support Collaborative Best Practice between providers.
Qualifications:
  • Bachelor's Degree preferred with consideration for equivalent professional experience, including 3+ years of healthcare industry experience, preferably with an emphasis in provider relations and operations.
  • Able to travel as needed with a personal vehicle and valid driver's license.
  • Out of town travel: 25%
  • Knowledge and understanding of the physician practice operations and experience in drafting, negotiating, and closing physician contracts.
  • Excellent communication skills; written, and verbal.
  • Excellent interpersonal skills and professionalism in a high-volume environment is required.
  • Effective Team building skills.
  • Working knowledge of desktop software applications (MS Office, Google Drive, EMR/EHR).
  • Capable of resolving interpersonal conflicts with the support of the team.
  • Ability to apply a solution-focused approach to problem solving.
  • Ability to manage multiple projects and communication streams simultaneously.
  • Well-developed analytical skills, including but not limited to data analysis and the ability to translate complex data into actionable insights.
Compliance:
  • Complies with and promotes adherence to applicable legal requirements, standards, policies, and procedures, including but not limited to those within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act, and HIPAA.
  • Provides leadership and support for the Compliance and Ethics Program within the management area.
  • Ensures that staff participates in orientation and training programs, including but not limited to all required compliance courses and relevant policies and procedures, and that such training is properly documented.
  • Promptly reports concerns and suspected incidences of non-compliance to supervisor, Compliance Liaison, or to the Compliance Officer via the Integrity Hotline.
  • Cooperates with monitoring and audit functions and investigations.

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