Healthcare Operations Leader

7 days ago

Houston, Texas, United States Tia Full time
Overview

Tia is a membership-based healthcare organization dedicated to providing high-quality services to our members. We are seeking a skilled Healthcare Operations Leader to oversee our care coordination teams.

Job Description

This role will be responsible for leading a team of care coordinators, ensuring exceptional member interactions and maintaining high-quality service delivery. The successful candidate will have a deep understanding of membership-based healthcare operations and strong leadership skills.

Key Responsibilities
  1. Team Leadership and Management:
  • Metric Focus: Team Engagement, Employee Retention
  • The ideal candidate will lead, supervise, and mentor a team of care coordinator leaders, providing guidance and support in their daily activities.
  • Foster a positive and collaborative work environment and culture, promoting teamwork and professional development within the care coordination team.
  • In partnership with the Director of Care Coordination, set performance goals, conduct regular performance evaluations, and provide constructive feedback to ensure high-quality care coordination services and a delighted member experience.
  • Monitor and evaluate the effectiveness of care coordination initiatives and make necessary adjustments to improve performance.
Care Coordination Process Oversight:
  • Metric Focus: Turnaround Time, Phone Answer Rates
  • Design and implement care coordination programs and protocols that align with organizational goals and regulatory requirements.
  • Develop and implement standardized care coordination workflows, policies, and procedures to ensure consistent and efficient delivery of services.
  • Monitor the progress and outcomes of care coordination activities, identifying and addressing any barriers or gaps in the process.
Patient Advocacy, Support, and Collaboration:
  • Metric Focus: Quality Assurance, Patient Churn
  • Assist and mentor the care coordination team in processes to ensure patients receive timely and appropriate care, resources, and support throughout their healthcare journey.
  • Collaborate with key stakeholders to develop strategies aimed at improving care coordination processes and outcomes.
  • Support the care coordination team with triaging patient escalations and reporting out patient issues affecting the member experience and quality of care.
  • Educate care coordinators about available patient resources and care coordination processes.
Cross-functional Collaboration:
  • Collaborate closely with various teams outside of Care Coordination, including medical teams, billing, enrollment, and product, to ensure effective communication and knowledge sharing. Foster a multidisciplinary approach to member care coordination.
  • Metric Focus: Minimize Handoffs, Employee Retention
Requirements

To be successful in this role, you will need:

  • A Bachelor's degree in healthcare administration, nursing, or a related field (Master's degree preferred).
  • Proven experience in care coordination or healthcare management, with a minimum of 2-3 years of people management with healthcare frontline teams.
  • In-depth knowledge of healthcare regulations, policies, and industry trends related to care coordination and patient-centered care.
  • Strong leadership and team management skills, with the ability to motivate and develop a high-performing virtual team.
  • Excellent communication, interpersonal, and problem-solving skills.
  • Demonstrated ability to develop and implement care coordination strategies and workflows.
  • Proficient in using healthcare information systems and software applications.
  • Strong organizational skills and the ability to prioritize tasks in a dynamic healthcare environment.
  • Knowledge of quality improvement principles and experience in driving process improvement initiatives.
  • Ability to work collaboratively with diverse stakeholders and build effective partnerships.
Compensation

The estimated salary range for this position is between $80,000 - $90,000 per year. This figure is based on national market data and applies consistently, regardless of location. Tia offers a comprehensive benefits package to all team members, irrespective of location.

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