Director of Health Services

5 days ago


Greenville, South Carolina, United States Prisma Health Full time
Job Summary

This role is responsible for leading the development, planning, implementation, and evaluation of the Palmetto Senior Consulting department, which provides consulting services to healthcare providers and state Medicaid agencies nationwide. The position oversees the growth and fiscal viability of the department and its related operations.

The Director will provide leadership support for all back-office functions, including financial reporting and analytics, budgeting, admissions, marketing, revenue cycle, vendor management, accounts payable, and health claims processing. Key responsibilities include:

  • Providing effective leadership by coordinating and integrating services within the department and with other departments.
  • Developing and implementing policies and procedures that guide and support the provision of services.
  • Managing department human resources, including determining qualifications, competence, and performance expectations, planning, implementing, and monitoring staffing plans, and providing orientation, in-service training, and continuing education.
  • Continuously assessing and improving the department's performance by designing operational processes, monitoring performance through data, analyzing data, implementing sustainable performance improvement, and participating in multi-disciplinary inter-departmental PI activities.
  • Managing information by providing information systems and data management for department operations and performance improvement.

The ideal candidate will have a Master's degree in Health Administration or Business Administration and 2-5 years of experience in PACE and healthcare consulting, with a demonstrated record of progressive professional leadership responsibility. Knowledge of Medicare, Medicaid, and insurance billing is required, and experience with ICD-10 coding and HCPCS is desirable.

The Director will be responsible for ensuring the financial viability and continued growth of the program through management of insurance practices and compliance with federal and state regulations, as well as managing business relationships with contracted providers and supporting state and federal relationships surrounding the PACE program.

Key qualifications include:

  • Excellent oral and written communication skills.
  • Proficiency in Excel, Word, and other software necessary to develop extensive feasibility analysis.
  • Demonstrated experience in coordinating the planning, directing, and evaluation of patient care, effective communication, and conflict resolution skills.

Prisma Health is a leading healthcare organization committed to transforming healthcare for the benefit of the communities we serve. We are seeking a talented individual to join our team as a Director of Health Services to help us achieve our vision.


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