Director, Medicine Institute
Highmark Health
full-time
Posted on:
Location Type: Hybrid
Location: Pittsburgh • Pennsylvania • United States
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Job Level
About the role
- Directs operational activities for all assigned specialty areas.
- Serves as the coordinator of all needs/services of the specialty line and addresses concerns/problems through resolution.
- Provides operational leadership and direction to the service line focusing on positively influencing successful operations.
- Identifies, plans, organizes, communicates, implements and measures activities and strategies that promote growth, clinical excellence, patient satisfaction, fiscal prudence, enhanced communication, optimal clinical productivity and system success.
- Develops and implements business strategies in conjunction with the Vice President of the respective Service Line in accordance with organizational goals.
- Maintains an in-depth knowledge of the changing healthcare environment and evaluates the market need for specific clinical services or programs.
- Identifies the need for quality and performance improvement initiatives in accordance with strategic direction.
- Develops and implements plans for clinical, administrative and safety improvement processes in collaboration with Service Line Vice President, clinical and physician leadership.
- Establishes revenue and expense targets in conjunction with Service Line Vice President; analyzes trends impacting revenue and volume; identifies opportunities to optimize clinical reimbursement and implements new policies and procedures as necessary.
- Maintains a thorough understanding of clinical reimbursement and managed care issues, specific to the specialty line.
- Provides leadership, management and supervision to directors, managers and supervisors within scope of responsibility, ensuring hiring, development and retention of key personnel.
- Works closely with the VP Service Line and the Department Chiefs and Chairs in the recruitment and establishment of new physicians in accordance with strategic plans, as needed.
- Ensures compliance with all government and corporate policies, procedures and regulations.
- Supervises and provides administrative and operational guidance to directors, managers and supervisors who are responsible for daily operations and management of the specialty line.
- Employs analytical judgment, manages projects, organizes resources, consults and solves problems.
- Maintains open communications with physicians, staff and management.
Requirements
- Minimum Bachelor's degree in healthcare administration, business administration or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree
- 7-10 years’ practice management experience and/or related practice management consulting/operations experience
- Must have knowledge of financial management, managed care insurance plans, third party billing/reimbursement, and human resources administration
- Strong communication, organizational and follow-up skills required
- Extensive experience in developing business plans and budget management
- Preferred Master’s degree
Benefits
- Competitive salary
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
financial managementmanaged care insurancethird party billingreimbursementbusiness plan developmentbudget managementquality improvementperformance improvementclinical productivitysafety improvement
Soft Skills
communicationorganizational skillsproblem-solvingleadershipproject managementanalytical judgmentstaff developmentteam managementstrategic planningfollow-up skills