Director – Ambulatory & Physician PFS
Guidehouse
Director, Enhanced Care Management
Vynca
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $145,000 - $160,000 per year
Job Level
Lead
About the role
- Refine and implement program policies and procedures.
- Supervise Clinical Managers, Clinical Consultants, Lead Care Managers, and Support Staff.
- Oversee day to day ECM program.
- Ensure that ECM contract goals and objectives are met.
- Ensure contract regulatory and data requirements are met.
- Ensure records (electronic and physical) and billing requirements are kept up to standards.
- Oversee assessments, intakes, care planning, crisis management, transition plans.
- Oversee and ensure staff training.
- Run EHR reports as needed.
- Oversees claims submission, denials, and receipt of payments.
- Attends meetings and represents the organization with the public, local businesses, employers, health plans, vendors, regulatory and outside vendors.
- Provides reports to management and managed care plans regarding ECM as needed.
- Responsible for CalAIM program performance and successful execution of all SLAs
- Oversee all aspects of running an efficient team, focusing on role definition and attainment of goals
- Design and implement standard operating procedures and workflows for the department
- Develop strategic messaging that conveys the company’s value proposition and overcomes patient objections
- Manage quality assurance programs to enhance the client experience
- Develop KPIs that align team member performance to business objectives
- Manage P&L and report accurate business results in monthly operations reviews
- Apply creative, analytical solutions to business problems, with the ability to remain nimble and pivot quickly when needed
- Collaborate with other department leaders and foster cross functional cooperation, especially with business development for referral management and clinical operations for patient on-boarding
- Exemplify company culture by modeling core values of the organization and ensuring staff understands values and mission
- Other related duties as assigned.
Requirements
- Bachelors Degree, highly preferred
- 5+ years of people management experience
- 3+ years of care management experience
- Proven, results-driven business leader with P&L responsibility experience
- Superior organizational skills to orchestrate internal and external meetings driving outcomes
- Self-directed, entrepreneurial leader with the flexibility and tenacity to thrive in a fast-paced, high-growth, dynamic environment
- Proficient with Microsoft and Google applications, plus general computer literacy
- Strong adaptability to work collaboratively and cross-functionally in a remote environment
- Must have access to reliable internet connection
- Ability to work with complex and multifaceted tasks and systems.
- Experience working with culturally, ethically, sexually, and socio-economically diverse populations with the ability to maintain sensitivity in all interactions.
Benefits
- medical, dental, and vision insurance
- income protection benefits
- flexible PTO
- company holidays
- 401k
- access to other wellness benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care managementP&L responsibilityquality assuranceKPI developmentprogram policiescrisis managementclaims submissiondata requirementsEHR reportingstandard operating procedures
Soft skills
people managementorganizational skillsself-directedentrepreneurial leadershipadaptabilitycollaborationflexibilitytenacitysensitivitycross-functional cooperation
Certifications
Bachelor's Degree
