Vice President, Specialty Operations Cypress Care
THIS JOB HAS EXPIRED Job Summary
The primary focus of this role is to provide oversight of the Specialty Services operations including managing analytical metrics, while working with sales organization to promote Specialty Services. This position ensures excellent customer service while establishing and meeting key metrics. This position will support corporate policies, programs and practice thorough communications and application in work environment. The VP role requires a high degree of specialty service product knowledge, confidentiality, as well as strong interpersonal skills, organization, attention to detail, professionalism, and initiative.
Essential Functions and Responsibilities
? Provides professional oversight for all Specialty services (including Transportation and Translation, PT, Diagnostic Imaging, Durable Medical Equipment, Dental, 360, Intake, Modifications, and Provider Generated Sales). Plan, implement and manage the quality improvement/risk management program designed to enhance the quality of patient care, minimize claims and identify opportunities for improvement in the management of order/claims processing.
? Directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of services and cost effective utilization of necessary services.
? Builds trust through visibility and coordinates efforts to provide for the seamless transition of patients across the continuum of care.
? Manage, develop, and coach Specialty Services Managers, Supervisors, Leads and agents.
? Ensure team cohesiveness and communicate departmental goals by initiating meetings and team building activities
? Develop and implement SOPs to maximize operational efficiency and increase productivity; this will be accomplished through management of the department?s training specialist/supervisor(s)/manager (s)
? Develop training program for new employees in the Specialty Healthcare Services department
? Identify and coordinate solutions to opportunities for improvement in the current ordering process for Operations
? Implement quality control programs measures and programs
? Develops services that achieve a high level of customer satisfaction with emphasis on customer service, highest standards of quality and innovation.
? Manage to client expectations and service commitments
? Collaborates with Home Health Services and other departments in identifying and implementing innovative models and best practices with an emphasis on quality of care, service improvements and cost reduction.
? Establishes partnerships with BU leaders. Assures successful implementation of organizational strategies
? Oversees the development of department standards as identified by regulatory agencies including policies and procedures. Ensures policies, practices, and procedures comply with administrative, legal and regulatory requirements. Maintains a state of continuous regulatory readiness.
? Directs the budget and resource allocations for designated departments.
? Manages the financial performance and identifies and implements strategies to reduce costs and improve quality of care and services. Communicates effectively clients, continually seeking ways to improve and promote client relations.
? Proficient in workers? compensation and Property & Casualty cost containment programs and strategies
? Proficient in management of order management processes, call center operations, and outcomes measurement
? Proficient in Microsoft Office, including Word, Excel, Project, and Outlook
? Technical aptitude to review and analysis various file formats
? Solid presentation and public speaking skills
? Strong interpersonal and written communication skills
? Effective time management
? Ability to navigate at all levels of internal and external management structures
? Skilled negotiator
? Strong decision making skills
? Exceptional problem solving skills
? History of publishing within the PBM/WC space and or case presentations
? Bachelors degree in associated health sciences
? Background in workers? compensation or Property & Casualty
? Background in case management a plus
? Histories of developing programs from inception with proven outcomes
? Background in understanding state regulatory processes as they affect peer review reports
? Background or education in pharmacy clinical programs a plus
? Self starter
? Ability or demonstrated background in understanding/working with IT departments a plus
? Strong history in WC and/or insurance associations
||Duluth, GA |
THIS JOB HAS EXPIRED