Director, Enterprise Provider Based Clinics

Full Time
Morgantown, WV
Posted
Job description

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Responsible for the compliant, and financially optimal effective operations of provider-based locations at all facilities at WVU Medicine. Collaborating with Sr. leadership, Physician Services Leadership and individual facility leadership, this position will assure regulatory compliance, and optimal financial performance in each provider-based clinic.

Responsible for the compliant, and financially optimal effective operations of provider-based locations at all facilities at WVU Medicine. Collaborating with Sr. leadership, Physician Services Leadership and individual facility leadership, this position will assure regulatory compliance, and optimal financial performance in each provider-based clinic.

MINIMUM QUALIFICATIONS :

EXPERIENCE, EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s Degree in Business Administration, Accounting, Finance, or Hospital Administration AND Seven (7) years of healthcare finance experience AND Five (5) years of management experience

OR

Master’s Degree in Business Administration, Accounting, Finance, or Hospital Administration within one year of hire AND Five (5) years of healthcare finance experience AND Three (3) years of management experience

PREFERRED QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Master of Business Administration

EXPERIENCE:

1. Experience with provider-based clinics

2. Experience leading critical projects

3. Experience working with Executive Leadership

4. Management experience

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Direct provider-based clinic strategies and operations by working collaboratively to define operations expectations and best practices for standard key operations around the development of policies and procedures.

2. Develop and implement operations controls designed to maintain compliance with provider-based regulations.

3. Prepare and maintain best practice toolkits, documents, and resources on provider-based clinic, such as regulatory compliance, financial, reporting, legal and billing structure.

4. Ensure efficient and effective implementation of policies and procedures and ensure adherence to these standards for provider-based clinics.

5. Assist with financial reviews and participate in provider-based billing revenue cycle analysis.

6. Continually educate and inform WVUM Steering Committee, individual facility leadership, physician services leadership and division leader ship on provider-based best practice structures and regulatory compliance. Empower local resources with training and tools to identify opportunities and issues.

7. Evaluation of new PBB clinic locations and providing direction and guidance for the set-up of new PBB locations.

8. In partnership with WVUM legal and compliance, adequately document and maintain centralized and accessible documentation for provider-based regulatory compliance for each provider-based location at all facilities and determine adequacy of controls.

9. Complete the due diligence/assessment of new hospital entities joining WVU Medicine to ensure locations are compliant.

10. Develop and audit existing PBB locations on a rotating basis to ensure each location maintains compliant with CMS regulations.

11. In coordination with the hospital CFO and Reimbursement Team, assure adequate and appropriate cost reporting for each provider-based location at all facilities.

12. Assist with provider-based clinic questions, guiding directors and managers on practice related issues.

13. Serve as a direct support to the AVP on special projects as needed.

14. Takes a leadership role in contributing positively to the teamwork of the department by assisting co-workers, contributing ideas, and problem-solving with co-workers.

15. Takes a leadership role in performance improvement through planning and implementing change and maintaining and improving productivity through attendance and participation in staff meetings, committees, task forces, cross functional groups, projects and discussions with hospital management and staff.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must be able to sit for extended periods of time.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Office environment.

2. Ability to work remotely.

SKILLS AND ABILITIES:

1. Frequently communicates complex information and interacts with management. Present, resolve, and address delicate situations.

2. Ability to incorporate complex and complicated functions into documents, spreadsheets, databases, and presentations to support business objectives.

3. Analysis or interpretation of the situation. Problems are solved using knowledge and skills, g eneral precedent, and practices.

4. Decisions impact the management and operations within a department. May contribute to business and operational decisions that affect the department.

5. Provides and sets goals and priorities for functional area. R ecommend department policies, practices, and programs. Makes decisions for and/or resolves problems for others.

6. Handle multiple projects simultaneously including task delegation, project over-sight, and resource allocation.

MINIMUM QUALIFICATIONS :

EXPERIENCE, EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s Degree in Business Administration, Accounting, Finance, or Hospital Administration AND Seven (7) years of healthcare finance experience AND Five (5) years of management experience

OR

Master’s Degree in Business Administration, Accounting, Finance, or Hospital Administration within one year of hire AND Five (5) years of healthcare finance experience AND Three (3) years of management experience

PREFERRED QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Master of Business Administration

EXPERIENCE:

1. Experience with provider-based clinics

2. Experience leading critical projects

3. Experience working with Executive Leadership

4. Management experience

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Direct provider-based clinic strategies and operations by working collaboratively to define operations expectations and best practices for standard key operations around the development of policies and procedures.

2. Develop and implement operations controls designed to maintain compliance with provider-based regulations.

3. Prepare and maintain best practice toolkits, documents, and resources on provider-based clinic, such as regulatory compliance, financial, reporting, legal and billing structure.

4. Ensure efficient and effective implementation of policies and procedures and ensure adherence to these standards for provider-based clinics.

5. Assist with financial reviews and participate in provider-based billing revenue cycle analysis.

6. Continually educate and inform WVUM Steering Committee, individual facility leadership, physician services leadership and division leader ship on provider-based best practice structures and regulatory compliance. Empower local resources with training and tools to identify opportunities and issues.

7. Evaluation of new PBB clinic locations and providing direction and guidance for the set-up of new PBB locations.

8. In partnership with WVUM legal and compliance, adequately document and maintain centralized and accessible documentation for provider-based regulatory compliance for each provider-based location at all facilities and determine adequacy of controls.

9. Complete the due diligence/assessment of new hospital entities joining WVU Medicine to ensure locations are compliant.

10. Develop and audit existing PBB locations on a rotating basis to ensure each location maintains compliant with CMS regulations.

11. In coordination with the hospital CFO and Reimbursement Team, assure adequate and appropriate cost reporting for each provider-based location at all facilities.

12. Assist with provider-based clinic questions, guiding directors and managers on practice related issues.

13. Serve as a direct support to the AVP on special projects as needed.

14. Takes a leadership role in contributing positively to the teamwork of the department by assisting co-workers, contributing ideas, and problem-solving with co-workers.

15. Takes a leadership role in performance improvement through planning and implementing change and maintaining and improving productivity through attendance and participation in staff meetings, committees, task forces, cross functional groups, projects and discussions with hospital management and staff.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must be able to sit for extended periods of time.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Office environment.

2. Ability to work remotely.

SKILLS AND ABILITIES:

1. Frequently communicates complex information and interacts with management. Present, resolve, and address delicate situations.

2. Ability to incorporate complex and complicated functions into documents, spreadsheets, databases, and presentations to support business objectives.

3. Analysis or interpretation of the situation. Problems are solved using knowledge and skills, g eneral precedent, and practices.

4. Decisions impact the management and operations within a department. May contribute to business and operational decisions that affect the department.

5. Provides and sets goals and priorities for functional area. R ecommend department policies, practices, and programs. Makes decisions for and/or resolves problems for others.

6. Handle multiple projects simultaneously including task delegation, project over-sight, and resource allocation.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Days (United States of America)

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

WVUH West Virginia University Hospitals

Cost Center:

540 SYSTEM Finance and Reimbursement

Address:

3040 University Ave

Morgantown

West Virginia

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