Philadelphia, Pennsylvania
Healthcare Operations Manager Job Opening in Philadelphia, Pennsylvania - Job Summary:
Manages the operational aspects of ongoing projects and serves as liaison between project management and planning, project team. Responsible for coordinating subordinate employee recruitment, selection and training, performance assessment, work assignments, and actions. Oversees the status of operational issues, manages schedules and prepares reports. Monitors and develops resolutions to meet productivity, quality, and client-satisfaction goals and objectives.
Essential Duties and Responsibilities:
Responsible for the specific team performance in order to achieve the operational goals of timeliness, quality, and customer service
Identify and maintain appropriate staffing levels
Responsible for coordinating subordinate employee recruitment, performance assessment, work assignments, salary, and actions
Manage processes and procedures to ensure timely and quality completion of work according to clients contractual obligations
Responsible for the daily operational workflow, to include communication with external and internal customers, resolution of customer issues, and identify workflow concerns for specific cases and employees
Ensure the use of best practice workflows and operational excellence in activities are utilized and seeks methods of automating recurring processes
Direct the training of team members on workflow and contractual modifications expeditiously
Manage processes focused on effective customer service, ensure immediate escalation of issues, and participate in meetings to discuss the medical records process
Analyze and report on a monthly and quarterly basis operational statistics
Administer and monitor cost effective fiscal controls and services
Assist in providing timely and exceptional training for our providers (medical professionals) in QTC?s network
Responsible for monitoring and managing operational expenses (OPEX)
Perform other duties and responsibilities as assigned
Competencies:
Strong leadership skills with the ability to prioritize and delegate effectively
Sound knowledge and understanding of medical terminology and body systems
Possess and demonstrate skills necessary to analyze information, problems, procedures and situations
Strong working knowledge of electronic scheduling systems and Electronic Medical Records (EMR)
Strong working knowledge of case management programs
Education and/or Experience : ( includes certificate & licenses )
Bachelor?s degree from an accredited college preferably in a healthcare related field or equivalent experience/combined education
10 years of managed care/medical case management experience
Project management and medical case management life cycle experience is preferred
Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation
This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.
QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.
Job Type: Contract
Required education:
Bachelor's
Required experience:
Leadership: 10 years
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