Career Information

Massachusetts/Rhode Island MGMA provides this Career page as an affordable service to the medical practice community. Members and non-members are welcome to participate. Send your career notices to Info@mmgma.com in an email or as an email attachment. An attachment should be an original file [IE: Microsoft Word]. A notice will remain online for 30-days, but can be renewed for an additional 30-days at the same rate. Massachusetts/ Rhode Island MGMA members can post a career notice free of charge. The fee to nonmembers is $99 per notice. Payment needs to be received in full before the career posting is uploaded to the website.

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Credit Resolution Specialist - Brigham and Women's Hospital

General summary/overview
Reporting directly to the Central Credit Resolution Manager and under the general direction of the Central Business Services Senior Manager, the Credit Resolution Specialist performs a variety of functions to insure the resolution of including but not limited to: self pay and third party credit balances accurately and in a timely manner. Participate as directed in the root cause analysis of credit creation. Identify issues and trends.

Click here for full description


Apply to: https://partners.taleo.net/careersection/jobdetail.ftl?job=3087133&lang=en


Posted 7/2/19

Contract Management Analyst - Brigham and Women's Hospital

General summary/overview

Reporting directly to the Manager, Payer Relations and under the general direction of the Director, Central Business Services, the Contract Management Analyst is primarily responsible for financial reporting, analysis and identification of over and under payments utilizing the BWPO’s contract management software.

The Contract Management Analyst must have a general understanding of the revenue cycle and be able to identify opportunities to improve overall billing performance or explain variances from estimates. Responsibilities include developing a dashboard management report focused on contractual payment performance, contract reimbursement trend analysis, identification of contract set-up issues and overall performance data. The Contract Management Analyst will be responsible for preparing summaries and reports for the BWPO Finance Department.

Click here for full description

Apply to: https://partners.taleo.net/careersection/jobdetail.ftl?job=3087206&lang=en


Posted 7/2/19

Payer Relations Analyst  - Brigham and Women's Hospital

General summary/overview

Reporting directly to the Manager, Payer Relations and under the general direction of the Director, Central Business Services, the Payer Relations Analyst will serve as the day to day contact for appointed contracted and non-contracted payers. The primary goal of the Analyst is to establish and maintain positive and effective working relationships with assigned payers aimed at improving communication, operational efficiencies and revenue. This individual will work closely with staff across all BWPO Departments, with payers, as well as within other PHS entities.

Click here for full description

Apply To: https://partners.taleo.net/careersection/jobdetail.ftl?job=3087138&lang=en

Posted 7/2/19

Billing & Compliance Manager - Reliant Medical Group

 

Position: Full time 40 hours per week

Hours: Monday through Friday 8:00am -4:30pm 

No Weekends, No Holidays 

Department: Revenue Operations Business Office 


Responsible for all aspects of coding, charge entry, coding denial follow up and the Reliant Billing Compliance Program.  Manages the daily activities and processes of assigned staff and the training, development and streamlining of policies and procedures and workflow,  monitoring staff productivity, quality of work and related duties. Communicates coding issues and initiatives with Revenue Operations, IT and Clinical Operations staff including Directors, Managers, Leads, Physicians and Allied Health Providers. Ensures Billing Compliance Policy, in line with Optum Compliance, is completed and communicated annually.


Responsibilities

Coding Responsibilities:

  • Assures that coding and charge entry functions are performed accurately, efficiently and timely in accordance with regulations, department goals and carrier contracts as well as Corporate Targets and month end/year end requirements.
  • Manages and maintains an efficient work process with an emphasis on automation and maximizing Epic Resolute Billing and clinical coding use of the EpicCare electronic health record (from a coding perspective).
  • Integrates with Optum, all specified coding compliance data as required under Optum Coding Compliance Policies/Procedures.  Submits quarterly required reports to Optum Coding Compliance.
  • Manages lag time from date of service to charge entry for all points of service.
  • Measures and ensures staff productivity and accuracy within established standards
  • Assures the coding and charge entry process system-wide is compliant with governmental and payer guidelines.
  • Ensures that ICD, HCPCS and CPT coding are kept up-to-date and accurate. Works
  • Collaboratively with coding staff and RMG IT Dept on yearly upload of ICD, CPT and HCPCS Codes
  • Expands and improves on coding training and education sessions for the coding/charge entry staff, Revenue Operations staff and all RMG/SMG providers.
  • Manages Coding related rejections/denials via Coding follow-up, ensuring that accounts receivable days are minimized and revenues are maximized.  Works collaboratively with payers to resolve outstanding coding related A/R concerns and improve processes.  Ensures timely accurate appeals and resolution of coding-related denials received from Insurance or governmental carriers.
  • Collaborates with payors and with internal/external parties to resolve issues at a global level and expedite maximum reimbursement.  
  • Collaborates with contracting to ensure accuracy and optimization of reimbursement and communication of contractual issues as they relate to coding compliance.

 

Billing Compliance Program:

  • Manages Risk Adjustment (HCC) and Billing Compliance Auditors and associated Reliant program.  Develops team and integrates Reliant Billing Compliance Policy with Optum CCRA and other Optum auditing protocols.
  • Active participant in the Reliant Compliance Steering Committee
  • Acts as liaison for Optum CCRA (Coding Compliance Risk Analyzer) in both areas of Risk and Opportunity.
  • Assists auditors with difficult/challenging compliance meetings and programs as well as corporate wide educational efforts.
  • Ensures providers/clinical departments are notified of annual changes to CPT, ICD and HCPCS Code sets.

 

Coding and Billing Compliance:

  • Keeps abreast of Coding/Reimbursement regulations, Billing Compliance regulations (HCC and General) and other industry guidelines and changes.  Communicates changes accordingly.
  • Works closely with physicians, internal and external managers, administrators, team leaders and others to ensure that billing is optimized and is performed with-in regulatory guidelines.
  • Creates and maintains efficient work processes with emphasis on automation and maximizing the use of the Billing System.  Tracks/Trends reasons for coding denials and audit failures and recommends/implements change to reduce volumes.
  • Measures and ensures optimal staff productivity and accuracy.  Resolves discrepancies as required or directed.
  • Monitors assigned staff work-queue volumes to ensure productivity and quality of work and to identify areas requiring re-allocation of resources.
  • Meets with Clinical Operations, Managers, Team Leaders, Information Technology or others to ensure integration of revenue cycle and auditing activities.
  • Participates as an active involved member of the Revenue Operations management team. Reports on a variety of trends and/or information as required or directed.
  • Responds to administration and clinical department inquiries as required or directed.
  • Ensures compliance with regulatory agencies such as DPH, etc.  Develops and maintains procedures necessary to meet regulatory requirement.
  • Ensures that assigned area comply with clinic established policies, quality assurance programs, safety, and infection control policies and procedures.
  • Ensures adequate equipment and supplies for assigned area.
  • Ensures compliance to all health and safety regulations and requirements.
  • Performs similar or related duties as required or directed.
  • Regular, reliable and predicable attendance is required.


Qualifications

Bachelor’s Degree in Business Administration, Healthcare or related field.  Minimum of five (5) years health care Management experience in a multi-specialty physician group practice, billing agency or Hospital. Coding Certification required (CPC, CCS-P, etc.). CPMA is required. Demonstrated experience in professional billing environment/physician billing, reporting and revenue cycle including utilization of practice management systems and analytics. Demonstrated experience in Revenue Cycle Analytics. Must be proficient in use of Excel. Thorough knowledge of Medicare and Massachusetts third party payer requirements and billing compliance regulations. Understanding of Capitation and Global Risk Contracting Agreements/Billing.  Demonstrated knowledge of insurance rules and regulations and claims submission. Excellent interpersonal, organizational, and communication skills. Epic Resolute comprehension required within 12 months of start date.


Apply to: https://reliantmedicalgroup.org/careers/

Posted 6/21/19

Billing Compliance Auditor - Reliant Medical Group

 

Position: Full time 40 hours per week 
Hours: Monday through Friday 8:30am - 5:00pm 

No Weekends, No Holidays 

Department: Revenue Operations Business Office 

 

Responsible for performing internal coding audits and billing compliance reviews of various elements of physician billing for the organization.  Works within specified third party payer and federal (CMS) coding/billing regulations.   Develops training and education materials.  Provides training and education to providers, clinical department and Revenue Operations staff. Provides other internal billing-related compliance services to the organization as required. Measures coding trends as compared to national standards.

 

Responsibilities

Participates in the identification and resolution of areas requiring additional intervention through established Billing and Corporate Compliance work plans.    

Develops and implements clinic-wide training programs geared towards educating clinical and non-clinical support staff regarding compliance related topics and/or deficiencies identified through billing compliance audits.

 

  • Develops and delivers clinic-wide memorandums/educational materials pertaining to relevant revenue integrity initiatives.
  • Performs Hierarchal Condition Coding (HCC) reviews for Medicare Advantage program beneficiaries following established policy/procedure/process.  Identifies trends that result in lost HCC revenue and educates provider constituency as appropriate.
  • Assists in the review and update of annual Revenue Integrity & Education work plan and audit schedule.
  • Performs formal review of annual CPT/Diagnosis/HCPC changes and prepares educational documents by specialty highlighting significant changes.
  • Trains providers, staff and others in small and large group sessions.
  • Meets deadlines, productivity targets as defined in the Billing Compliance Work Plan.
  • Communicates effectively at all levels in the organization, including clinical and non-clinical support staff, practice managers, physicians, and medical leadership.
  • Conducts random and scheduled internal audits of physician billing and medical record documentation to ensure: Correct Coding (CPT, ICD-9, ICD-10, HCPCS, Modifiers), Accurate Data Entry, Accurate Charge Preparation/Processing, Compliance with governmental and third party billing regulations.
  • Utilizes Microsoft Excel / Word, to document and report audit results to the appropriate personnel, including physicians/providers and Medical Leadership.
  • Works collaboratively with clinical department physicians, mid-level providers and other staff to ensure appropriate and compliant documentation, coding and billing practices.
  • Develops and tracks progress of internal audit schedules.
  • Serves as an internal compliance resource for Patient Accounts, Clinical departments, and for coding and documentation questions.
  • Utilizes the Internet, intranet, internal reference library, available workshops and/or seminars and other sources to stay current with government and local third party payer coding, specialty-specific and reimbursement rules and requirements.
  • Measures and reports coding trends as compared to national standards; or claim/documentation reviews.  Documents and reports results to all appropriate parties.
  • Monitors and reports productivity and other data as requested by manager.
  • Participates in all governmental and third party insurance audits.
  • Assists in developing Revenue Integrity and Education Policies and Procedures.
  • Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
  • Complies with established departmental policies, procedures, and objectives.
  • Enhances professional growth and development through educational programs, seminars, etc. 
  • Maintains all Professional certifications.
  • Attends a variety of meetings, conferences, and seminars as required or directed.
  • Performs other similar and related duties as required or directed.
  • Regular, reliable and predicable attendance is required.


Qualifications

BS in Health Related Field, or RN, LPN with experience.  Certified Professional Coder required (CPC, CCS-P, CCS, CPC-A, CPC-H). Three (3) to five (5) years experience in ICD-9/ICD-10, CPT and HCPCS coding. Experience with auditing physician medical records utilizing E+M guidelines. Utilize standard scoring (CMS) methodologies to report findings to providers. Ability to employ clinical reference with the auditing process. Apply CPT and ICD-9/ICD-10 coding convention to documentation guidelines. Apply CMS and other payer constraints to final code and documentation determination. Demonstrated experience in the application of medical terminology, anatomy and physiology or successful completion of related college course. Demonstrated experience in a physician/professional billing environment. Demonstrated experience with third party payer guidelines. Experience with Microsoft Office Suite (Excel, Word, Power Point) or successful completion of related course. Must show proficiency in current billing software within six (6) months.


Apply to: https://reliantmedicalgroup.org/careers/

Posted 6/21/19

Practice Administrator - Brigham and Women’s Health Care Center, Pembroke, MA

Full-time, Days

Brigham and Women's Harbor Medical Associates is part of the Brigham and Women's Physicians Organization and is a multispecialty, primary care practice with more than 65 physicians in our several offices on the South Shore.

You will find our practice culture stimulating and rewarding. We value all our employees and offer comprehensive benefits. We are affiliated with Brigham and Women's Hospital, Dana-Farber/Brigham and Women's Cancer Center and South Shore Hospital.

Opening September 3, 2019, the newly constructed Brigham and Women’s Health Care Center- Pembroke is looking for a dynamic leader with a flexible entrepreneurial spirit to coach and build a high- functioning, customer-focused team in this ambulatory health care center.  Each of our team members must embody a commitment to high quality patient care standards, a commitment to collaboration and teamwork, and a dedication to putting every patient first, every day.   In addition to the new Pembroke location the Practice Administrator will be responsible for the overall operations of the Scituate and Hingham Primary Care Locations. 

Brigham and Women’s Health Care Center- Pembroke is a non-licensed satellite owned by Brigham and Women’s Physician Organization.  In addition, the position oversees the BWPO South Shore Hingham, and Scituate Primary Care Locations.  The three locations comprise of approximately 100-125 fulltime and part time staff across multiple practices.  The Practice Administrator is responsible for the administrative and clinical operations of the centers, with direct supervisory responsibility for the practice Managers and RN Flow Manager (The RN Flow Manager will have a dotted-line to the Ambulatory Nursing Director) and is responsible for all staff at the Center.  All staff is employed by BWPO.

The Practice Administrator will serve as the primary contact for clinical and administrative operations at BWPO’s Pembroke, Hingham and Scituate sites. He or she will participate in the BWPO Pembroke planning process.  The Practice Administrator will participate in the move of the current Pembroke and Hanover offices to the new Pembroke location.  The Practice Administrator is responsible for the ramping up and stabilization of the new Pembroke location as well as the Hingham location that opened January 2, 2019.  The Practice Administrator will take ownership of the sites’ operating budget including resolving administrative and financial issues relating to all clinical operations; and leading the implementation of BWPO’s clinical and non-clinical processes to ensure an integrated, high quality patient experience.  Working in partnership with Director of Operations, the Practice Administrator is the “face of Pembroke, Scituate, and Hingham” in the community, ensuring that the Brigham Health mission of improving the health and wellness of the global and local community is embodied at each practice site. 

Qualifications:

  • Bachelor’s degree required, Master’s Degree preferred.
  • Minimum of 10 years of progressive experience in operations, project management, and/or healthcare management required; additional years of experience in healthcare financial management/ analysis preferred.
  • Proven ability to build, lead, and retain high performing teams of diverse, multidisciplinary, multidisciplinary, multi departmental stakeholders at varied levels of academic and professional experience. 
  • Proven track record of delivering outstanding customer service in a high-volume setting.
  • Working experience in Massachusetts healthcare and/or similar academic medical center environment strongly preferred. 
  • Excellent communication skills a must.
  • A flexible, entrepreneurial, “can-do” attitude required.
  • Applicable, general knowledge of: Human Resource Management; Financial systems, payroll, expense, and budget management; Strategic planning and implementation; Information systems; Quality improvement process management; General understating of reimbursement issues; and Trend analysis.

For a complete job description and to apply online: https://partners.taleo.net/careersection/jobdetail.ftl?job=3086220&lang=en#.XQO710LSZZQ.email

Brigham and Women’s Physicians Organization is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, ancestry, age, veteran status, disability unrelated to job requirements, genetic information, military service, or other protected status.

Posted 6/17/19

Practice Administrator

Job Title: Administrator

General Summary: Ob/Gyn practice on the South Shore is seeking an administrator that will be responsible for successfully managing and operating medical practice involving all sites.  Provides staff with the resources required to meet patient needs and meet the financial objectives of the group practice.  Reports directly to practice partners.

Primary Job Responsibilities: 

  • 1.       Global oversight and implementation of goals of the practice.
  • 2.       Develops/implements long-range plans.
  • 3.       Manages the daily operations while developing, monitoring, and analyzing budget and financial information cost effectively.
  • 4.       Oversees HR and ensures effective administration/implementation of compensation, benefits, job descriptions, personnel policies and payroll practices.
  • 5.       Participates in the selection, training and supervision of all staff.
  • 6.       Participates in staff supervision, performance evaluation, merit increases and disciplinary actions.
  • 7.       Works with vendors to maintain clinical property, computer systems and installed software applications.
  • 8.       Resolves administrative and operational problems.
  • 9.       Ensures compliance with regulations and standards.
  • 10.   Gathers and reports data for fiscal and statistical analysis.
  • 11.   Coordinates with medical staff to ensure quality patient care and services are provided.
  • 12.   Serves as a liaison between clinic and external agencies.
  • 13.   Maintains the strictest confidentiality.

Education:  Master’s degree in health care administration, health administration

Experience:  Minimum 5 years executive-level experience including five years of experience in the administration of a health care organization.

Performance Requirements:

 Knowledge:

  • 1.       Knowledge of practice management computer systems and applications.
  • 2.       Knowledge of government and reimbursement regulations and requirements, specifically those of Medicare, Medicaid, managed care and other third party payor’s.

  Skills:

  • 1.       Skill in exercising a high degree of initiative, judgement, discretion, and decision-making to achieve organizational objectives.
  • 2.       Skill in planning, organizing, delegating and supervising.
  • 3.       Skill in leading employees to accomplish all job objectives while inspiring confidence and motivation.
  • 4.       Skill in verbal and written communication.

Abilities:

  • 1.       Ability to assume responsibility and exercise authority over assigned work functions.
  • 2.       Ability to foster teambuilding with all staff.
  • 3.       Ability to research and prepare reports or other correspondence as required.
  • 4.       Ability to competently use Microsoft Office, including Word, PowerPoint, Excel and appropriate practice management software.

Any interested candidates should send resumes to: resumes@southshorewomenshealth.com

Posted 5/13/19

Perfusionist - Cardiovascular Surgery 

Full-time position


Will be responsible for:

  • Monitoring and controlling extracorporeal perfusion equipment during cardiopulmonary bypass surgery and related procedures on patients of all ages, while under the direction of a physician and in accordance with established policies, procedures and standards of practice.
  • Selecting, assembling and preparing equipment and supplies for assigned cases.
  • Operating and maintaining equipment.
  • Monitoring and evaluating physiologic data and making adjustments in perfusion parameters as needed.
  • Administering prescription drugs, blood products and anesthetic agents through the extracorporeal circuit and inducing specified physiologic conditions, such as hypothermia and circulatory arrest, as ordered by a physician.
  • Assisting with inventory management.
  • Assisting with assigned projects in a collaborative cardiovascular team.

To qualify, you must have:

  • Graduated from an accredited Perfusion Training Program, with a Master’s or Bachelor’s degree preferred.
  • Current certification as a Clinical Perfusionist by the American Board of Cardiovascular Perfusion.
  • Perfusionist licensure through the Commonwealth of Massachusetts.
  • Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles and in depth, experienced based knowledge.
  • The ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations.

Boston Children’s Hospital offers competitive compensation and unmatched benefits, including an affordable health, vision and dental insurance, generous levels of time off, 403(b) retirement savings plan, cash-value pension plan, tuition reimbursement, and discounted rates on T-passes (50% off). Discover your best.

Boston Children’s Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.

Apply to: https://jobs.brassring.com/1033/ASP/TG/cim_jobdetail.asp?partnerid=368&siteid=5205&Areq=50051BR

Posted 4/18/19

Medical Billing Coordinator

Crown Colony Pediatrics Quincy, MA is seeking a Medical Billing Coordinator who will be responsible for planning, organizing and coordinating daily billing operations to ensure quality patient financial services for both the medical and behavioral health claims in collaboration with the Practice Administrator.

Responsibilities include providing administrative, clerical services, coding, billing, collection of payments and input into process improvement.

Overall Responsibilities:

• Management of the accounts receivable process and follow-up management of accounts in EPIC work queues.

• Ensure accuracy of detail and documentation of work done. This includes reviewing and correcting of claims for accuracy.

• Provide coding, billing and collection services on a daily basis to ensure the accuracy within the EMR system.

• Assist patients with billing issues and problem resolution

• Follow up on all pended claims. This includes calling the insurance company, document the findings and gather and send the necessary documentation to process or appeal the claims.

• Review EOBs to ensure accuracy and completeness of claims billing for the maximum reimbursement

• Perform billing functions and extensive knowledge in claims generation, charge review, denial management, and appeals processes

• Tracks, completes and manages the provider enrollment and credentialing process ensuring that all the appropriate paperwork is completed and sent to the appropriate hospitals and payers. Incorporates a tracking system in order to meet deadlines and ensure all appropriate documentation is in place.

• Review assigned accounts, expected payments, and follow up on outstanding payments beyond expected payment cycle

• Communicate with physicians, management team, and staff and outside facilities in a courteous, professional, and helpful manner. Communicates in an accurate and clear manner to share pertinent information that is concise in both written and verbal information.

• Provide professional services by assisting internal and external customers, answering questions, and emailing

• Monitor and assist with the referral process

• Assigned special projects that include producing monthly financial reports and visit reports

• Covers for the front desk sporadically

• Perform other related duties as assigned or requested


Education/Experience Requirements:

• High School Diploma required

• 3-5 years’ experience in Medical Billing required

• Thorough knowledge of Physician third party billing, collections and reimbursements required

• Knowledge of Pediatrics or General Primary Care preferred

• EPIC knowledge preferred


Qualifications/Skills/Abilities:

• Excellent organizational skills

• Ability to communicate at all levels

• Strong PC skills

• Qualified candidate must excel in interpersonal communication and customer service and be able to work both independently and as part of a team

• This includes the ability to professionally and diplomatically discuss difficult topics while promoting the company's position

• Must excel in organization and attention to detail

• Must have the ability to problem solve to logical conclusion and demonstrate initiative and responsibility

• Must have good listening skills, and be able to effectively and clearly communicate (written and verbal) in English

• Must possess sufficient dexterity to perform the essential responsibilities.


ENVIRONMENTAL/WORKING CONDITIONS: Work is performed in a medical practice environment. Involves frequent contact with staff and the public. Work may be stressful at times. Contact may involve dealing with angry or upset people.

PHYSICIAL/MENTAL DEMANDS: Work requires hand dexterity for office machine operation, stooping and bending to files and supplies, mobility to move charts, or sitting for extended periods of time. Must possess visual and auditory acuity in order to communicate with co-workers, patients and other customer groups. Possible exposure to chemical hazards, but is not limited to toxic hazardous substances. Must be able to lift up to 25 lbs.

Any interested candidates should send resumes to c.west@crowncolonypeds.com

Posted 4/11/19

Project Manager - Massachusetts General Hospital

The MGH/MGPO Practice Improvement Division is charged with optimizing and standardizing operations for MGH/MGPO ambulatory practices. Ambulatory Management provides consulting and practice support to the ambulatory practices of the MGH/MGPO and is charged with supporting ambulatory practices in improving operation, business and administrative outcomes. The Ambulatory Management Office partners with the Center for Ambulatory Services and Office of Patient Experience to set and communicate standards and best practices for ambulatory operations.

Within the Ambulatory Management Office there are three groups; Practice and Project Management (PPM), Data & Infrastructure, and Training & Communications. The incumbent will rotate into the three groups to be given the opportunity to develop skills and abilities applicable to all aspects of the Ambulatory Management Office strategy.

Reporting to the Program Manager of PPM, the Project Manager will support the core function of the PPM team in standardizing and optimizing ambulatory workflows using innovative protocols for increasing patient access, improving the patient experience, and leveraging technology for ambulatory care. The focus will be on the MGH/MGPO and patient expectations for operations and services and to connect practices with the resources available to improve operations and efficiency.

This position requires excellent judgment, communication skills, and the ability to prioritize multiple concurrent projects and work effectively within a matrixed organization. Also required are exceptional organizational skills, including effectively develop work plans, meeting deadlines and managing multiple complex projects within a fast-paced, changing environment. The incumbent will work independently and collaboratively to produce consistent, high-quality outcomes seeking advice as needed.

Click here for a full job description and responsibilities

Apply to: https://partners.taleo.net/careersection/jobdetail.ftl?job=3083783&lang=en

Posted 04/01/019

Market Operations Manager - Metrowest/Framingham, MA

Posted: 03/19/19


Helping people feel better isn’t just about the treatment we give – the relationships we create and the compassion we share are just as important. We build our teams at Tenet Healthcare with a special kind of person. People who care, inspire and believe in our shared ability to help others.

Description:

Tenet Physicians Resources, the practice management division of Tenet Healthcare, has an immediate need for an area Manager, Market Operations in the Metrowest/Framingham market.

The Manager, Market Operations (MOM) for the employed physician practices in the Metrowest market will conduct daily interactions in a way that demonstrates a positive organizational attitude and effectiveness and models the organization’s Mission, Vision and Values.

MOM’s are area managers, who manage and direct activities in the Metrowest market Physician Practices including physician human resources requirements, customer service, customer satisfaction, financials, Meaningful Use attestations, business information systems, practice profile analysis, and compliance with regulatory bodies.

Qualifications:

• Bachelor’s degree or related equivalent experience in health care or business administration.

• Three years practice management experience in a large multi-specialty group of physicians that included management responsibility of all operational areas including finance. Multi site management experience strongly preferred

• Proficiency in Microsoft Office and EMR’s

• Strong leadership skills and understanding of group processes, teamwork, and site/cost center based management

• Knowledge of third party payers

• Strong communication skills at all levels, including provider relations

• Ability to take initiative and exercise independent judgment, decision-making, and problem solving expertise

Apply to: https://jobs.tenethealth.com/job/massachusetts/market-operations-manager-metrowest-framingham-ma/1127/10754966

Practice Administrator - Martha Eliot Health Center

Full-Time Position


Posted March 15, 2019

At BCH, success is measured in patients treated, parents comforted and teams taught. It’s in discoveries made, processes perfected, and technology advanced. Also, in major medical breakthroughs and small acts of kindness and in colleagues who have your back and patients who have your heart. As a teaching hospital of Harvard Medical School, our reach is global and our impact is profound. Join our acclaimed Martha Eliot Health Center and discover how your talents can change lives.

The Practice Administrator will be responsible for:

  • Managing daily operational efficiency and coverage for assigned clinical areas by organizing work and work methods to ensure efficient use of staff time and equipment
  • Monitoring key performance indicators for assigned clinical areas and actively pursuing projects designed to boost operational performance
  • Collaborating with HR, Department Administrator and physician/nurse leaders, and managing human resources effectively through efficient staffing, coaching and development of staff, and setting and maintaining high work standards. Delegating authority, responsibility and work appropriately among subordinates
  • Preparing and monitoring the department/program operational schedules together with physician/nurse leaders. Monitoring operational and financial targets and variations in line with budget expectations
  • Operating as Subject Matter Expert in areas involving
    • Appointment scheduling
    • Visit encounter template development
    • Patient requests received via phone or online
    • Referral management
    • Administrative support for specific care providers
  • Collaborating with Hospital Compliance, physician and nurse leaders, to manage compliance with government regulations and 3rd party payor requirements
  • Engaging patients and families in troubleshooting and resolving difficult situations or challenging requests
  • Acting as administrative liaison between the department/program and hospital departments which may include ISD, Facilities, Marketing, outside vendors and contractors.  Serving as principle liaison to any other hospital on joint matters and shared programs. Serving on hospital task forces and committees, as appropriate
  • Directing and developing staff to look at service delivery workflows and processes and identifying opportunities for improvement of key performance metrics
  • Managing direct reports for all key activities including
    • Day to day support
    • Staff scheduling
    • Performance reviews
    • Staff professional development plans

To qualify, you must have:

  • Bachelors in Business Administration, Healthcare Administration or closely related field; Masters preferred
  • Minimum of 3 years applicable professional work experience, including at least 1 year of supervisory or management experience. Additional years of experience may substitute for degree
  • Lean Six Sigma and process improvement experience highly preferred
  • Ability to effectively manage the employees within assigned unit/department and to influence and negotiate with peer level managers on issues and programs that impact assigned unit/department. Work requires effectively dealing with conflicting views or issues and mediating fair and workable solutions
  • Skills necessary to solve complex problems in the areas of clinical/research operations, business planning, financial management, marketing, personnel and information systems management

This position is eligible for an Employee Referral Bonus.

BCH offers competitive compensation and unmatched benefits, including affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement and discounted rates on T-passes

BCH is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability

Apply to: 

https://jobs.brassring.com/1033/ASP/TG/cim_jobdetail.asp?partnerid=368&siteid=5205&Areq=49499BR

Regional Director of Operations - Primary Care - Cambridge Health Alliance

Full-time position


Posted January 29, 2019


Job Details: The Regional Director of Operations (RDO) is responsible for the overall operations, program development, patient/customer growth and provider retention of four or more primary care locations.


Responsibilities: Overall accountability for financial performance, service quality, staff oversight, patient experience and quality of care. Additionally, the RDO will provide support and direction for resolution of issues which impact multiple locations e.g. on call systems. Supervises all site leaders and provides support to the staff in the provision of the highest quality patient care delivered in a compassionate, culturally sensitive, efficient, and cost-effective manner. Responsible to assess and respond to the needs of the community. Leads and encourages innovation and initiates and leads quality improvement projects. Accountable for budget and financial performance. Responsible for ensuring promotion of professional development in all those under his/her supervision. Promotes a professional image by contributing to an atmosphere of respectfulness to patients, their families, members of the staff and other customers. Committed to the development of staff to reach their fullest potential. Serve as a mentor and coach. Responsible for maintaining and enhancing an exemplar culture of engagement within their region. Partner with other leaders in Primary Care and elsewhere to inculcate a similar culture throughout Primary Care.


Qualifications: Minimum of five years experience in a leadership role in large or multiple ambulatory practices preferred. Experience in primary care preferred. Master's degree (MBA, MHA or equivalent) required.


Apply to: http://www.Click2apply.net/zqxqp6jn9y8ryfth

Chief Operating Officer - University Gastroenterology


Posted January 17, 2019


University Gastroenterology (UGI), located in Providence, Rhode Island, seeks to recruit a new Chief Operating Officer (COO) who will lead the operations of the organization, drive continued growth and profitability and grow shareholder value. This role represents an exciting opportunity to provide operational leadership to a highly-regarded group of providers that comprises the largest gastroenterology medical group in the state. The COO will have a major impact serving as the most senior non-physician executive, contributing to the strategic, operational and clinical missions of the organization, while supporting the continued development of a high-quality program of clinical care that is a regional market leader.

UGI is a 26-physician single specialty group in Rhode Island with four major campuses. The group has 15 satellite offices and provides inpatient consultative services at several hospitals in the area. University Gastroenterology’s doctors are regionally recognized for their expertise in general gastroenterology, inflammatory bowel disease, liver disease, and therapeutic endoscopy.

Partnering with the newly elected President, the COO will play a major role in UGI’s ongoing expansion and building upon an already impressive reputation. Ideal candidates will have excellent physician relationship skills and an outstanding track record of leading a healthcare service business with a focus on operational excellence, patient experience and driving a positive, professional culture. Physician practice management experience highly preferred.

An attractive compensation package comprised of base salary, annual performance bonus, full benefits, and relocation assistance, if necessary, has been created to attract outstanding candidates. Bachelor’s degree in Business or Healthcare required; Master’s degree in healthcare administration or MBA preferred.

For consideration apply directly to:

Caroline Ellison

Recruiter, Healthcare Services

T: (404) 253-7363

Caroline.Ellison@kornferry.com


Director, Finance Practice Operations - Massachusetts Market

Posted January 9, 2019

This is a key strategic and tactical financial management position responsible for serving the market's administrative and physician leadership through the provision of advice, guidance, intellectual financial  and business "know how".  The position is part of the Executive Management team in Massachusetts and will provide support to the Sr. Director of Operations, Market Operations Managers, Physicians and Central Business Office of the Medical Group. The Director of Finance Operations position is responsible for the direct oversight and leadership of Finance, Capitated Managed Medicaid Incentive Programs, Due Diligence, Credentialing and Revenue Cycle Management functions associated with employed physicians and mid-level providers within the Massachusetts Market.  The Director of Finance will provide leadership and guidance to a professional team supporting Accounts Payable, Cash/Treasury and Central Business Office.  The position is responsible for interacting with market, region and home office finance and operations leadership in developing and maintaining sound financial systems and structures to ensure a profitable practice.

1.            Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet.

2.            Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.

3.            Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.

4.            Provides technical support for matters associated with budgets, targets, revenue recognition, compliance with GAAP, policies, procedures and guidelines.

5.            Provides advice/guidance for decision-making that is in line with the overall strategic goals of the organization.

6.            Supports the region on financial and operational management projections, reporting, budgetary controls, planning, and analysis as well as improvement initiatives.

7.            Exhibits exemplary customer service skills. Provides analysis and solutions of business problems.

8.            Continually educating the Market Operations Directors, Managers and Practice Managers on financial issues and budget control techniques; excellent communication skills.

9.            Facilitate and coordinate ideas for development of strategies for revenue and expense improvements required to fulfill the goals and objectives of each practice entity.

10.        Provide technical expertise to proactively drive and implement best practices across the finance and accounting functions.

11.        Provide leadership and guidance to finance, accounting and revenue cycle management staff related to hiring and training of the staff, annual performance evaluations, and organizing and leading the region.

12.        Participate in Monthly Operations Reviews with TPR and Region senior leadership.

13.        Provide finance and operations support for practice acquisition and De novo practices.

14.        Assist with development and communication of annual manpower plan and budgets.

15.        Lead various meetings with physicians, practice operations, revenue cycle management and TPR leadership.  Responsible for working with practice leadership to identify opportunities for improving EBITDA and cash flows.

16.        Participate in physician on-boarding activities related to Finance. Educate practice management on utilization of MSO chart of accounts, reviewing / understanding practice financials and various operational Finance activities (e.g.: daily cash and charge reconciliations and proper controls related to change funds).

17.        Provide oversight of market finance/accounting professionals to ensure timely and accurate completion of:

·         monthly, quarterly and annual physician financial accounting (accrual-based) reports

·         month end financial statements

·         journal entry review

·         financial statement variance analysis

·         contractual and bad debt reserve analysis

·         balance sheet reconciliations in accordance with Company policy with no reconciling items greater than 30 days

·         cost allocations within the practice financials

·         quarterly forecasts and annual budgets

·         monthly physician contractual reporting including salary adjustment and productivity calculations

Qualifications:

·         Bachelor's degree in Finance or Accounting required.  Master's degree preferred.

·         10+ years of progressive management level experience in Finance, Accounting or Audit field required.  Preferred progressive practical finance experience in an academic or large group practice and/or Fortune 500 experience a plus.  Sound experience and background in GAAP, internal accounting controls, research/grant accounting and patient care regulatory environment. The successful candidate will also have demonstrated leadership and supervisory abilities, including a commitment to diversity and inclusion and the ability to build effective teams.

·         Knowledge, Skills & Abilities:  Knowledge of Generally Accepted Accounting Principles.  Ability to effectively and professionally communicate, both in writing and verbally, with physicians, management, vendors, consultants and other clients.  Strong ability to work under pressure and meet tight deadlines.  Strong analytical problem solving aptitude with creative solutions.  Ability to organize work with large amounts of information efficiently, manage multiple projects and deadlines simultaneously with attention to detail in a fast-paced and results-oriented environment.  Must be computer literate with proficiency in Microsoft Outlook, Excel, Word and other accounting software packages.  Experience with Microsoft Access is preferred.

·         CPA preferred.

Resumes can be sent to Norma1.ochoa@tenethealth.com or Apply Here

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