Provider Contracting Manager jobs in Maine

Description

Work Type: Full Time

The Practice Manager is responsible for operational management of the practice(s) and is required to exercise a high degree of independent judgment and creativity to identify opportunities and problems, analyze data, develop initiatives and solutions and meet program goals. Responsibilities include day to day operational management, revenue integrity, budgeting, facilitating provider relations and managing within hospital policies, procedures and contracts.

JOB RESPONSIBILITIES (Essential Job Functions)

• Provides management, leadership, direction, and coordination of practice operations.
• Performs direct oversight and provides instruction to provider practice supervisors/leads as applicable.
• Maintains regular communications with Physicians and Advance Practice Providers within the practice and other medical staff involved with the department.
• Maintains practice budget and monthly financial operations. Responsible for planning and execution of financial goals.
• Coordinates the development of provider practice schedules and coordinates communication of initial and revised schedules, including call schedules as appropriate.
• Prepares quality and financial indicators for each provider practice and oversees success of those indicators.
• Manages Meaningful Use and Accountable Care Organization performance within organizational goals.
• Evaluates practice performance to State, Federal, and other conditions of participation and takes action as needed to maintain compliance.
• Establishes practice operating policies and procedures to improve operating efficiency and reviews and updates policies annually.
• Addresses patient complaints according to hospital policy for each practice.
• Leads office staff recruitment.
• Participates in provider recruitment.
• Participates in marketing development for provider practices.
• Supports high standards of patient care.
• Maintains confidentiality according to hospital policies.
• Demonstrates a clear understanding of, and commitment to, the hospital’s mission, vision and values as well as service excellence standards while completing all tasks and responsibilities.
• Maintains reliable attendance and punctuality.
• Complies with the Code of Conduct and all appropriate policies and procedures.
• Other duties, as assigned, that are relevant to the position and department.

Requirements

MINIMUM QUALIFICATIONS:

• Education: Bachelor’s Degree or equivalent combination of education and experience. Certified Medical Practice Executive (CMPE) completion within 6 months of employment.
• Experience: 3-5 years of progressive, supervisory experience preferred.
• Demonstrated ability to assess and lead professionals and manage others through influence and collaboration.
• Demonstrated ability to conduct and interpret quantitative and qualitative analysis.
• Must have excellent interpersonal and verbal and written communication skills.
• The ability to prioritize multiple agendas, issues and concerns, including the ability to follow through on commitments and issues in an accurate and timely manner is required.
• Demonstrates attributes of a leader
• Understanding of current regulatory, licensure and accreditation issues.
• Ability to handle sensitive issues in a tactful, constructive manner, with a view to problem resolution.
• Ability to work independently as well as in a team setting.