Address
Form of workKaiser Permanente / The Southeast Permanente Medical Group, (TSPMG)
Sr Manager Business Operations - Specialty Care/ Women's Services
The Sr Mg Bus Ops Specialty Care, under the direction of the Director of Specialty Services Operations in partnership with physician leaders and collaboration with health plan partners, provides operational leadership and business strategy support for the medical group's specialty care departments. The position interfaces directly with department chiefs, physician administrative leaders as well as nursing management and other operational directors to ensure operational efficiency and high-level of performance. Key focus areas of the role include managing appointment access and provider allocations, financial analysis, and claims data mining, identifying, and managing process improvement projects, building business cases, and leading new service internalizations, and supporting chiefs with strategic insights and business management expertise for the optimal functioning of their practices.
Management of Staff
1. Describe the formal or informal level of guidance, leadership, and/or managerial responsibility
required of the job. (i.e., hiring, performance management etc.).
a. Supervises a team of 2-5 employees including entry-level practice management coordinators.
b. The Senior Manager must ensure the proper allocation of his/her employees across departments and initiatives.
c. Manages direct reports with respect to development opportunities and performance improvement, as needed
Major Responsibilities/Essential Functions
1. Partners with specialty department chiefs and physician leaders to provide strategic direction and operations management expertise for sub-set of specialty care departments (medical, procedural, surgical).
2. Utilizing operations research, data analytics and performance monitoring tools, manages specialty department access to ensure high provider utilization as well as readily available appointment access for patients. Makes data-driven recommendations to chiefs on provider allocations (sub- specialists, locations of practice, procedural vs clinic time).
3. Conducts utilization and external claims analysis and continuously monitors trends to ensure right care happens with right provider and right place of service. When adverse trends are observed, rapidly performs root-cause analysis and presents findings and recommendations to chiefs and physician leaders for remediation - leads execution of these plans.
4. Identifies and leads operational and clinical process improvement (PI) projects. Convenes and leads cross-functional team of MDs (often from multiple departments), nurses and operations management in formal PI process including tests of change and establishing sustainability checks/tools.
5. Seeks opportunities to reduce expenses and improve quality of care by internalizing medical and surgical services into the KP delivery system, to include creation of required business cases.
6. Provides direct supervision of one-to-two Practice Management Coordinators. Collaborates closely with business operations managers, directors, and physician leaders to allocate practice management coordinator and other staff resources to department projects and strategic initiatives. Provides mentorship and coaching, when needed to staff in the areas of project management, data analytics, process improvement, physician schedule management.
Minimum Education
• Master of Business Administration in marketing, strategy, health care administration and/or other related areas.
Minimum Work Experience and Qualifications
• Ability to work closely with physician leaders and use a consultative approach to make change within a highly matrixed organization.
• Proven track record of achieving objectives through motivating and leading teams from a position of influence.
• Ability to establish positive, professional relationships with senior leadership and management team members.
• Excellent demonstrated use of quantitative reports and analysis.
• Analytical skills utilizing Microsoft Office applications or similar applications in order to analyze large volumes of data.
• Proficient with the use of Excel, PowerPoint, and Word.
• Excellent project management experience.
• Training and experience in leading process improvement projects and change management.
• Demonstrated organizational and problem-solving skills, as well as strategic and systems thinking capability.
• Demonstrate proven track record of managing multiple complex projects simultaneously.
Preferred Work Experience and Qualifications
• Work experience in large multi-specialty medical group business practices.
• Understanding of CPT and ICD9 coding and claims analysis.
• Thorough understanding of the insurance industry and HMO regulations, including State and Federal laws.
• Certification in Process Improvement.
• Experience managing employees at multiple levels and with diverse skillsets.
The Southeast Permanente Medical Group (TSPMG) is one of Georgia's largest independent, physician-owned, multi-specialty medical groups. More than 600 physicians and 200 associate practitioners work together in a unique integrated care model to provide high-quality care to over 315,000 Kaiser Permanente members. Care is delivered at 26 medical offices featuring state-of-the-art equipment, labs, imaging services, and pharmacies. We also provide surgical services and around the clock care at some of the area's top hospitals.
TSPMG offers a competitive salary, a generous retirement package, paid time off, health, dental, vision, and life insurance, long and short-term disability, relocation allowance, and more. We also offer numerous clinical and non-clinical learning opportunities and physician leadership development.
Atlanta, our home for more than 30 years, is a thriving metropolis that blends southern charm with modern art, music and culture. Learn more about our beautiful southern city at www.atlanta.com.
We are an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status. We maintain a drug and nicotine free workplace and perform pre-employment substance abuse testing.
Sr Manager Business Operations - Specialty Care/ Women's Services
The Sr Mg Bus Ops Specialty Care, under the direction of the Director of Specialty Services Operations in partnership with physician leaders and collaboration with health plan partners, provides operational leadership and business strategy support for the medical group's specialty care departments. The position interfaces directly with department chiefs, physician administrative leaders as well as nursing management and other operational directors to ensure operational efficiency and high-level of performance. Key focus areas of the role include managing appointment access and provider allocations, financial analysis, and claims data mining, identifying, and managing process improvement projects, building business cases, and leading new service internalizations, and supporting chiefs with strategic insights and business management expertise for the optimal functioning of their practices.
Management of Staff
1. Describe the formal or informal level of guidance, leadership, and/or managerial responsibility
required of the job. (i.e., hiring, performance management etc.).
a. Supervises a team of 2-5 employees including entry-level practice management coordinators.
b. The Senior Manager must ensure the proper allocation of his/her employees across departments and initiatives.
c. Manages direct reports with respect to development opportunities and performance improvement, as needed
Major Responsibilities/Essential Functions
1. Partners with specialty department chiefs and physician leaders to provide strategic direction and operations management expertise for sub-set of specialty care departments (medical, procedural, surgical).
2. Utilizing operations research, data analytics and performance monitoring tools, manages specialty department access to ensure high provider utilization as well as readily available appointment access for patients. Makes data-driven recommendations to chiefs on provider allocations (sub- specialists, locations of practice, procedural vs clinic time).
3. Conducts utilization and external claims analysis and continuously monitors trends to ensure right care happens with right provider and right place of service. When adverse trends are observed, rapidly performs root-cause analysis and presents findings and recommendations to chiefs and physician leaders for remediation - leads execution of these plans.
4. Identifies and leads operational and clinical process improvement (PI) projects. Convenes and leads cross-functional team of MDs (often from multiple departments), nurses and operations management in formal PI process including tests of change and establishing sustainability checks/tools.
5. Seeks opportunities to reduce expenses and improve quality of care by internalizing medical and surgical services into the KP delivery system, to include creation of required business cases.
6. Provides direct supervision of one-to-two Practice Management Coordinators. Collaborates closely with business operations managers, directors, and physician leaders to allocate practice management coordinator and other staff resources to department projects and strategic initiatives. Provides mentorship and coaching, when needed to staff in the areas of project management, data analytics, process improvement, physician schedule management.
Minimum Education
• Master of Business Administration in marketing, strategy, health care administration and/or other related areas.
Minimum Work Experience and Qualifications
• Ability to work closely with physician leaders and use a consultative approach to make change within a highly matrixed organization.
• Proven track record of achieving objectives through motivating and leading teams from a position of influence.
• Ability to establish positive, professional relationships with senior leadership and management team members.
• Excellent demonstrated use of quantitative reports and analysis.
• Analytical skills utilizing Microsoft Office applications or similar applications in order to analyze large volumes of data.
• Proficient with the use of Excel, PowerPoint, and Word.
• Excellent project management experience.
• Training and experience in leading process improvement projects and change management.
• Demonstrated organizational and problem-solving skills, as well as strategic and systems thinking capability.
• Demonstrate proven track record of managing multiple complex projects simultaneously.
Preferred Work Experience and Qualifications
• Work experience in large multi-specialty medical group business practices.
• Understanding of CPT and ICD9 coding and claims analysis.
• Thorough understanding of the insurance industry and HMO regulations, including State and Federal laws.
• Certification in Process Improvement.
• Experience managing employees at multiple levels and with diverse skillsets.
The Southeast Permanente Medical Group (TSPMG) is one of Georgia's largest independent, physician-owned, multi-specialty medical groups. More than 600 physicians and 200 associate practitioners work together in a unique integrated care model to provide high-quality care to over 315,000 Kaiser Permanente members. Care is delivered at 26 medical offices featuring state-of-the-art equipment, labs, imaging services, and pharmacies. We also provide surgical services and around the clock care at some of the area's top hospitals.
TSPMG offers a competitive salary, a generous retirement package, paid time off, health, dental, vision, and life insurance, long and short-term disability, relocation allowance, and more. We also offer numerous clinical and non-clinical learning opportunities and physician leadership development.
Atlanta, our home for more than 30 years, is a thriving metropolis that blends southern charm with modern art, music and culture. Learn more about our beautiful southern city at www.atlanta.com.
We are an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status. We maintain a drug and nicotine free workplace and perform pre-employment substance abuse testing.
