USA
8 days ago
DIRECTOR OF MARKET ENGAGEMENT
JOB PURPOSE: The Director of Market Engagement is responsible for developing and executing strategies as well as day-to-day oversight of all market engagement functions while ensuring enterprise goals are met and adhering to DOH and CMS guidelines. This role involves in managing the recruitment, retention, and performance management of CenterLight network of providers. This position works closely with the executive team and clinical leaders to foster a collaborative and supportive environment for CenterLight and its affiliates network of medical providers. JOB RESPONSIBILITIES: + Establish a robust provider on-boarding process that includes payment term and method of payment (ACH as a requirement) to ensure accuracy and payment integrity that is free of FWA (fraud, waste, and abuse). + Works in conjunction with Business Development and Financial Operations personnel to communicate provider performance and outcomes to providers. + Work closely with payment integrity vendors to ensure accuracy and quality of work striving for efficiency and cost savings while minimizing provider disruption and abrasion. + Promote a positive work environment that supports provider satisfaction and engagement. + Promote collaboration and integration among providers to improve care coordination and patient outcomes. + Develop and implement administrative policies and procedures that enhance operational efficiency and compliance. + Develop and maintain strong, positive relationships with physicians, advanced practice providers, and other healthcare professionals. + Address and resolve provider issues and concerns promptly and effectively. + Promote a culture of engagement, collaboration, and professional satisfaction among providers. + Facilitate effective communication between providers and the organization’s clinical staff. + Promote provider collaboration and integration to improve care coordination and patient outcomes. + Collaborate with the executive team to develop and execute strategic plans related to provider engagement. + Identify opportunities for improving provider satisfaction and organizational alignment. + Identify opportunities for process improvements and innovation within administrative functions. + Monitor financial performance, implement cost-control measures, and identify opportunities for revenue enhancement. + Build and maintain strong relationships with key stakeholders, including medical staff, patients, community leaders, and partners. + Represent the organization in external meetings, conferences, and community events. + Lead departmental in responding, including closing the loop on any potential Corrective Action Plan (CAPs), to internal and external audit inquiries (including CMS, NY DOH, and other government agencies) for all CenterLight legal entities, ensuring timely delivery of requested information. + Work on special projects as assigned. Management Standards + Policies and Procedures: (1) Create Policies and Procedures needed, (2) Monitor Compliance, (3) Ensure all employees are aware of the policies, (4) Review them annually, (5) Discuss and obtain final approval of new or revised policies with the P&P committee annually. + Responsible for overseeing the day-to-day operations of multiple departments. Your role is crucial in ensuring efficiency, maintaining quality, and upholding regulatory standards and KPIs. + Conduct regular risk assessments to identify areas of potential non-compliance and vulnerability within the organization, developing strategies and controls to mitigate risks and strengthen compliance efforts. + Anticipate industry trends and implement best practices and process improvements to enhance operational effectiveness and streamline workflows. + Identify cost-saving opportunities and revenue enhancement strategies to optimize financial performance. + Cultivate strong relationships with key stakeholders, including clients, partners, regulators, and community organizations. + Clearly communicate performance expectations to all employees, including goals, objectives, and key performance indicators (KPIs), ensuring alignment with the organization's strategic objectives and values. + Provide timely and constructive feedback to any employee under your organizational structure (Employees and Management at any level) regarding their performance, highlighting strengths, areas for improvement, and opportunities for growth. Address performance issues promptly to prevent them from escalating, maintaining accurate and comprehensive documentation. + Lead departmental in responding, including closing the loop on any potential Corrective Action Plan (CAPs), to internal and external audit inquiries (including CMS, NY DOH, and other government agencies) for all CenterLight legal entities, ensuring timely delivery of requested information. + Promote a high-performance and continuous improvement culture that values learning and a commitment to quality. Schedule: 8:30AM – 5:30PM Weekly Hours: 40 QUALIFICATIONS: Education: + Bachelor's degree in healthcare administration, Business Administration, or a related field. + Master’s degree, preferred. Experience: + Minimum of six (6+) years of experience in healthcare operations. management, with at least two (2+) years in a senior leadership role. + Proven track record of successful operational management in a healthcare setting. + Strong understanding of healthcare regulations, accreditation, and quality standards. + Excellent leadership, communication, and interpersonal skills. + Ability to think strategically, drive change, and deliver results in a complex healthcare environment. + Experience in using metrics and analytics to quantify goals and results and in presenting information in usable forms. + Excellent written and verbal communication skills are essential as this position will be interacting with various departments across the organization and external parties, including government agencies. + Basic financial acumen and experience with budget management and financial performance analysis. + Must be able to manage and deal with conflict and stressful situations in a calm, reasonable and composed manner. Physical Requirements Individuals must be able to sustain certain physical requirements essential to the job. This includes, but is not limited to: + Standing – Duration of up to 6 hours a day. + Sitting/Stationary positions – Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods. + Lifting/Push/Pull – Up to 50 pounds of equipment, baggage, supplies, and other items used in the scope of the job using OSHA guidelines, etc. + Bending/Squatting – Have to be able to safely bend or squat to perform the essential functions under the scope of the job. + Stairs/Steps/Walking/Climbing – Must be able to safely maneuver stairs, climb up/down, and walk to access work areas. + Agility/Fine Motor Skills - Must demonstrate agility and fine motor skills to operate and activate equipment, devices, instruments, and tools to complete essential job functions (ie. typing, use of supplies, equipment, etc.) + Sight/Visual Requirements – Must be able to visually read documentation, papers, orders, signs, etc., and type/write documentation, etc. with accuracy. + Audio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information from patients, community members, co-workers, clients, providers, etc., and intake information through audio processing with accuracy. In addition, they must be able to speak comfortably and clearly with language motor skills for customers to understand the individual. + Cognitive Ability – Must be able to demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis to satisfy essential functions of the job. Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company. We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Salary Range (Min-Max):$140,000.00 - $150,000.00
Confirm your E-mail: Send Email
All Jobs from CenterLight Health System