Health Insurance Operations Director jobs in Washington

Description

The Director, Clinical Operations is accountable for leadership, direction, and administration of pediatrics within the Providence Medical Group Division. This position is accountable for the outcomes of the division to ensure efficient, high quality, coordinated, patient care across all settings. The Director builds relationships resulting in compassionate care and committed teams within Providence Medical Group and with all of it's stakeholders. The work is completed with a thorough understanding and commitment to the Providence Core Values and Leadership Model. The Director will be an integral pat of the Health Care Delivery Network team. They will actively collaborate with other regional Divisions and teams to achieve desired outcomes for the entire organization. The Director will make decisions affecting strategy, implementation of programs and management of resources. They may also act as a practice leader and manager of clinical leadership and physicians within the designated Providence Medical Group Division.

ESSENTIAL FUNCTIONS

• Based on analysis, develops recommendations for program and service development or expansion.
• Collaborates effectively across programs, hospitals and with all clinical and business divisions to develop and/or enhance programs and service delivery in a coordinated way to best serve our patients and community.
• Provides leadership for strategic planning, clinical experience, fiscal accountability, patient satisfaction, operational effectiveness, and positive relationships with other departments, hospitals, physician practices and stakeholders within scope and span of control.
• Develops overall budget and targets to ensure financial performance measure are met for Providence Medical Group division.
• Partners with providers to ensure presence of on-going quality improvement program by providing leadership for patient safety, quality improvement, service excellence, physician satisfaction, and program growth and development.
• Develops and maintains productive working relationships with all key constituents.

QUALIFICATIONS

• Bachelor's Degree in Health care, business, economics or related field.
• Master's Degree (preferred).
• 7 years of management or administrative experience in health care, preferably with integrated health delivery network.
• Solid financial background gained through both operations and strategic planning.
• Ability to develop strong working relationships with physicians and other health care professionals.
• Working knowledge of healthcare reimbursement principles, information systems, cost management, quality management and culture of experience and change management.
• Understand and be comfortable in a matrix structured environment.
• Understand the needs and preference of population served and manage the efficiency and quality of services for patient population cross service lines and divisions, in concert with physician partners.
• In depth knowledge of healthcare business operations specific to ambulatory health care.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence Physician Enterprise (PE) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PE is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 270766

Company: Providence Jobs

Job Category: Clinical Administration

Job Function: Clinical Support

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 3042 CLINIC OPERATIONS

Address: WA Spokane 20 W 9th Ave

Work Location: Mother Gamelin Ctr-Spokane

Pay Range: $62.08 - $99.92

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.