Medical Management Manager manages the organization's medical management programs, which may include case management, utilization review, quality management, or community health education programs with the goal of providing high quality, cost effective health care services. Collects and analyzes data on utilization, outcomes, safety, and costs to determine trends and identify problem areas. Being a Medical Management Manager presents findings, proposed solutions, and implementation plans to management. Implements long and short term solutions for improvements in patient care and cost savings. Additionally, Medical Management Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Management Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Management Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
WELLBE INTRODUCTION
The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. Care is provided throughout the entire continuum of care – from chronic care and urgent care in the home, to hospital, to skilled nursing facility, to assisted living, to palliative care, to end of life care. WellBe's physician/advanced practicing clinician led geriatric care teams’ partner with the patient’s primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum.
GENERAL SUMMARY
We are looking for an individual with deep transformational change experience in community-based care who is looking for an exciting challenge to join WellBe’s Performance Management Team to help transform the organization through data-driven process improvement. This is a high-visibility, “in-the-trenches” role and will include daily interaction with our Performance Management Team, field operations, IT and analytics teams. You will be expected to leverage your transformational change expertise to help identify opportunities to minimize defects and improve process outcomes, while demonstrating an ability to produce executive level deliverables and solid judgement when solving problems.
Some of your work products will include financial analyses, process performance reports, process flows, group meeting facilitation, and interdepartmental relationship development. The ideal candidate will be a high-performing hands-on individual who has proven delivery with a strong understanding of operations and technology. You will have excellent communication skills, attention to detail and the ability to form the big picture. You likely thrive under pressure and see ambiguity and uncertainty as your opportunity to solve problems, innovate and deliver.
You will be expected to work both independently and as part of a team within a highly cross-functional environment. IT is critical the Performance Management Team serves as the connective tissue across the organization to drive true cross-functional collaboration and alignment while achieving lasting change. This is truly an exciting time of transformation and provides tremendous opportunity for lasting impact and influence.
POSITION RESONSIBILTIES
QUALIFICATIONS
Educational/Experience Requirements:
Required Skills and Abilities:
Travel requirements: 25% local or national travel required
Work Conditions: This position will work in a variety of settings, e.g. office. The noise level in the work environment is usually moderate. Requires prolonged sitting. Requires bending, stooping, twisting, kneeling, crouching, crawling and/or stretching from seated or standing positions. Requires eye-hand coordination and manual dexterity sufficient to operate medical equipment, frequently operates a keyboard, telephone, copier, calculator and other office equipment. Manual dexterity and coordination necessary to operated office equipment, telephone, keyboard, copier and calculator. Requires close vision, peripheral vision, and ability to adjust visual focus, hearing and smelling. Must be able to communicate information via telephone or computer. Requires moderate to intense concentration due to complexity. Must be able to lift and/or move up to 25 lbs.
The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.
WellBe Senior Medical is an equal opportunity employer. We embrace diversity, inclusion, and equity and encourage all interested readers to apply at wellbeseniormedical.com/careers.