This is a multi-faced position with a range of dynamic projects and responsibilities. This position is responsible for achieving objectives and goals related to all programs, initiatives, and activities within the department and responsible for the implementation and evaluation of campus programs, projects, and initiatives and regional operations. This individual should be capable of effectively completing high-level management projects, applying analytical and problem-solving skills to support campus operations, as well as fulfilling coordination and admin duties. The incumbent is responsible for contributing and monitoring the regional re-admission trends, help identify areas that require member outreach and engagement, and associate with primary care physicians and specialists. They will monitor project progress and outcomes of special projects and provide oral and written presentations as requested to share special projects with other departments and external entities. This position provides general assistance and supports the Regional Medical Director, VP of Clinical Operations, Sr. Director of Administrative Operations, interfaces Executive team, and all employees, and will assist with special projects. This is a role with fast-paced, on the job learning and potential for upward-mobility with excellent performance.
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Essential Duties and Responsibilities include the following:
- Identifies opportunities for the development and implementation of approaches that improve efficiencies and produce high-quality care and optimal outcomes for the region.
- Works collaboratively with internal departments and staff to produce reports as requested.
- Supports the implementation of programs and interventions implemented within the region.
- Manage administrative review for 30/60/90 days hospital readmission data/trends.
- Engage with specialty providers and primary care physicians to review opportunities that can be utilized to better serve the campus member population.
- Support the campus with health plan audits but not limited to post stabilization, NOMNC, and routine audits.
- Oversee ongoing projects, which includes researching cases where providers are not listed on authorization, utilizing Verify/Comply compliance tools, generating reports, verifying the completion of tasks by responsible parties, and facilitating communication among team members.
- Distribute key metrics, news, and information related to the campus leakage trends, utilization, and post discharge activity.
- Monitors and analyzes programs and interventions to ensure fidelity and optimal outcomes within the region.
- Tracks and manages ongoing performance metrics and reports.
- Conducts ad hoc analyses to support regional operations.
- Works cooperatively and collaboratively with the executive team as well as Medical Directors.
- Coordinates and performs other duties, as assigned.
The pay range for this position at commencement of employment is expected to be between $Â 70,304 year to $/80,000 year depending on experience ; Â however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
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The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
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Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
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If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
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As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
- Employer-paid comprehensive medical, pharmacy, and dental for employees
- Vision insurance
- Zero co-payments for employed physician office visits
- Flexible Spending Account (FSA)
- Employer-Paid Life Insurance
- Employee Assistance Program (EAP)
- Behavioral Health Services
Savings and Retirement:
- 401k Retirement Savings Plan
- Income Protection Insurance
Other Benefits:
- Vacation Time
- Company celebrations
- Employee Assistance Program
- Employee Referral Bonus
- Tuition Reimbursement
- License Renewal CEU Cost Reimbursement Program
- Business-casual working environment
- Sick days
- Paid holidays
- Mileage
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Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
Education and/or Experience:
- Masters degree preferred, but not required.
- Bachelors degree from four year university is preferred.
- At least 4 years prior full-time work experience (healthcare preferred).
- Ability to utilize advanced Microsoft Office Skills in projects, including Microsoft Excel graphing features, Microsoft Vizio flow charts, and Microsoft Word’s Memo feature.
- Strong quantitative skill set, including working knowledge of statistics and intermediate to advanced mathematics skills.
- Ability to stay organized, meet company and departmental goals, and turn in timely and high-quality deliverables to region management.
- Extremely strong verbal and written skill set. Ability to write high-level communications to executives.
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