Director, Business Operations & Contract Management, Physician Services Admin, Full time, Days

Title of the Job: Director, Business Operations & Contract Management, Physician Services Admin, Full time, Days

Location: Miami, FL

Job Description: Department: Physician Services AdministrationAddress: 1611 NW 12th Ave, Miami, Florida, 33136Shift details: Full-Time, DaysWhy Jackson:Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world’s top medical providers for all levels of care, no matter if it’s for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine.Here, the best people come together to deliver Jackson’s mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.SummaryThe Director of Business Operations and Contract Management provides support to all activities of Ambulatory and Physician Services, affiliated with the Jackson Health System (JHS). Responsibilities range from reporting and analysis of physician practices, monitoring of outsource billing companies, and overall financial and operational performance. This position will work closely with various office personnel including: coding, compliance and credentialing specialists. The position will also be responsible for contract management, execution.Responsibilities

• Provides support to Ambulatory and Physician Services Division and its practices. This includes developing practice-specific business plans, consolidating information from various sources to assess the financial performance of each practice, reviewing and analyzing payer contracts, evaluating physician compensation, conducting fee reviews, and establishing fee schedules.
• Assists in managing financial budgeting, forecasting, policies and procedures. This includes preparing forecasting information about new business and growth opportunities, reviewing monthly analysis and reporting of financial performance for each clinic and providing baseline and ongoing benchmarking of physician compensation and productivity.
• Assists in managing physician billing component for JHS including all in-house and out-sourced resources. Responsibilities include managing the relationships with all outsourced billing services, monitoring and evaluating billing and collection rates for all clinics, ensuring services provided by vendors are acceptable and appropriate, and coordinating billing and coding compliance functions with hospital billing compliance office and legal to ensure department is in compliance with state and federal legislation.
• Oversees and manages licensure, credentialing and recertification of providers, implementing process improvement programs for clinic operations, and evaluating both resource availability and utilization (i.e. facility utilization), as well as provider productivity.
• Serves as a liaison with physician practices and ensures physician satisfaction with JHS services. Assists the SVP and Chief Medical Officer in representing the Trust at community meetings and on community boards. Participates in the development, implementation and evaluation of the continuous Quality Improvement Plan to identify improvement opportunities. Provides leadership through planning, organizing, coordinating, continually monitoring and evaluating the quality of services provided.
• Communicates the organization’s mission and vision. Allocates adequate resources commensurate with authority to assess and improve service provided. Ensures respects the rights, privacy and property of others at all times, including the confidentiality of information, according to Administrative Policies and all applicable laws and regulations.
• The leader understands and adheres to JHS compliance standards as they appear in the Code of Conduct, Compliance Policies, and all other JHS Policies and Procedures and supports the commitment of JHS in adhering to federal, state and local laws, rules and regulations governing ethical business practices for health care providers by demonstrating knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family and organization information.
• The leader further understands that JHS is committed to its role in preventing health care fraud and abuse and complying with applicable state and federal laws related to health care fraud and abuse. This commitment is supported and enabled through an anonymous hotline which serves as one of several mechanisms for reporting suspected fraud, waste and/or abuse, as well as other compliance related issues.
• The leader reports through any of the reporting mechanisms (e.g., anonymous hotline, supervisor, Compliance Officer) any suspected health care fraud, waste and/or abuse as well as other compliance-related issues. Role models behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned.

ExperienceGenerally requires 5 to 7 years of direct related physician practice experience.EducationBachelor’s degree in related field is required. Master’s Degree Preferred.Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.

Company Name: Jackson Health System

Salary:

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