Practice Operations Manager

Inspire health. Serve with compassion. Be the difference.

Job Summary

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's values:  Inspire health.  Serve with compassion.  Be the difference.

• Develops, monitors, and manages annual fiscal budgets.  Prepares ad hoc financial reports.  Responsible for the intra-departmental control of corporate assets and the effective/efficient management/utilization of clinical department resources.  Facilitates responsible decision making to balance fiscal and academic missions.  Coordinates and establishes the annual capital budget in accordance with equipment needs and the department's business plan.

• Liaison between clinical department and University Medical Group Leadership and responsible for accurately conveying related communications to physician faculty and staff in a timely manner.  Responsible for communicating corporate goals, decisions, and operating guidelines to service line staff.  Participates in the development and implementation of the annual marketing plan in coordination with the system's strategic direction.  Ensures that all internal and external communication material appropriately reflects the mission and values of Prisma Health.  Actively engaged in providing regular flow of clinical department information to formal communication plan effort.

• Recruits and selects appropriate staff within the constraints of approved budgets.  Trains employees on policies and procedures of department and Prisma Health.  Evaluates and monitors work performance of designated staff.  Counsels, disciplines, and terminates designated staff as necessary.  Establishes productivity standards for support staff and monitors their adherence.  Ensures the establishment of employees' annual performance goals.  Prepares and conducts timely and appropriate performance appraisals.  Ensures that all positions have accurate, valid position descriptions on file and that employees are familiar with the position description and the standards of performance.  Ensures that the program operates in an environment where all employees are treated fairly and in accordance with policies and procedures.

• Measures and understands reimbursement by payer, by procedure code, for services rendered by the department.  Measures and understands physician clinical productivity levels rendered against national norms by provider.  Measures and understands appropriate staffing levels for services provided against national practice management benchmarks (ACMPE, MGMA, AAMC).  Measures financial performance of clinical department via regular review of and formal comment upon monthly departmental income statements as well as other financial reports as deemed appropriate.

• Participates in review of terms, plan requirements, and reimbursement rates of potential managed care contracts.  Effectively utilizes Legal and Contracting Department in negotiation of all non-insurance related contracts, i.e., lease agreements, equipment purchase/rental, external consulting services, etc.

• Directs the daily business and clinical functions of the practice while serving in a leadership role for the clinical department to ensure its smooth operation within the strategic plan and mission statement in coordination with the Director, Medical Group Operations and the Administrator.    Efficiently manages billing processes "front office functions", within parameters established by regulations (i.e., including charge capture, coding, documentation, claims processing, demand billing,