Director, Health Care Operations - Pennsylvania Medical Society

Posted on February 17, 2021
Mechanicsburg, PA

POSITION SUMMARY:  

This position is responsible for overseeing development, implementation, and delivery of services to physician membership and their staff in the areas of physician & practice setting support, public health, health information technology, physician reimbursement, and practice management. This requires working directly with physicians and their staff, both via phone/email as well as face-to-face in the practice setting. This position serves as PAMED’s liaison with government agencies, policy makers, regulators, and others regarding physician reimbursement and other operational matters impacting physicians and/or their practice settings. Additionally, this position manages all activities of Health Care Operations staff and provides technical assistance to PAMED staff in other departments, specialty societies managed by PAMED, and county medical societies. Finally, this position works closely with PAMED’s CME, Training, & Physician Leadership Programs staff in the identification of needs and opportunities for leadership development for physicians, practice administrators, and other appropriate practice setting staff to address areas such as continuous quality improvement, improving patient outcomes, etc. and assist with implementation as appropriate.

Reports to:  Senior Director, Physician Support

QUALIFICATIONS:  

Required Skill/ Education/Knowledge:    

• Master’s degree preferred. Bachelor’s degree in health care administration, leadership, public health, or related field required.
• Minimum 7 years of professional experience in a health care or insurer setting working extensively with electronic health records, billing and coding, and physician reimbursement is required.
• Leadership or process improvement training and certification a plus.
• Specific skills: research and data analysis, public relations, relationship building, customer service, project management, ability to prioritize and meet deadlines, public relations and diplomacy, oral and written presentation skills, competency in learning new technology, computer and database management, decision-making, ability to understand complex policies and supervisory skills.
• Physical abilities: speech, hearing, sight, mobility, ability to lift up to 50lbs.
• Valid driver’s license required.

SPECIAL REQUIREMENTS:  

This position requires the ability to communicate with and work cooperatively with many different people and organizations and the ability to adjust to constant change. In addition, this position involves regular travel and evening/weekend meetings.  Attendance at the Annual House of Delegates meeting.

ESSENTIAL DUTIES:  

1. Ensure overall operations, efficiency, and effectiveness of the Health Care Operations Department, including the internal and external task forces, councils, and committees that are the responsibility of the Department.
2. Serve as PAMED liaison with government agencies, policy makers, regulators, and others regarding physician reimbursement and other operational matters impacting physicians and/or their practice settings.
3. Provide technical assistance to maintain close working relationships with PAMED staff in other departments, TEAM, and county medical societies.
4. Supervise and instruct direct reports on health care operation functions by providing clear direction and expectations, identifying training needs, recognizing and acknowledging good performance, and swiftly addressing issues or unsatisfactory performance.
5. Research and analyze regulatory and policy issues, physician reimbursement issues, payment models, health care delivery models, health care market activities, market trends, etc. and prepare audience appropriate reports, presentations, educational material, resources, etc.
6. Monitor physician reimbursement, payment models, health care delivery models, health care market activities, etc. and identify trends, issues, or opportunities that may arise.
7. Work collaboratively with PAMED’s CME, Training, & Physician Leadership Programs staff to identify additional leadership development needs and opportunities for physicians, practice administrators, and other appropriate practice setting staff to address areas such as continuous quality improvement, improving patient outcomes, etc. and assist with implementation as appropriate.
8. Collaborate with other associations and organizations to foster relationships and identify opportunities to support employed physicians.
9. Develop new services and resources to assist members with the business side of medical practice and improving core functions in their practice settings to increase revenue and enhance patient outcomes.
10. Work collaboratively with the communications, marketing, and membership teams to create and develop content for various PAMED publications and resources.
11. Deliver presentations at both PAMED sponsored and non-PAMED sponsored events.
12. Staff and represent PAMED at various stakeholder and outside organization meetings, including but not limited to Medical Directors Forum, Medical Assistance Fee For Service Committee, Payor Advocacy Task Force, Health IT Task Force, etc.
13. Participate in outreach activities to retain and recruit members (i.e., make annual recruitment and retention calls, attend physician gatherings, etc.)
14. Integrate opportunities for engagement (member and non-member) into all areas of responsibility.
15. Act on the company culture by advocating with a supportive attitude, educating people while respecting them and their ideas, and navigating using active listening skills.

To apply, click here.