Acentra Health · 3 days ago
Senior Program Director
United States
Full-time
Remote
Senior Level, Lead/Staff
$152K/yr - $196K/yr
12+ years exp
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Responsibilities
Oversight over services such as: Advanced Imaging, Audiology, Chiropractic, Dental, DME, Home Health, Hospice, Inpatient, Mental Health (including Psychiatry), MRO, Occupational Therapy, Optometry, Outpatient, Pharmacy, Physical Therapy, Physician, Podiatry, Rehabilitation, Speech Therapy, Transplant, and Transportation
Facilitate and coordinate the activities of multiple work groups, teams, or operational units. Direct oversight of all management level staff
Ensure headcount is rightsized to the operation, considering attrition rates and contractual requirements, while meeting workload and financial targets
Develop and maintain an operational infrastructure that includes employee skill set requirements, gap analysis, performance management, and training plans. Create and implement effective retention plans with Human Resources
Ensure compliance with contractual requirements within the operation by monitoring critical indicators, deliverables, and budgets
Establish and maintain effective customer rapport and mutually beneficial business relationships
Draw on expertise of staff and others for business implementations. Assemble and deploy the resources necessary to ensure success
Develop regional long-term and short-term operating and financial goals including budgets and forecasts to ensure effective operations and optimum profitability
Work with management team to develop and enhance the operational structure including skill set requirements, gap analysis and training plans through workforce analysis
Participate in cross-regional activities to enhance operating efficiencies and serve as a Subject Matter Expert (SME)
Support and participate in strategic planning and execution to enhance growth, profitability, productivity, and efficiency throughout the company's operations. Collaborate with leadership in the development of new and enhanced policies and procedures
Assist in implementing contracting strategies and programs that reduce cost and maximize revenue streams. Monitor the technical performance (which includes adherence to schedule and cost requirements), resource planning, and evaluations of the services provided by the company.
Provide advice and assistance in the planning, implementation, and evaluation of modifications to new and existing operations, systems, and procedures.
Represent the organization at internal, local, state, and national meetings.
Qualification
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Required
Either a BS/BA degree in healthcare/business administration, public health or related field with recent experience of at Twelve (12) years as a Program Manager (or equivalent) and/or Deputy Program Manager (or equivalent) in planning, scheduling and monitoring the personnel and activities supporting overall system design, development, and implementation in a transaction processing environment for a large IT system related to medical bill processing or similar environment
OR a High School or GED equivalent diploma with recent experience of at least Sixteen (16) years as a Program Manager (or equivalent) and/or Deputy Program Manager (or equivalent) in planning, scheduling and monitoring the personnel and activities supporting overall system design, development, and implementation in a transaction processing environment for a large IT system related to medical bill processing or similar environment
Project Management Professional (PMP) Certification within one (1) year after hire
Minimum of 5 years working in a client facing role managing a multiple specialty and primary MPN providers
Minimum of 5 years working with and understanding State Workers Compensation requirements
Strong familiarity with the Worker's Compensation claims process, including the documentation required from providers and how it impacts provider networks and reimbursement
5+ of progressive operational leadership in a public and/or private sector healthcare entity with at least three to five years in a position of direct operational accountability for multiple departments or units
Considerable experience managing contract operations including contract administration functions
Preferred
Master's Degree in healthcare/business administration or a related field
3+ years of utilization management preferred
Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Provider Enrollment (CPPE)
Minimum of 5 years working in the Workers Compensation industry
Recent experience in public and/or private sector healthcare providing services to government programs
Ability to work within company's decision-making and organizational structure
Skill in examining and re-examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures
Knowledge of healthcare industry; preferably with experience in both public and private sector
Ability to analyze and interpret financial and operational data and prepare business reports, projections, and recommendations
Ability to develop, plan, and implement short-and long-range goals
Skill in employee development and performance management
Ability to successfully manage change and growth
Ability to provide technical guidance and leadership to management team
Advanced verbal and written communication skills and the ability to work with a wide range of constituencies in a diverse community
Knowledge of quality improvement methodologies
Knowledge of business development, strategic planning, and tactical implementation
Ability to participate as a team member fostering collaborative decision-making
Benefits
Comprehensive health plans
Paid time off
Retirement savings
Corporate wellness
Educational assistance
Corporate discounts
Company
Acentra Health
Acentra Health is a provider of clinical services and technological solutions to government healthcare organizations.
1,001-5,000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2022-11-09Acquired· by The Carlyle Group
Leadership Team
Grant Christie
Senior Vice President, Market Strategy and Solutions
Ryan Bosch
Executive Vice President, Chief Health and Informatics Officer
Company data provided by crunchbase
