Director - Care Services

18 hours ago

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NextGen Healthcare

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EHR • financial • and HIE solutions for hospitals • health systems • physician practices

1001 - 5000

💰 Venture Round on 2015-02

Description

• The Director, Care Services is responsible for the administration of Ryan White and other special programs collectively known as Care Services. • This encompasses the generation of sufficient revenues and professional operation of third-party payer services, proprietary department database (SCOUT) and technical services related to systems integration. • Provide leadership and direction in accordance with the goals and objectives of NextGen Healthcare/Managed Services. • Establish strategy and tactics for achieving goals and objectives. • Supervise program accounts receivable and accounts payable to manage P&L. • Manage and delegate various program designs including provider networks, reimbursement rates, covered benefits and allowable expenses. • Ensure proper technical support of SCOUT including database administration and custom report development. • Perform other duties that support the overall objective of the position.

Requirements

• 10+ years of experience in a Healthcare/Managed Services client service related industry. • Experience with database systems and basic SQL. • Knowledge of: Ryan White programs including legislative guidelines encompassing HIV standards of care, payer of last resort structure, and allowable services. • Banking procedures, including ACH processing. • Claims adjudication processes, EDI workflows, and database systems. • Business and management principles involved in strategic planning and coordination of people and resources. • General accounting principles including cash and P & L management. • Skill in: Time management, attention to detail, me and the time of others. • Communicating effectively in writing as appropriate for the needs of the intended audience. • Speaking in public, to groups, or via electronic media. • Translating business needs of the department into technical requirements. • Ability to: Completing assignments accurately and with attention to detail. • Monitor/assess the performance of self, other individuals, or organizations to make improvements or take corrective action. • Work well with cross departmental function leaders. • Lead a diverse group of people. • Handle difficult and stressful situations with professional composure. • Effectively plan and delegate the work of others. • Manage a budget and work within the constraints of that budget. • Analyze, organize and prioritize work while meeting multiple deadlines.