Description and Requirements
The Senior Manager of Performance Improvement leads and coordinates multiple projects across a portfolio of work and partners with business leaders to deliver measurable value aligned to strategic goals and company priorities. The Sr. Manager provides leadership in the planning and deployment of continuous improvement to optimize business processes across the organization. The Senior Manager is a key contributor in the long-term strategic planning of the Performance Improvement Department to drive results.
Duties & Responsibilities:
- Identify and/or direct process improvement opportunities and provide preliminary benefit/financial valuation for project prioritization
- Lead cross functional teams in successful completion of assigned projects; generate solutions to complex problems through utilization of problem-solving tools and methodologies
- Maintain up-to-date knowledge of all assigned initiatives, with a focus on measurable value
- Coach, train, and educate business teams on how to leverage performance improvement tools and methods
- Establish strong collaborative relationships with project sponsors, key stakeholders, business leaders and teams
- Provide daily management of technically oriented Performance Improvement staff
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Minimum Qualifications:
- Bachelor's degree from an accredited institution or equivalent work experience.
- Experience leading complex process improvement initiatives.
- Experience managing staff
- Experience working with data sets and/or Microsoft Excel modeling
- Experience utilizing valuation and impact analysis methodologies
- Experience using workflow diagramming applications to document business processes
Preferred Qualifications:
- Experience with facility reimbursement methodologies (i.e., Diagnostic Related Groups, DRG; Ambulatory Payment Classification, APC; or Ambulatory Patient Group, APG, etc.)
- Understanding of payment and billing principles for physician or other professional services (i.e., ancillary, behavioral health, Long Term Care, etc.)
- Knowledge of Medicare and Medicaid programs and reimbursement methodologies a plus
- Knowledge of healthcare claims processing practices in a managed care setting a plus
- Knowledge in clinical and claims decision-making a plus (including understanding utilization trends, provider contracts and revenue cycle, regulatory and legal requirements, clinical program design, waste and abuse concepts, etc.)
- Background working in Payment Integrity, Utilization Management, or similar operations, including understanding Clinical and Claims staffing models and skillsets, a plus
- Preferably active RN license and/or Certified Professional Coder
Compliance & Regulatory Responsibilities: NA
License/Certification: Six Sigma Black Belt or other PI Methodology preferred
Hiring Range:
- Greater New York City Area (NY, NJ, CT residents): $119,900 - $183,430
- All Other Locations (within approved locations): $102,600 - $156,655
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.
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