Clinic Operations Leader: Care, Compliance & Growth

Optum; Albuquerque (NM); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentive programs

Equity stock purchase

401k contribution

Job summary

OptumCare in Albuquerque is seeking a clinic operations leader responsible for daily operations, staffing, and revenue tracking across assigned clinics. You will oversee scheduling, staff development, and compliance to ensure high-quality care and patient safety.

Jointly with the Director you will drive fiscal performance, implement improvements, and align clinic processes with the market strategy. Eligible candidates have supervisory experience and strong billing knowledge within healthcare.

Qualifications

• 2+ years of related experience, 1+ year of which in a supervisory capacity.
• Knowledge of professional billing and various healthcare requirements including access, coding, billing, collections, practice management systems, payer relations, appeals, and authorization process.
• Managed Care experience (Quality, HEDIS, Affordability).
• Related experience in technical or specialty areas.
• Ability to communicate effectively; ability to analyze and interpret data; ability to plan, develop and coordinate multiple projects.

Responsibilities

• Provides leadership demonstrating the ability to influence, motivate, manage, train, counsel and develop staff to work toward their highest level of function, in accordance with job descriptions and competencies.
• Responsible for the daily monitoring of charge capture patient encounters, co-payment collections, accounts receivable, denials, and credit/refunds. Develops reporting mechanisms to provide accurate updates to clinic team on process improvements regarding revenue related activities.
• Works closely with Director to ensure sound fiscal and business performance within assigned clinics, and implements any necessary changes/modifications as directed by Director.
• Accountable for managing staff schedules, including physicians, daily to ensure optimum scheduling and coverage of assigned clinics. This includes monitoring staff and physician requests for time off to ensure proper coverage at all times
• Ensures staff and leadership training and development programs are implemented, monitored and enforced in compliance with organizational initiatives and regulatory requirements.
• Works closely as part of the leadership team to align processes and clinic outcomes with market strategic plan.
• Performs other duties as assigned

Skills

Supervisory experience

Billing knowledge

Tools

Practice management systems

Job description

OptumCare in Albuquerque is seeking a clinic operations leader responsible for daily operations, staffing, and revenue tracking across assigned clinics. You will oversee scheduling, staff development, and compliance to ensure high-quality care and patient safety.

Jointly with the Director you will drive fiscal performance, implement improvements, and align clinic processes with the market strategy. Eligible candidates have supervisory experience and strong billing knowledge within healthcare.