Director Clinical Operations, Surgery - Jefferson Center City

Thomas Jefferson University & Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 80,000 - 110,000; Full time

Job summary

An established industry player is seeking a Director of Practice Management to enhance operational efficiency and compliance within the Department of Surgery. This pivotal role involves coordinating business operations, conducting reimbursement analyses, and developing policies to optimize patient financial counseling. The successful candidate will collaborate closely with clinical faculty and administration, ensuring adherence to regulatory guidelines while leading initiatives to improve practice operations. If you are passionate about healthcare management and ready to make a significant impact, this opportunity is for you.

Qualifications

• 10+ years of healthcare/practice management experience in an academic setting.
• Strong knowledge of third-party reimbursement and practice operations.

Responsibilities

• Support 37 full-time faculty across three clinical sites.
• Oversee reimbursement profiles and fee schedule updates.
• Conduct educational sessions on billing and practice operations.

Skills

Healthcare Management

Reimbursement Analysis

Policy Development

Interpersonal Skills

Problem-Solving

Education

Bachelor's Degree in Business

Master's Degree

Job description

Job Details

The position supports the physician practice management and reimbursement activities of the Department of Surgery's full-time faculty members. Serving as a coordinator of practice business operations and an internal consultant, the Director acts as a liaison with clinical faculty and staff, advising the Department Chairman and Administrator on administrative, contractual, long-range planning, third-party reimbursement, and clinical operational issues within the subspecialty divisions.

The Director is responsible for reimbursement and coding analyses, policy development, monitoring legislative/regulatory changes, staff training, and supporting program development. The role reports to the Department Administrator and Chairman, collaborating closely with the Supervisor of Billing, other Medical College departments, and Hospital/Dean's Office staff. Ensuring full compliance with IL-372 guidelines is also essential.

Job Description

1. Support 37 full-time faculty across three clinical sites and 54 support staff, including clinical activities of 9 volunteer faculty related to TJUH systems.
2. Review practice operations, develop recommendations, and support their implementation to improve efficiency at the divisional level.
3. Monitor third-party regulations and legislative developments; communicate updates to staff and administration.
4. Oversee annual reviews of reimbursement profiles and fee schedule updates.
5. Support development and implementation of departmental policies on charge capture, patient registration, accounts receivable, forms, and guest relations. Develop patient financial counseling with billing staff to optimize collections.
6. Analyze practice statistics and present findings to Division Chiefs.
7. Develop and maintain systems for managing JeffCare (PHO) patients, especially full risk contract patients, including staff education.
8. Conduct educational sessions on reimbursement, billing, collections, and practice operations.
9. Review and revise coding practices to maximize reimbursement and ensure compliance with IL-372 guidelines.
10. Assist billing staff with A/R management and develop strategic plans accordingly.
11. Contribute to departmental marketing and guest relations initiatives.
12. Oversee startup of new clinical programs, including operational, staffing, and billing processes.
13. Manage acquisition and integration of purchased physician practices.
14. Assist with the Surgical Solutions Editorial Board and oversee publication content.
15. Create and update process improvement documents like the White Paper.
16. Participate in committees to improve patient care and hospital throughput.
17. Collaborate with hospital administration and external consultants on workflow improvements, including OR block redesign.
18. Implement interdepartmental policies for vacation and block time management for surgeons.
19. Lead a Quality Improvement Team to review and improve procedures.
20. Supervise EMR transition and assess staffing needs for ongoing support.
21. Support information system enhancements and transitions.
22. Coordinate additional clinical space acquisition and setup.
23. Maintain practice management reference materials.
24. Assist the Administrator with special projects, especially in practice management.

Education and Experience:

Bachelor's degree in business required; Master's preferred. Alternatively, at least 10 years of healthcare/practice management experience in an academic setting. Knowledge of physician practice activities, third-party reimbursement, practice operations, and automated systems is essential. Excellent interpersonal and communication skills are required to operate effectively in a consulting role. Strong problem-solving and consensus-building skills are necessary.

Work Shift

Day shift (United States of America)

Worker Sub Type

Regular

Primary Location Address

1015 Walnut Street, Philadelphia, Pennsylvania, United States of America