Practice Manager-Surgical Institute

Highmark Health; Pittsburgh (Allegheny County); On-site; USD 90,000 - 130,000; Full time

Job summary

Highmark Health in Pittsburgh seeks an experienced practice operations leader to manage daily operations of a physician practice network, overseeing front and back office functions and staff.

You will develop and monitor budgets, revenue cycle metrics, and staffing plans, ensure HIPAA and regulatory compliance, drive patient satisfaction, and travel to multiple locations as needed.

Qualifications

• Bachelor’s degree or equivalent experience; 3–5 years in physician practice with 2 years in practice management.
• Experience managing multiple sites preferred.
• CPPM certification preferred.

Responsibilities

• Manages day-to-day operations of physician practice(s), including front and back office.
• Supervises staff, hires, trains and evaluates performance.
• Develops and monitors the practice budget and revenue cycle metrics.
• Monitors patient satisfaction and addresses complaints.
• Ensures regulatory compliance with applicable laws and policies.
• Requires frequent travel to multiple practice locations.

Skills

Staff supervision

Budgeting

Revenue cycle management

Regulatory compliance

Interpersonal skills

Education

Bachelor’s degree or relevant experience

Job description

GENERAL OVERVIEW

This job manages the daily operations of a complex large/multiple full time locations/physician practices.

ESSENTIAL RESPONSIBILITIES

• Manages the day to day operations of the physician practice(s), including front and back office functions. (20%)
• Supervises staff, resolves problems and implements approved disciplinary action. Interviews, hires, trains and conducts performance evaluations. (20%)
• In conjunction with the director, develops the practice budget. Manages and monitors key financial and revenue cycle metrics, including staff hours, resource allocation, expense budget, patient volumes, and the revenue cycle process. Provides primary (or secondary) review of reconciliation of monies being collected and deposited. (20%)
• Responsible for monitoring patient satisfaction reports, identifying variances from standard, addressing and resolving patient complaints. (10%)
• Responsible for quality and performance improvement by monitoring metrics and addressing deficiencies. (10%)
• Works collaboratively with physicians, leadership and health professionals to accomplish organization and practice goals. (10%)
• Ensures compliance with all regulatory requirements. (10%)
• Requires frequent travel to various practice locations.

QUALIFICATIONS

• Minimum Bachelor’s degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree 3-5 years’ experience in physician practice setting with 2 years’ practice management experience.
• Preferred Experience managing multiple sites.
• CPPM (Certified Physician Practice Manager) certification.

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.