Regional Practice Manager

Jobtailor

Atlanta (GA)

On-site

USD 130,000 - 170,000

Full time

5 days ago
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Job summary

Jobtailor is seeking an experienced healthcare operations leader in Atlanta to oversee infusion centers and ensure top-tier patient care. You will mentor clinical, intake, and administrative teams while driving regulatory compliance and operational efficiency.

Responsibilities include optimizing staffing, payer processes, and reimbursement workflows across the region, with travel as needed. The role reports to the Vice President of Operations and requires strategic thinking and strong

Qualifications

  • Bachelor's degree in healthcare administration, business administration, nursing, or related field preferred.
  • Three+ years of progressive leadership experience in healthcare operations or related settings.
  • Strong knowledge of commercial insurance, Medicare, Medicaid, prior authorizations, and reimbursement processes.

Responsibilities

  • Provide operational leadership for multiple infusion centers.
  • Ensure execution of standards, regulatory compliance, and patient care.
  • Lead, mentor, and develop clinical, intake, and administrative teams.
  • Assess operational challenges and drive decisions supporting patient care and compliance.
  • Monitor regional metrics and implement efficiency and patient satisfaction strategies.
  • Oversee SOPs, process improvements, and scalability opportunities.
  • Manage staffing, vendor relationships, inventory, and continuity.
  • Serve as regional expert for patient access, reimbursement, and insurance processes.
  • Guide intake through payer requirements, prior authorizations, denials, and medical necessity.
  • Partner with intake, nursing, pharmacy, and revenue cycle to resolve reimbursement challenges.
  • Monitor payer policy changes and communicate updates and best practices.
  • Escalate complex reimbursement issues and resolve routine to moderately complex challenges.
  • Travel regionally for onsite leadership, staffing support, training, and business continuity.

Skills

Healthcare leadership
Patient access
Reimbursement knowledge
Regulatory compliance
Team development
Strategic planning
Process improvement
Data analysis
Communication
Travel readiness

Education

Bachelors in Healthcare Administration
Nursing degree preferred

Tools

EHR/EMR systems
Payer portals
Referral management software
Scheduling platforms
CRM systems
Microsoft Office Suite

Job description

  • Provide operational leadership for multiple infusion centers
  • Ensure consistent execution of organizational standards, regulatory compliance, and exceptional patient care
  • Lead, mentor, coach, and develop clinical, intake, and administrative teams
  • Assess operational challenges and make timely decisions supporting patient care, compliance, employee engagement, and organizational objectives
  • Monitor regional performance metrics and implement strategies to improve efficiency, patient satisfaction, and financial performance
  • Ensure standard operating procedures are followed and identify process improvement and scalability opportunities
  • Oversee facility readiness, vendor relationships, inventory coordination, staffing plans, and operational continuity
  • Serve as regional operational expert for patient access, reimbursement, and healthcare insurance processes
  • Guide Intake teams through payer requirements, prior authorizations, denials, appeals, medical necessity requirements, referral barriers, and specialty medication access
  • Develop strategies to improve patient access while maintaining payer and organizational compliance
  • Partner with Intake, Nursing, Pharmacy, and Revenue Cycle teams to resolve reimbursement challenges and improve referral conversion
  • Monitor payer policy changes and communicate operational updates, workflow enhancements, and best practices
  • Coach and educate team members on insurance processes, documentation requirements, reimbursement workflows, and payer-specific expectations
  • Escalate complex reimbursement issues and resolve routine and moderately complex insurance challenges
  • Manage staffing models and labor utilization to meet patient demand and maintain productivity and financial performance
  • Address patient, provider, employee, and facility concerns
  • Prioritize multiple operational initiatives in a high-volume environment
  • Use EHR/EMR systems, payer portals, referral management software, scheduling platforms, CRM systems, Microsoft Office, and other healthcare applications
  • Travel throughout the assigned region, including occasional short-notice travel, for onsite leadership, staffing support, training, and business continuity
  • Report directly to the Vice President of Operations
Requirements
  • Bachelor's degree in Healthcare Administration, Business Administration, Nursing, or a related field preferred
  • Three or more years of progressive leadership experience in healthcare operations, physician practice management, ambulatory care, specialty pharmacy, infusion services, or a related healthcare setting
  • Strong working knowledge of commercial insurance, Medicare, Medicaid, prior authorizations, reimbursement processes, referral management, specialty medication access, payer policies, and medical necessity documentation
  • Clinical background preferred
  • Ability to independently analyze complex situations, make sound decisions, and drive operational outcomes with minimal supervision
  • Exceptional organizational, prioritization, and time management skills
  • Ability to manage multiple competing priorities in a fast-paced healthcare environment
  • Ability to multitask across multiple practices, departments, technology platforms, and operational initiatives while maintaining attention to detail
  • Strong analytical, critical thinking, and problem-solving abilities
  • Excellent communication, leadership, coaching, and relationship-building skills
  • High level of initiative, accountability, professionalism, and adaptability
  • Advanced proficiency with electronic health records, payer portals, Microsoft Office Suite, scheduling software, CRM platforms, and other healthcare technology systems
  • Ability and willingness to travel throughout the assigned region, including overnight or short-notice travel, based on operational needs
Core Competencies

Demonstrates expertise in healthcare operations management, focusing on patient access, reimbursement processes, and regulatory compliance. Proven ability to lead and develop teams while driving operational efficiency and enhancing patient care.

Highest-signal resume keywords
  • Healthcare Operations Management
  • Patient Access and Reimbursement
  • Leadership and Team Development
  • Regulatory Compliance
  • Operational Efficiency Improvement
Hard Skills
  • Healthcare Administration
  • Reimbursement Processes
  • Referral Management
  • Specialty Medication Access
  • Medical Necessity Documentation
  • Operational Decision-Making
  • Performance Metrics Monitoring
  • Process Improvement
  • Staffing Model Management
  • Financial Performance Analysis
Soft Skills
  • Leadership
  • Coaching
  • Communication
  • Organizational Skills
  • Problem-Solving
Industry Keywords
  • Infusion Services
  • Ambulatory Care
  • Physician Practice Management
  • Commercial Insurance
  • Medicare
  • Medicaid
  • Healthcare Compliance
  • Patient Care Standards
Tools & Technologies
  • EHR/EMR Systems
  • Payer Portals
  • Referral Management Software
  • Scheduling Platforms
  • CRM Systems
  • Microsoft Office Suite
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