Specialty Services Operations Lead & Strategy

The Southeast Permanente Medical Group; Georgia; On-site; USD 90,000 - 150,000; Full time

Benefits offered by this job

Generous paid time off

Benefits package including health, 401

Job summary

The Southeast Permanente Medical Group (TSPMG) is a large, physician-owned multi-specialty medical group in Georgia. The Business Operations Manager for Specialty Services reports to the Director of Specialty Services Operations and collaborates with physician leaders and health plan partners to drive operational leadership and strategic initiatives.

Key duties include optimizing appointment access, provider allocations, financial analysis, program management, and delivering actionable insights

Qualifications

• BA/BS degree required; Masters preferred.
• 3–5 years of healthcare experience.
• Understand CPT and ICD9 coding and claims analysis.
• Excellent use of quantitative reports and analysis.
• Ability to analyze large volumes of data.
• Excellent project management experience.
• Experience leading process improvement projects and change management.
• Strong organizational, problem-solving, and strategic thinking skills.
• Proven ability to manage multiple complex projects simultaneously.

Responsibilities

• Partner with specialty department chiefs and physician leaders to provide strategic direction and operations management expertise for sub-set of specialty care departments (medical, procedural, surgical).
• Develops specialty care departments strategy plans and ensures execution of that plan according to determined service, quality and financial efficiency metrics.
• Prepares performance monitoring tools including department scorecards to provide ongoing oversight into key areas of business and clinical execution.
• Utilizing operations research, data analytics and performance monitoring tools, manages programmatic areas aligned to assigned specialty departments to improve efficiency, quality and clinical outcomes.
• Conducts utilization and external claims analysis and continuously monitors trends to ensure right care happens with right provider and right place of service. When adverse trends are observed, rapidly performs root-cause analysis and presents findings and recommendations to chiefs and physician leaders for remediation - leads execution of these plans
• Leverages data analytics and operational insights to guide provider distribution and appointment scheduling strategies.
• Advises department chiefs on optimal allocation of subspecialists, practice locations, and procedural versus clinic time to enhance access and utilization.
• Seeks opportunities to reduce expenses and improve quality of care by internalizing medical and surgical services into the KP delivery system, to include creation of required business cases.

Skills

Data analysis

Quantitative reporting

Process improvement

Project management

Education

BA/BS degree

Master’s degree preferred

Job description

The Southeast Permanente Medical Group (TSPMG) is a large, physician-owned multi-specialty medical group in Georgia. The Business Operations Manager for Specialty Services reports to the Director of Specialty Services Operations and collaborates with physician leaders and health plan partners to drive operational leadership and strategic initiatives.

Key duties include optimizing appointment access, provider allocations, financial analysis, program management, and delivering actionable insights