Director-PMG Practice Operations- Cancer Care

Location Address: 2400 Unser Blvd, Rio Rancho, New Mexico 87124, United States of America

Summary: Responsible for assisting with the analysis, planning, implementation and evaluation of new business models and processes involved in clinic operations in CNM. Responsible for leading and participating in cross functional strategic, tactical and performance improvement planning. Oversees implementation and ongoing measure of same. Collaborates with PMG, Service Lines and other departments for projects and programs as needed. This position may also provide interim DPO support to Service Lines and sites when needed.

Job Description:

• Assists service line administrator and medical director in defining the clinical outcomes measures for areas of responsibility. Accountable for achievement of those measures.
• Work collaboratively with the clinical & clerical staff within clinics, Service Lines, Quality Management and Care Coordination Services in order to achieve optimal utilization of clinic services and to achieve performance targets.
• Develops new programs and services, as care delivery needs change in collaboration with other ambulatory managers, inpatient administration, as well as members of the CDS administrative leadership team. Coordinating with various inpatient functions as required.

Standard Work - Clinical Outcomes:

• Develop and prioritize key clinical focus areas (org, business unit and dept)
• Develop key clinical outcome and in-process measures
• Develop action plans based on critical x analyses
• Oversee required results/Enforce accountability
• Monitor and review clinical outcome and patient safety measures.
• Champion continuous improvement activities
• Accountable for the achievement of customer loyalty results in areas of accountability
• Collaborate with service line teams to develop patient-centric care processes across the care continuum
• Accountable for ensuring areas of accountability effectively deploy the customer loyalty bundle
• Teaches and leads continual process improvement and customer service processes. Involves the physicians and staff in improving daily operations of the program based on voice of the customer feedback

Standard Work - Customer Loyalty:

• Develop and prioritize key focus areas (org, business unit and dept)
• Develop key customer loyalty outcome and in-process measures
• Develop action plans based on critical x analysis
• Monitor and review customer satisfaction results
• Oversee required results/Enforce accountability
• Champion continuous improvement activities
• Develops and is accountable for the financial outcome of areas of accountability. This includes leading the planning and budgeting processes and accountabilities for budget administration and outcomes. This would include any potential impact to inpatient and ambulatory services.
• Collaborates with service line medical director on provider satisfaction, engagement, and turnover.
• Develops education plan for self and collaborates with clinical and clerical teams to develop education plan for individuals and the team.
• Mentors and coaches direct reports and others to assist with their performance improvement and achievement of departmental and organizational goals, including oversight of budget development and adherence and remove organizational barriers and obstacles.

Standard Work - Staff Focus:

• Assists in the development of FTE budget and staffing plans.
• Develop action plans for employee satisfaction
• Oversee required results/Enforce accountability
• Manage physician integration
• Assist in development of recruitment plans
• Foster communications among management
• Oversee turnover trends and reasons
• Reinforce manager engagement
• Develops and is accountable for the financial outcome of areas of accountability. This includes leading the planning and budgeting processes and accountabilities for budget administration and outcomes. This would include any potential impact to inpatient and ambulatory services

Standard Work - Financial Outcomes:

• Develop operating budget. Develop FTE budget and for review and approval staffing plans
• Review operating budget variance trends & macro action plans (revenue & expense). Develop action plans when necessary.
• Oversee required results/Enforce accountability
• Review charge capture denial trends and develop macro action plans
• Ensure charge master is updated appropriately
• Coordinates the development of operational and financial goals and plans for areas of responsibility and facilitates monitoring progress toward achievement. This includes liaison, and advocacy activities between outpatient
• Responsible for the daily operations and financial performance of PMG sites, including administrative focus for the service across the insurance, primary care, specialist, inpatient and aftercare continuum. Evaluates, recommends and implements future models for development
• Directs compliance with policies and regulatory agency standards
• Participates in the strategic planning process for the service line

Standard Work - Operating Functional Duties:

• Develop action plans for regulatory compliance
• Develop and maintain service and purchased service contracts
• Prioritize PEP involvement and spreads
• Complete root cause analysis when processes continuously fail
• Utilize the quality work system criteria in prioritizing process improvements
• Council representation
• Resolve escalated operational issues
• Celebrate and recognize accomplishments
• Assist in development of marketing plan
• Identify and develop projects for capital projects
• Attend LDIs/QEFs
• Provide input to proposed legislative changes
• Knowledgeable of national best practice & industry standards
• Collect & share best practice via knowledge management
• Provides leadership and direction for areas of responsibility to include the achievement of financial performance, Baldrige and patient safety
• Provides and maintains effective communications within areas of responsibility, the community, and all levels of leadership and staff
• Builds necessary linkages/relationships with PHS personnel and external entities (vendors, consultants, etc) to facilitate success of assignments
• Performs other functions as required.

Additional Job Description: Bachelors degree in Business or Healthcare required. Five to ten years of progressive management experience.

Benefits: Benefits are effective day-one (for .45 FTE and above) and include: Competitive salaries Full medical, dental and vision insurance Flexible spending accounts (FSAs) Free wellness programs Paid time off (PTO) Retirement plans, including matching employer contributions Continuing education and career development opportunities Life insurance and short/long term disability programs

About Us: Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the states largest private employer with approximately 11,000 employees. Presbyterians story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans. We are part of New Mexicos history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico: New Mexicos unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerques International Balloon Fiesta, Los Alamos nuclear scientists, Roswells visitors from outer space, and Santa Fes artists, and you get an eclectic mix of people, places and experiences that make this state great. Cities in New Mexico are continually ranked among the nations best places to work and live by Forbes magazine, Kiplingers Personal Finance, and other corporate and government relocation managers like Worldwide ERC. New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, its all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke-free campuses.