Directs the management of commercial, industrial, or residential real estate properties for clients. Typically reports to a Top Officer and has manager-level personnel reporting to this position.: Directs the negotiations with client terms and conditions for providing management services, and drafts agreement stipulating extent and scope of management responsibilities, services to be performed, and costs for services. Directs the preparation of lease or rental agreements for lessees and collects specified rents and impounds. Directs bookkeeping functions, or credits client account for receipts and debits account for disbursements, such as mortgage, taxes, and insurance premium payments, management services costs, and upkeep and maintenance costs. Directs the arrangements for alterations to, or maintenance, upkeep, or reconditioning of property as specified in management services or lessee's agreement. Directs the employment, or contraction for services of, security, maintenance, and groundskeeping personnel and onsite management personnel if required. Directs the purchasing of supplies and equipment for use on leased properties. Directs preparation of financial statements and reports on status of properties, such as occupancy rates and dates of expiration of leases. Directs issuance of check for monies due client.
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Directs and analyzes business or operating objectives, procedures, and programs to devise the most efficient methods of developing management structure. Creates, directs implementation of, and oversees management training and development activities. Typically reports to a Top Officer and Management Development Manager reports to this position.: Directs the planning, gathering information on, analyzing, and organizing of management assessment and utilization programs, measuring performance, employee motivation, career development, and management succession. Ensures internally- and externally-provided training is sufficient to develop individuals and teams with necessary skills to further the organization's strategic goals and objectives. Plans study of work problems and procedures. Develops information and considers all available solutions or alternate methods of proceeding. Implements approved recommendations of procedures or organizational changes.
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Directs the activities of Account Executives in building strong relationships with clients. Plans, organizes, implements, and evaluates outcomes of the department's strategic plans. Typically requires a college degree in marketing and experience in the health care industry and previous supervisory experience.: Develops strategic initiatives and transforms initiatives into action plans. Works with Account Executives to service custom client groups. Assists in the development and management of strategic accounts. Oversees preparation, coordination, and delivery of plan performance presentations. Identifies supporting strategies for product and program pricing, retention, and net revenue growth. Prepares and manages the departmental budget. Hires, develops, and motivates a qualified Account Executive staff and assesses employee ability to achieve desired performance levels.
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Develops and implements a comprehensive and diversified marketing program related to systems and Medicare services. Directs the identification and evaluation of special studies relative to the development of new services and programs. Typically requires a college degree with four years of health service marketing experience.: Oversees and coordinates activities necessary to build and maintain strong, strategic relationships by proactively identifying and meeting service delivery needs. Conducts demographic and other marketing studies to identify trends to maximize effectiveness of marketing efforts. Researches targeted markets and evaluates marketing strategies to identify potential consumers of services. Recommends appropriate policies regarding pricing, promotion, product, and market evaluations and marketing plans. Prepares reports and analyses showing progress or adverse trends and presents appropriate recommendations or conclusions to management. Oversees hiring, developing, and managing a qualified staff concerned with Medicare marketing services and managing accounts. May assist in various special project such as cost feasibility studies for proposed or ongoing programs.
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Directs and manages quality improvement, preventive health, and related departments of the health plan to identify levels and changes in the quality of medical care. Establishes protocols and serves as a resource regarding accreditation standards and continuous quality improvement principles. Designs, develops, and implements quality improvement initiatives necessary for attaining NCQA accreditation. Typically required to be a graduate of an accredited School of Nursing or a Registered Health Information Administrator (RHIA) with a minimum of four years of experience in direct patient care or in administration of health programs.: Develops and implements educational programs for practitioners and enrollees relative to quality improvement, preventive health, early and periodic screening, diagnosis and treatment, and credentialing. Assists in the development of clinical practice guidelines for use by providers. Oversees hiring, developing, and managing a qualified staff concerned with the evaluation of the quality of member care. Implements the organization's policies on quality standards. May work in conjunction with the Medical Director to assess opportunities for improvement and implement changes that will have a positive impact on medical outcomes and compliance with the plan's policies and contractual objections. Prepares and manages the departmental budget.
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Facilitates improvements in operating performance and competitive positioning in a health care environment through fundamental rethinking and redesign of core processes. Serves as primary link to the process improvement teams and natural working groups and implementation teams. Enables key stakeholders' participation and acceptance of change efforts. Directs a variety of management engineering projects and programs to provide management with statistical data in areas including information flow, cost containment, work standards, staffing levels, and productivity. Recommends procedure level standards for time and materials to be used by the Cost and Financial Management Systems staff and Hospital Departmental Managers.: Develops and implements studies of hospital functions and systems to include data collections and flow-charting. Prepares narrative and graphic displays of the studies' findings. Develops and directs varied feasibility studies related to the implementation of new ancillary procedures, clinic studies, and hospital processes from a cost and effectiveness standpoint. Develops and initiates a plan to educate departments on various topics related to productivity management and improvement strategies. Provides assistance to the Internal Audit Department in operational review of hospital departments. Researches and analyzes trends. Coordinates the preparation of reports setting forth progress, adverse trends, and appropriate recommendations or conclusions. Determines fiscal requirements and prepares budgetary recommendations. Directs various personnel functions including, but not limited to, hiring, training, promotion, transfer, and schedules.
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Provides executive leadership over the hospital’s quality improvement process and programs.: This is not a quality assurance position. Directs the development and implementation of programs and processes related to quality management and performance improvement. Directs and controls quality systems for clinical laboratories. Develops policies and procedures, monitors performance, and develops/reviews metrics for areas of responsibility. Identifies, analyzes, designs, measures, and continuously improves business processes that cut across functional boundaries. Assesses and prioritizes risk, conducts mock inspections, and reports results to senior management. May establish quality improvement project teams. Provides training and guidance to staff to ensure understanding and that quality, accreditation, and performance improvement are actively pursued. Implements processes and methodologies for the identification and sharing of best practices. Develops strategic initiatives and transforms initiatives into action plans. Develops and fosters effective collaboration between departments and other affiliated services to ensure an integrated approach to quality management. Facilitates and coordinates the redesign of processes and systems for improvement with a central focus on patient centered care and services, customer satisfaction, safety, resource efficiency, quality, and employee satisfaction. Develops new strategies to improve overall performance. Hires, develops and motivates a qualified quality management staff. An advanced degree in health care administration is commonly required for this position. The position requires strong clinical and quality management knowledge.
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Oversees utilization management, care coordination, and discharge planning for patients. Assesses, plans, implements, monitors, and evaluates the services and options available to meet individuals' health needs, using screening criteria, developed critical pathways, and available resources to promote quality cost effective care outcomes. Supports the physician and interdisciplinary team in facilitating patient care in order to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. Identifies areas where performance improvement is needed, such as daily workflow, education, process improvements, and patient satisfaction.: Contributes to profitability and growth through expansion activities in case management (CM) care management. Assists in the development strategy with implementation of strategic, high quality, CM care management customer-specific products. Assists in the development of short- and long-term case management strategies, objectives, and budgets. Serves as resource for other departments in solving problems relating to patients, physicians, providers, payers, vendors, and accounts. Assists in development of and implements departmental and company policies and procedures. Conducts analysis of quality and productivity auditing of staff and departmental workflows. Directly manages licensed staff in CM Department, including interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; and addressing complaints and resolving problems. Assists the Director in the development and management of the CM Department budget, including monitoring overtime and associated costs, submitting purchase orders for departmental supplies, recommending additional staff, and assisting with purchases and capital expenditures requiring higher level authorization.
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Responsible for the development of disease management programs and for managing a department consisting of Disease Management Consultants and Disease Case Managers. Collaborates with other members of the disease management team to define the concept and develop the content of programs related to specified disease states. This position typically requires an advanced degree or advanced training in a health care related field and significant clinical background, (i.e., RN, Pharm.D., MD, etc.): Responsible for the development of disease management programs and for managing a department consisting of Disease Management Consultants and Disease Case Managers. Collaborates with other members of the disease management team to define the concept and develop the content of programs related to specified disease states. Compiles and updates a file comprised of published scientific literature and other sources of information pertinent to the disease management program. Identifies the relevant clinical characteristics that describe the targeted population. Creates disease specific case-finding algorithms using administrative claims. Develops clinical support material, interventions and measures to assess the effectiveness of each program. Develops and designs intervention strategies for practitioners and patients. Secures and reviews educational materials from various sources (e.g. professional organizations, government agencies, pharmaceutical manufacturers.) Ensures that pharmacotherapy treatment recommendations in the disease management program are consistent with formulary initiatives. Identifies and remains familiar with appropriate quality of life instruments for the specified disease states. This position typically requires an advanced degree or advanced training in a health care related field and significant clinical background, (i.e., RN, Pharm.D., MD, etc.)
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Manages and analyzes business organization to determine the most efficient organizational structure, and ensures the organization has adequate qualified personnel to meet the succession requirements of the organization. Coordinates and administers on-going training activities among individuals and teams to achieve organization's goals and objectives. Typically reports to a director and may have supervisors reporting to this position.: Creates a climate designed to support and encourage training and development. Provides internal consulting and arranges external education and training as required. Plans study of work problems and procedures. Gathers and organizes information on training needs assessments, problems, or procedures including present department operating procedures. Analyzes data gathered, organizes and documents findings of studies, prepares recommendations for implementation of procedures or organizational changes, and submits to upper management. Develops approved training programs, considering all available solutions or alternate methods of proceeding. Ensures that management trainees are developed to their highest potential.
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