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Director Risk Management

Leads and oversees the hospital's risk management (RM) program. Coordinates insurance coverage and risk financing, manages professional and general liability claims against the hospital, and supervises the daily activities of the RM Department. Ensures the facility complies with all applicable regulatory standards while striving to enhance patient safety and quality care and to minimize loss.: Designs and implements risk management surveys and studies; conducts surveys and special projects to assist in long-term planning and changes to facility policies and systems that reduce risk and losses. Identifies and communicates regulatory requirements to senior management. Plans, develops, and implements risk management educational programs for administration, board members, the medical staff, and associates. Answers medical and legal inquiries from Physicians, Nurses, and Administrators regarding emergent issues. Participates with the Ethics Committee to resolve patient care issues. Collects and analyzes data. Utilizes clinical information systems, including quantitative analysis tools, benchmarking tools, and computer applications. Reports on a regular basis to the Board Quality and Performance Improvement Committee and other committees as requested. Develops annual budgets for risk/ insurance cost centers. Identifies and explains variances from budget.

Office Management Director

Directs and coordinates activities of personnel involved in performing internal operations in department, plant or branch office. Prepares work schedules and assigns duties to operations personnel to ensure efficient operation of department or branch. Typically reports to Administrative Top Officer and supervises Office Manager.: Audits accounts, records of proof, and certifications to ensure compliance of workers with established standard procedures and practices. Compiles required and special reports on operating functions of department or branch. Interviews, selects, and hires new employees. Directs employee training to improve efficiency and ensure conformance with standard procedures and practices. Conducts staff meetings of operations personnel, or confers with subordinate personnel to discuss operational problems or explain procedural changes or practices. May be designated according to type of financial operations supervised.

Property Management Director

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.

Management Services Organization Executive

Directs the overall operation and provides executive leadership in a management services organization.: Responsible for the profitability of a management services organization that manages business operations such as human resources, materials management, employee health and safety and financial management to improve productivity, lower costs, and enhance revenue. Establishes strategic plans and guides implementation. Confers with executive management to plan operational objectives, to develop policies and procedures, to coordinate functions and operations between divisions, departments and satellite locations, and to establish responsibilities and procedures for attaining objectives. Reviews activity reports and financial statements to determine progress and status in attaining objectives and revises objectives and plans in accordance with current conditions. Directs and coordinates formulation of financial programs and guides changes needed to reach financial goals. Represents the organization to major external authorities and constituencies. Plans and develops labor, and public relations policies designed to improve relations with patients, providers, employees, and the general public. Selects and evaluates performance of executive staff for compliance with established policies and objectives and contributions in attaining objectives. An advanced degree in a field of health or business is typically required for this position.

Total Quality Management TQI Executive

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.

Client Management Director

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.

Medical Management Director

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.

Quality Management Director

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.

Management Engineering Director

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.

Health Data Analysis Director

Directs the development of health data strategic plans, policies, and procedures for utilization and cost containment information. Leads the analysis, preparation, and presentation of outcomes using healthcare claims data, pharmacy data, and lab data.: Manages the development of data reports and/or products that will enhance the retention of current market share and attract new business by demonstrating cost containment. Interacts with the MIS Department extensively. Interviews, selects, and trains employees. Plans and directs employees' work. Evaluates employees' productivity and efficiency and settles any complaints and grievances.

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