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Director Out of Network Operations

Company: Envision Physician Services -
Location: Fort Lauderdale
Posted on: January 15, 2022

Job Description:

Director Out of Network Operations in Plantation, Florida - Careers at PLANTATION 7700 West Sunrise Blvd PS Skip Branding Skip to Main Content Please Enable Cookies to Continue Please enable cookies in your browser to experience all the personalized features of this site, including the ability to apply for a job. Welcome page Returning Candidate? Log back in! Director Out of Network Operations Job Locations US-FL-Plantation Company Enterprise Requisition ID 2021-28822 Category Management Overview Director of Out of Network Operations Envision Healthcare Envision Healthcare is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women's and children's health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services. As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia. If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career. We currently have an exciting opportunity available for an experienced Director of Out of Network Operations Responsibilities The Director of Out of Network Arbitration Operations will be responsible for delivering and acting on data-driven insights, as part of a new and high priority function at Envision. The role will report directly into the newly created VP of Out of Network Revenue Operations and is akin to building a start up within a larger organization. The Director will be responsible for building and leading a strong team of analysts that will drive the direction of the operations teams and ensure that the arbitration functions moves smoothly from beginning to finish. Initial areas of responsibility

  • Build and lead a team of analysts and managers to track the flow of claims through the process, and ensure that arbitration process is being executed smoothly
  • Work cross-functionally to refine the process as the operations continue to scale; ensure delivery of the claims to right cross-functional party at each step of the process
  • Dynamically adapt and flex operations to ensure that the workflow is adaptable as further rules are defined and the process expands to target markets / service lines
  • Design and build core dashboards and performance management tools, alongside driving ad hoc analysis and working with sometimes messy data in order to underpin and support negotiations
  • Work in a high paced and ambiguous environment with the ability to pivot quickly based on external environment and internal business needs and priorities
  • Get their hands dirty in the face of fast-paced, high-consequence operations and complex strategic questions Qualifications Educational qualifications & required experience
    • Bachelor's degree from reputable institution required; STEM (Science, Technology, Engineering, Math) preferred
    • Strong analytical and quantitative familiarity required - comfort with Excel needed and experience with other tools to manage large datasets (Tableau, SQL, Alteryx, etc) required
    • 6+ years of progressive experience post bachelor's degree, with at least 2 years in healthcare services, preferably at large medical groups or health systems and with RCM experience
    • Experience directly hiring and managing teams preferred
    • Experience at a top-tier consulting firm preferred Critical competencies
      • Analytical bent: demonstrated intellectual curiosity and a strategic mindset, with the ability to connect the dots, ask "why" and get to the business implications
      • Operations and workflow management experience
      • Strong demonstrated management skills: Eagerness to lead and coach their team and to problem solve
      • Polished executive presence and strong interpersonal, oral and written communication skills
      • Entrepreneurial / "founder-like" mentality: creative problem-solving
      • Superb project management and matrix management skills: strong commitment to detail and accuracy, and strong organizational and follow-up skills
      • Ability to prioritize, triage, and pivot as needed in a fast-paced environment
      • High degree of comfort managing through significant ambiguity and complexity, with humility and a willingness to learn and address challenges
      • Dynamic and confident leadership with presence and ability to motivate, energize, and influence others in the face of resistance
      • Unparalleled ethics and integrity; commitment to team and company value Travel: Periodic travel required If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package. Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify . Envision Healthcare is an Equal Opportunity Employer. #CB LI-JL1 Options Apply here for this job Apply Share Refer someone you know Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Loading... Connect With Us! Not ready to apply? Connect with us for general consideration. Application FAQs Software Powered by iCIMS
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Keywords: Envision Physician Services -, Fort Lauderdale , Director Out of Network Operations, Executive , Fort Lauderdale, Florida

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