Job Summary

Mpower's Managed Services Organization (MSO) provides objective, practical, results-oriented solutions and support to address the business challenges facing independent healthcare providers and their organizations in a competitive value-based healthcare environment including: enterprise operations and revenue cycle assessments and performance improvement initiatives; physician operations and revenue cycle focused business plan development and validation; value-based payment models, pricing and reimbursement strategy and execution;clinical and administrative workflow analysis and design;data analytics, market research, analysis and forecasting; accounting and accounts payable support; human resource consulting and support services; interim and long term management; and practice management and EHR system implementation and support.

The Operations Director of Network Serviceis responsible for leading and carrying out the essential functions of the MSO. This includes consultations with physician practices, account management with business stakeholders, and the project management of internal and external resources to meet client deliverable expectations.

Essential Duties and Responsibilities

• Management & Client Engagement Oversight
• Demonstrates leadership, coaching, and management skills, as well as innovation to implement strategy and process flow, and to positively influence relationship management and operational best practices
• Demonstrates the ability to effectively utilize metrics, data and reporting to drive and support strategic initiatives
• Measures business performance; identifies and quantifies KPI drivers, risks and opportunities for business performance and define solutions to mitigate risks and leverage opportunities for the benefit of MSO clients
• Ensures and maintains the compliance of expected service standards of MSO service lines. Prepares detailed reports to establish performance data and potential barriers, outlining obstacles and establishing recommendations for improved service delivery
• Manages a team of direct and non-direct reports focused on developing new and ongoing relationships providing superior service delivery
• Consults on and prepares executive level presentations (both internal and external)
• Consults with internal partners to design and implement programs to build and nurture positive relationships between the physician practice leadership, practice managers, and MSO
• Provides feedback to management on market trends as represented by the network providers
• Compliance
• Monitors and ensures the CIN and its participants meet all regulatory, compliance, and credentialing requirements; responsible for tracking, monitoring, reporting and communicating to participants, MSO and CIN board of directors, and Mpower leadership
• Directly responsible for physician communication and for ensuring that the CIN policies and procedures and administering provider agreements are followed
• Responsible for contractual compliance with government regulations, provider contracting implementation and local oversight of all types of payment innovation programs and provider relations and education

• Consulting
• Develops and maintains relationships with clients and project stakeholders.
• Conducts assessments to identify physician practice strengths, weaknesses, opportunities, and threats
• Collects information about the client's business through a variety of methods (assessments, shadowing, interviews, surveys, reports, etc.)
• Works collaboratively with internal subject matter experts to recommend action plans to address practice weaknesses and improvement opportunities
• Engages internal resources and external vendors to execute action plans designed to address practice weaknesses and improvement opportunities
• Communicates analysis, assessments, and recommendations through written and oral reports and presentations

• Project Management
• Works with project stakeholders and service line managers to design and implement programs with guidance from executive sponsors, subject matter experts, and other staff as needed
• Monitors and validates the timeliness and quality of work provided by internal staff and vendors
• Facilitates communication and project status updates for management, partners, business owners, executive sponsor, and project team.
• Creates plans to develop and execute new lines of business under the MSO division.
• Other duties and special projects as assigned

Knowledge, Skills and Experience

• Master's degree in HCA, Business Administration or a closely related field required
• 8+ years minimum work experience in healthcare including at least 5 years at the leadership level
• Both tactical, and strategic experience working within healthcare provider networks (CIN, ACO, IPA, etc.), MSO, and/or GPO environment preferred
• Expert level of proficiency with provider / facility / ancillary contract reimbursement methodologies
• Expert knowledge of business processes that impact physician practice, facility, and/or ancillary provider operational results
• Knowledge of healthcare practice management and electronic medical records systems
• Demonstrated management skills that include making effective and efficient decisions and prudent judgment to achieve long-range and short-term goals
• Ability to bring together a variety of functions in a spirit of strategic harmony and with a single-minded purpose
• Solid project management skills and ability to produce high-quality and timely deliverables within a project-focused environment. Capable of managing multiple priorities simultaneously.
• Experience working with large data sets, creating ad hoc reports, and presentations
• Demonstrates effective proactive problem-solving ability while maintaining compliance protocols
• Solid understanding of value-based healthcare economics, including knowledge of impact to physician practice and managed care environments

• Impeccable professionalism, presence and credibility in front of highly distinguished and experienced healthcare administrators and clinicians
• Outstanding communication, presentation, negotiation and relationship-building skills; able to engage with all levels of an organization

• Highly motivated to bring structure to undefined problems, identify sources of value in complex environments, and convey those to diverse stakeholders in a simple and compelling way
• Ability to balance vision with a hands-on approach and level of comfort driving results independently, as well as with and through others
• Ability to navigate within ambiguity, a service orientation, and a high level of humility are all indicators for successful assimilation into a highly collaborative, entrepreneurial culture
• Proficient in the use of Microsoft Office products (Word, Excel, Outlook and PowerPoint)
• Travel required (25%-50%)

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