Job Description

Florida Elite Medical Group (FEMG) (dba “MyCare Medical”) is a leading Management Services Organization (MSO) providing high quality health care to Medicare Advantage patients in Tampa. The company has experienced fast growth (over 100%) in the past year and currently serves over 7,400 Medicare Advantage and 5,000 Medicare Fee-for-Service patients across three counties in the greater Tampa Bay area.

At MyCare Medical, our physicians and friendly staff provide VIP care from the moment patients enter our clinics. We have one common goal, providing quality health care. We take pride in coordinating patient care whether it is at one of our state-of-the-art clinics, specialist offices or at local hospitals.

We are looking for a dynamic Operations leader that can join our Senior Leadership Team and partner with the VP of Operations and CEO to take MyCare Medical to the next level.

POSITION SUMMARY:

The Area Manager will BE RESPONSIBLE FOR LEADING THE FIELD OPERATIONS TEAM FOR 7-8 PRACTICES WITHIN THE MYCARE MEDICAL NETWORK. THE AREA MANAGER WILL HANDLE ALL ASPECTS OF PRACTICE ADMINISTRATION, INCLUDING BUT NOT LIMITED TO: TEAM DEVELOPMENT, P&L MANAGEMENT, CLINICAL AND BUSINESS METRICS ACCOMPLISHMENT, AND CULTURE / CORE VALUES. THE AREA MANAGER WILL ALSO WORK HAND-IN-HAND WITH THE MANAGER OF MRA CODING, THE BILLING MANAGER AND THE CASE MANAGER TO DEVELOP BEST-IN-CLASS PROGRAMS FOR MEDICARE ADVANTAGE / FFS BILLING AND CODING AS WELL AS CASE MANAGEMENT / UTILIZATION MANAGEMENT.

ESSENTIAL JOB RESPONSIBILITIES:

The Area Manager will be responsible for the following areas:

MANAGEMENT OF FIELD OPERATIONS

· Provide leadership and guidance to the Regional Office Managers and Office Managers in individual clinics on day-to-day operational issues

· Standardize and upgrade operational processes (MRA coding, FFS billing, utilization management etc.) across the MyCare Medical platform

· Clearly lay out the change management plan to move to centralized capabilities, effectively communicate that plan to the operations staff and implement it across the MyCare Medical clinics under their leadership

· Manage the performance of individual practices to maximize the PMPM surplus and clinic profitability while maintaining the highest standards of quality patient care

CROSS-FUNCTIONAL COLLABORATION

· Work collaboratively with the Medical Executive Committee (MEC) and other physician leaders to implement operations-related initiatives

· Collaborate effectively with Marketing, Finance and other functional areas to grow membership and revenues at individual clinic locations while managing utilization to maximize the quality / cost-effectiveness of patient care and clinic profitability

BILLING -- MEDICARE RISK MANAGEMENT AND FEE-FOR-SERVICE

· Work hand-in-hand with the CEO and VP of Operations to develop and roll-out a strong process for clinical chart reviews, HCC coding and claims submission

· Collaborate with the Manager of MRA Coding and Manager of FFS Billing to implement best-in-class capabilities for Medicare Advantage / Fee-for-Service billing

CASE MANAGEMENT / UTILIZATION MANAGEMENT

· Work hand-in-hand with key physician leaders to develop and roll-out a strong process for managing Part A, Part B and Part D expenses

· Create preferred provider networks to manage Part A and Part B expenses

· Work hand-in-hand with the Case Manager to hire and train staff for case management to ensure that patients are seen in the office setting and their homes rather than being sent to the hospital ER

· Create standardized metrics for measuring case and utilization management performance on an objective basis across physicians / practices

TALENT MANAGEMENT AND CULTURE / CORE VALUES

· Partner with HR to develop tools for employee coaching, mentoring, multi-rater feedback, high-potential development, career development counseling, etc.

· Work with Office Managers in individual practices to assess learning needs for clinic employees and establish career development priorities

· Promote a healthy work environment and foster high engagement levels with employees on an ongoing basis

· Implement programs to recognize and award service levels and celebrate achievement by employees at company events

· Interpret and drive action planning as a result of employee engagement surveys; report results/plan actions with executive team

MINIMUM QUALIFICATIONS:

EDUCATION AND WORK EXPERIENCE:

· Bachelors Degree required; Masters Degree preferred

· Minimum of 3 years of progressive management experience

· Experience in leading operations for multiple practices within a multi-site healthcare services business is required

· Operations experience in Medicare Advantage risk management preferred

· Experience with successful integration of acquired practices and adoption of standardized operations processes for those practices

· Proven success engaging with and positively influencing physicians in a multi-site healthcare business

· Track record of successful fiscal and operating leadership; demonstrated financial expertise

· Ability to handle fast-paced environment and prioritize tasks in dynamic way

· Excellent communication and problem-solving skills

· Proficiency with Microsoft Office (Excel, Word etc.) and other desktop publishing software