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Job Description
Job Id:
291-52237
# of Openings:
1
Pay Range: $70,000 - $80,000 per year
POSITION SUMMARY
Under the supervision of the Area Director, the Practice Administrator is a senior-level role responsible for overseeing multiple primary care clinics or a high volume of patients (1000 or more Medicare Risk patients). This position requires a strategic thinker with strong leadership skills to refine team performance, manage structured workflows, and optimize clinic efficiency. The Practice Administrator focuses on strategic programs, financial oversight, and physician engagement while delegating day-to-day operational tasks to supervisors and staff. They are responsible for managing all aspects of operations involving non-clinical staff in the office(s) they manage.
RESPONSIBILITIES:
Practice & Team Leadership
- Oversee the performance management of practice staff at all assigned locations, ensuring effective delegation and operational efficiency.
- Manage and mentor Practice Supervisors and other staff to foster growth and development.
- Implement structured office workflows and optimize clinic operations.
- Monitor key performance indicators (KPIs) to assess practice efficiency, preparing comprehensive office management reports that include, but are not limited to, patient lists, provider panels, profit and loss statements, budgetary analysis, utilization metrics, quality measures, and compliance with STARS/HEDIS standards.
- Conduct monthly metric reviews to evaluate hospital admissions, readmissions, medical expenses related to patient care, membership growth, financial performance, quality of care, and patient experience, ensuring continuous improvement and optimal patient outcomes.
- Partners with providers to maintain orderly and efficient workflows in the office.
- Facilitates daily huddles discuss daily schedules, patient metrics, office performance, successes, recognition, and other areas for improvement.
- Maintains a positive atmosphere and working environment while effectively monitoring morale and creating a dynamic patient-centric, and servant leadership culture.
Strategic Program Oversight
- Administer pilot programs aimed at improving practice performance and patient care.
- Conduct physician engagement activities within assigned clinics, collaborating with Senior Medical Directors (SMDs).
- Oversee HIC programs within managed clinics.
- Manage referrals and conduct PPN network analysis to streamline patient care.
Membership Growth & Market Support
- Ensure clinics maintain a minimum of 1000 MA patients; if below threshold, provide market support by working with brokers to drive patient growth.
- Facilitates and monitors all office aspects of new patient process with cross-functional teams, including office touring, patient portal registration, management of new patient paperwork, and coordination of medical referrals from the practice.
Oversight & Training Responsibilities
- Assists Area Director in training to new employees throughout the market to establish best practices and maintain operational excellence.
- Provide additional market support to the Area Director to drive operational success in underperforming clinics.
- Ensure practice(s) readiness for regulatory visits, addressing site inspections, audits, and surveys including OSHA, CLIA, and program assessments.
- Oversees management and training of office’s emergency response processes.
QUALIFICATIONS
- Bachelor's degree preferred or a minimum of 5 years of healthcare management experience in Medicare Advantage (MA) or value-based care in a primary care setting.
- In-depth knowledge of Medicare Advantage Billing, including HCC and Quality coding/billing practices.
- At least 5 years’ experience working with an EHR, eCW preferred.
- Proven experiencing managing HEDIS with a practice team, including improving or maintaining Star ratings year over year.
- Demonstrated financial oversight of physician practices, including budgeting and revenue optimization.
- Strong analytical skills, with the ability to extrapolate data from reports to improve patient outcomes and increase practice revenue.
- Proficiency in Microsoft Office Suite (Word, Outlook, PowerPoint and Teams) with advanced expertise in Excel (minimum three years of experience)
- A minimum of 3-5 years of experience in physician engagement in a value-based care setting.
- Strong compliance and regulatory knowledge.
- Excellent problem-solving and decision-making skills.
- Effective oral and written communication skills
- Ability to handle multiple competing priorities simultaneously.
- Strong organizational skills
- Ability to work in a team environment and to collaborate with a variety of internal and external contacts in a positive manner.
- Bilingual in English/Spanish required
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Pay Range: $70,000 - $80,000 per year
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