Hca Utilization Review Jobs in Georgia (NOW HIRING)

Want to join a team of daring managers who care without reservations or limits? Our Memorial Health team is looking for a Director of Physician Services II. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years.

HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country? Apply today to our Director of Physician Services II and be a part of the innovation of ideas.

The role of the Director of Physician Services (DPS) II is a strategic leader who oversees and takes ownership of a clinical operations market with 51 or more providers. The DPS II provides support to hospital facilities operations management related to physicians, including primary care, specialists, and subspecialists who practice in hospital and outpatient settings. Responsibilities include oversight of the operations, budget, and general management of a portfolio of practices within a defined geographic area or specialty. This individual will have strategic, ongoing communications and interactions with the relevant hospital division from both a strategic and tactical standpoint. Building effective partnerships with hospital and operations team members is integral to success in this role.

What you will do in this role:

• Demonstrate an uncompromising commitment to delivering exceptional care to create an unmatched value proposition for our patients
• Identify opportunities for improvement and innovation, removes barriers and resistance, and enable desirable behavior
• Collaborate effectively with Division service line leaders and hospital business development leaders
• Proactively identify practice/business development opportunities to increase market share
• Direct and manage strategic projects for areas such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization, coding, physician and staff training
• Have strategic and tactical operational responsibility for the business and clinical functions through administrative and clinical staff including providers, front desk, medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services of his or her assigned practices. These responsibilities include Human Resources responsibilities.
• Develop, implement and monitor practice budgets including analyzing financial impact of changes and forecasts, and expenditures. Recommends corrective action as required
• Have supervisory responsibility for physicians and practice staff as well as meet regularly with constituents including but not limited to operations leadership, physicians and hospital administration to review practice strategy, market and division goals, financial performance and practice key indicators
• Oversee physician recruiting and contracting in collaboration with other PSG colleagues
• Work with physicians and division leadership to provide innovative practice growth and quality solutions that will maintain and improve patient outcomes and satisfaction.
• Promote consistent patient interactions that advance the agenda of increased patient satisfaction
• Perform other duties as assigned

What qualifications you will need:

• Bachelor's Degree in health or business administration required
• Master's Degree or equivalent combination of education and/or experience preferred
• CMPE completion preferred
• 3+ years of leadership experience in practice management of multiple locations required
• 5+ years of relevant clinical operations experience required

Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times.  In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a(an) Director of Physician Services II and help us improve more lives in more ways.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.