Operations Research Optimization Jobs in Atlanta, GA

Job Brief: Business Operations Manager, Specialty Services
The Business Operations Manager, Specialty Services, under the direction of the Director of Specialty Services Operations in partnership with physician leaders and collaboration with health plan partners, provides operational leadership and business strategy support for the medical group's specialty care departments. The position interfaces directly with department chiefs, physician administrative leaders as well as nursing management and other operational directors to ensure operational efficiency and high-level of performance. Key focus areas of the role include managing appointment access and provider allocations, financial analysis and claims data mining, identifying, and managing process improvement projects, building business cases, and leading new service internalizations, and supporting chiefs with strategic insights and business management expertise for the optimal functioning of their practices.
Summary:
The Southeast Permanente Medical Group (TSPMG) is one of Georgia's largest independent, physician-owned, multi-specialty medical groups. More than 700 physicians and 300 associate practitioners work together in a unique integrated care model to provide high-quality care to Kaiser Permanente members. Our focus is on long-term health, effective prevention, diagnosis and treatment of disease. Care is delivered across 40+ specialties at 26 medical offices featuring state-of-the-art equipment, labs, imaging services, and pharmacies. We also provide surgical services and around-the-clock care at some of the area's top hospitals. We invite applications for an intern in Clinical & Health Systems based at our regional office.
About the area:
Atlanta, our home for more than 40 years, is a thriving metropolis that blends southern charm with modern art, music, and culture....where Southern charm meets big-city energy. From its iconic skyline and rich civil rights history to a buzzing food scene and world-class arts, Atlanta is a city that never stops moving. Home to Fortune 500 companies, a booming tech and film industry, and a strong academic presence, Atlanta offers exceptional professional opportunities. With a major international airport and a culture that values balance, Atlanta is a smart move for professionals ready to grow and thrive.
What You Can Expect:
• Partners with specialty department chiefs and physician leaders to provide strategic direction and operations management expertise for sub-set of specialty care departments (medical, procedural, surgical).
• Develops specialty care departments strategy plans and ensures execution of that plan according to determined service, quality and financial efficiency metrics.
• Prepares performance monitoring tools including department scorecards to provide ongoing oversight into key areas of business and clinical execution.
• Utilizing operations research, data analytics and performance monitoring tools, manages programmatic areas aligned to assigned specialty departments to improve efficiency, quality and clinical outcomes.
• Conducts utilization and external claims analysis and continuously monitors trends to ensure right care happens with right provider and right place of service. When adverse trends are observed, rapidly performs root-cause analysis and presents findings and recommendations to chiefs and physician leaders for remediation - leads execution of these plans
• Leverages data analytics and operational insights to guide provider distribution and appointment scheduling strategies.
• Advises department chiefs on optimal allocation of subspecialists, practice locations, and procedural versus clinic time to enhance access and utilization.
• Seeks opportunities to reduce expenses and improve quality of care by internalizing medical and surgical services into the KP delivery system, to include creation of required business cases.
Minimum Requirements:
• BA/BS degree (Masters preferred)
• 3-5 years of healthcare experience
• Understand CPT and ICD9 coding & claims analysis
• Excellent demonstrated use of quantitative reports & analysis
• Ability to analyze large volumes of data
• Excellent project management experience
• Training & experience leading process improvement projects & change management
• Demonstrated organization & problem-solving skills along with strategic & systems thinking capability
• Proven ability of managing multiple complex projects simultaneously
TSPMG Administrative Staff:
• Are committed to supporting our practice of providing care of the highest quality
• Provide excellence in service
• Are honest and ethical and show Integrity in their actions
• Demonstrate accountability for their performance
• Dedicated to the success of the Team
We Provide You (may vary based on employment status):
• Competitive compensation which considers an applicant's skills and qualifications, certain degrees and certifications, training, market data, and other relevant factors
• Comprehensive benefits including medical and dental insurance, a pension plan and 401(k), life insurance, short- and long-term disability
• Generous paid time off
• Many additional benefits that support your work/life balance
TSPMG is an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status. We maintain a drug free workplace and perform pre-employment substance abuse testing and background checks.