Regional Operations Manager, Risk Adjustment

Regional Operations Manager, Risk Adjustment

The Regional Operations Manager RA is responsible for overseeing the daily operations of ROI functions for Risk Adjustment, Commercial Risk adjustment, HEDIS and RAD-V, across all Remote Solutions owned sites, Field team partnership communications, project management, strategic planning, budgetary performance, staffing and recruiting. The position requires effective written and verbal communication with direct reports, colleagues and clients.

The Regional Manager will act as the liaison between MRO Corporation, field operations, and payer projects to ensure that all contracted service level responsibilities, as well as, MRA request processing is compliant with established company goals, client policies, federal / state regulations and are completed in a timely manner.

TASKS AND RESPONSIBILITIES :

• Conducting meetings with field operations partners to review ROI inventory, with suggestions to streamline workflow, create efficiencies and provide issue resolution / suggestive guidance.
• Conduct regular meetings with Payer projects to review status of inventory by season, by project and by facility.
• Ability to generate timely, concise, and effective business correspondence.
• Responsible for management of regional P&L, expenditures to budget.
• Ability to interact with employees, customers and colleagues in a professional and courteous manner. Superior time management and attention to detail.
• Participate in process review and improvement meetings.
• Make crucial decisions to achieve success by reviewing productivity standards and contract language; Good analytical skills are required for tackling problems that may come up on a daily basis
• Recruiting, hiring and training staff to commensurate with defined job Responsibilities.
• Ensuring that staff is oriented, trained and are competent in all aspects of Medical Record - Release of Information.
• Ensuring productivity standards and goals are met for direct reports which may include Associate Managers, Supervisor and Remote Solutions Administrators.
• Conducting aspects of Human Resource requirements.
• Managing employee schedules and approving bi-weekly payroll.
• Managing work schedules of reporting Remote Solutions Administrators as needed to cover peak periods, leave and vacancies for the remote locations we oversee, in the absence of an Associate Manager or Supervisor
• Performing Quality Assurance (QA) monitoring of work performed by reporting staff.
• Conducting quarterly work performance reviews and annual reviews for all reporting Managers and Remote Solutions Administrators. Develop individual team members to achieve their professional goals
• Monitoring performance and provides performance feedback and evaluations for reporting Remote Solutions Administrators.
• Promoting a positive image of MRO with emphasis on customer service by treating internal customers, patients, co-workers, and medical center personnel with courtesy and respect.
• Responding to customer needs in a positive, professional and efficient manner.
• Improve regional processes, policies, and practices so as to achieve company's goals and ensure regional policies are met.
• Reports to MRO Sr. Director of Remote Solutions. serving as a link between managers and Remote Solutions Administrators to develop and implement new plans / ideas that will enhance the operations of the company at large
• Take part in feedback for new technologies : adopt and build workflows for sites to utilize all technologies and the most effective and efficient workflows.
• Oversee the creation of site specific SOP's that help maintain knowledge transfer and alignment to field operations partners expectations.

SKILLS|EXPERIENCE :

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