Project Manager - Provider Based Clinics

Posted 2 Days Ago
Hiring Remotely in USA
Remote
Junior
Healthtech
The Role
Lead and coordinate provider-based clinic projects to ensure compliance with CMS regulations, optimize reimbursement, manage stakeholders, develop reports/presentations, perform gap assessments, and drive process standardization and improvements across ambulatory operations.
Summary Generated by Built In
Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full.  Below, you’ll find other important information about this position. 

A primary focus of this position is to lead the efforts of Provider Based operations to successfully implement and monitor department projects. The position has responsibility for managing and coordinating multiple projects that impact provider-based sustainability and performance. The position supports the development and implementation of strategic initiatives by assisting with the creation of comprehensive program plans for key organizational initiatives. The position contributes to meeting the objective goals of the organization, which include system provider-based strategy and ensuring compliance with regulatory requirements to establish WVU Medicine as a premier clinical organization and optimizing reimbursement in every market.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s degree in Business Administration, Communications, Education, Finance or related field OR 1-2 year’s experience with Medicare Provider Based and RHC regulations

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Strong communication and project management skills

2. Strong working knowledge of Microsoft Office

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Lead special projects and serve as the primary contact between multiple stakeholders, including ambulatory operations, clinical leadership, information technology, revenue cycle, and others.

2. Responsible for management of project communications, deliverables, deadlines, department initiatives, and stakeholder relationships.

3. Manage efforts to develop reports, develop presentations, and help communicate findings to leadership.

4. Ensures that the designated project is proceeding according to agreed upon timelines, meeting targets and expectations, and adhering to established operating parameters (negotiates all changes in project scope).

5. Responds to requests; explores and resolves problems as presented by Department Leadership, IT, clinical departments, and support staff.

6. Assist Director in standardization and process improvement techniques to improve operations. Identify ways to optimize best practices and operational workflows.

7. Initiates programs and projects in direct consultation with Directors and Senior Leadership and coordinates their implementation and completion in collaboration with appropriate internal and external customers.

8. Directs project review sessions with Directors and other project leaders in order to monitor progress against timelines, including issue audits and mitigation steps. Documents project plan progress. Interprets and advises key stakeholders on CMS provider-based compliance per 42 CFR 413.65 and alerts leadership to any pertinent changes.

9. Coordinate and perform onsite gap assessments for provider-based clinics and RHC’s across the health system as needed.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Ability to sit, stand, or remain in a stationary position for extended periods.

2. Frequent use of hands and fingers with full range of motion for typing, writing, and handling office equipment.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment.

SKILLS AND ABILITIES:

1. Excellent written and verbal communication skills.

2. Strong understanding of ambulatory operations, revenue cycle functions, and clinical workflows.

3. Self motivated and flexible in responding to shifting priorities or organizational changes.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

540 SYSTEM Finance and Reimbursement

Skills Required

  • Bachelor's degree in Business Administration, Communications, Education, Finance or related field
  • 1-2 years' experience with Medicare Provider Based and RHC regulations
  • Knowledge of CMS provider-based compliance (42 CFR 413.65)
  • Strong written and verbal communication skills
  • Project management skills (managing communications, deliverables, timelines, stakeholders)
  • Strong understanding of ambulatory operations, revenue cycle functions, and clinical workflows
  • Ability to perform onsite gap assessments for provider-based clinics and RHCs
  • Self-motivated and flexible in responding to shifting priorities
  • Strong working knowledge of Microsoft Office
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The Company
HQ: Morgantown, WV
5,748 Employees

What We Do

The WVU Health System, which operates under the brand name WVU Medicine, is comprised of 22 member, managed, and affiliated hospitals in West Virginia, Maryland, Ohio, and Pennsylvania. It is West Virginia’s largest healthcare system and largest private employer with more than 2,500 licensed beds, 4,900 providers, approximately 30,000 employees, and more than $5 billion in total operating revenues. It includes: • J.W. Ruby Memorial Hospital in Morgantown (flagship), including WVU Medicine Children’s in Morgantown and Fairmont Medical Center in Fairmont; • United Hospital Center in Bridgeport; • Camden Clark Medical Center in Parkersburg; • Berkeley Medical Center in Martinsburg; • Barnesville Hospital in Barnesville, Ohio; • Braxton County Memorial Hospital in Gassaway; • Garrett Regional Medical Center in Oakland, Maryland; • Harrison Community Hospital in Cadiz, Ohio; • Jackson General Hospital in Ripley; • Jefferson Medical Center in Ranson; • Potomac Valley Hospital in Keyser; • Princeton Community Hospital in Princeton, including The Behavioral Health Pavilion in Bluefield; • Reynolds Memorial Hospital in Glen Dale; • Saint Francis Hospital in Charleston; • St. Joseph’s Hospital in Buckhannon; • Summersville Regional Medical Center in Summersville; • Thomas Memorial Hospital in South Charleston; • Uniontown Hospital in Uniontown, Pennsylvania; • Wetzel County Hospital in New Martinsville; • Wheeling Hospital in Wheeling; • And five institutes – the WVU Cancer Institute, the WVU Critical Care and Trauma Institute, the WVU Eye Institute, the WVU Heart and Vascular Institute, and the WVU Rockefeller Neuroscience Institute. The WVU Health System also provides management services to Grant Memorial Hospital in Petersburg. For more information, visit WVUMedicine.org

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