Senior Manager, Referrals-1

Posted 11 Days Ago
Be an Early Applicant
United States of America
5-7 Years Experience
Healthtech
The Role
The Senior Manager, Referrals is responsible for managing internal and external member referral processes, designing training programs, and leading Referral Managers. This role involves strategic planning, performance improvement recommendations, and analyzing referral outcomes to enhance organizational performance. The manager collaborates with executive teams and oversees referral tools and resources, ensuring compliance and improving patient satisfaction.
Summary Generated by Built In

We’re unique. You should be, too.

We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Senior Manager, Referrals is responsible for providing support to ChenMed, et. al regarding internal and external member referral processes. The employee in this role is responsible for managing and maintaining referral tools, resources and reports and creating trainings to guide the Chenmed company's on referral processes. The Senior Manager, Referrals is the subject matter expert in Referrals processes for the organization.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

  • Designs, coordinates, and implements training programs for new/existing employees (all levels) for referral processes.
  • Leads Referral Managers by providing tools/reports and weekly/monthly meetings to discuss referral process and process updates. Leads weekly 1:1’s and monthly meetings with Referral Managers.
  • Supports Network Directors by providing feedback on Referral Manager performance. Recommends performance improvement plans for underperforming referral managers.
  • Implements strategic planning for referral coordination that contributes to medical cost reduction and improves organizational performance.
  • Interviews Referral Manager candidates. Maintains and promotes the awareness of the corporate values to help develop Referral Managers for career growth and future success. 
  • Gives market leadership insights on PCP ratios, CPL usage/leakage, CC/RM performance-based data analysis.
  • Strategizes and creates structure for referral teams for markets to improve referral outcomes.
  • Participates in executive team and Network Director meetings to collaborate for referral improvements and solutions.
  • Travels to markets as needed to provide support.
  • Meets bi-weekly with corporate CMO to strategize/implement clinical/referral processes.
  • Creates SOPs, Policy & Standards, Processes, Metrics & Compliance for Referral department.
  • Reviews current referral processes by state and creates process improvements.
  • Plans and oversees strategic referral projects to improve PCP/patient satisfaction.
  • Establishes and implements organizational goals for referrals. Responsible and accountable for the performance of all referral departments within the organization.
  • Identifies issues, makes critical decisions and resolves time sensitive challenges within the referral function.
  • Troubleshoots ChenMed process inquiries with internal and external tools. Examples: Web IVR issues, Dashboard EMR, BI Tools (RITS) etc.
  • Oversees referral disenrollment. Reviews disenrollment report and analyzes who disenrolled due to referral issues. Recommends actions to mitigate disenrollment.
  • Builds and manages referral tools, BI tools, RITS enhancements and rollouts.
  • Works closely with users and BI team on processes and implementations that are beneficial for the department as well as IT support for Dashboard enhancements.
  • Troubleshoots RITS issues.
  • Collaborates with CSE and BI department on reporting.
  • Organizes annual Referral Excellence Month and Referral Manager Conference.
  • Performs other duties as assigned and modified at manager’s discretion.

KNOWLEDGE, SKILLS AND ABILITIES:

  • Knowledge of ChenMed products, services, standards, policies and procedures
  • Strong organizational, influencing and problem-solving skills
  • Ability to collaborate effectively with all levels of company personnel
  • Written and verbal communication skills
  • Ability to pay close attention to detail and to ensure accuracy of reports and data
  • Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
  • Ability and willingness to travel locally, regionally and nationwide up to 5% of the time
  • Spoken and written fluency in English
  • This job requires use and exercise of independent judgment

EDUCATION AND EXPERIENCE CRITERIA:

  • Bachelor’s degree in a healthcare-related field; additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis
  • Minimum six (6) years of related experience including a minimum four (4) years’ supervisory experience
  • Experience working with Physicians and Directors on a daily basis
  • Experience reviewing data and making decision based of the data
  • Experience working in Medicare managed care environment

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.

Current Employee apply HERE

Current Contingent Worker please see job aid HERE to apply

The Company
HQ: Miami Gardens, FL
1,492 Employees
On-site Workplace

What We Do

ChenMed brings concierge-style medicine and better health outcomes to the neediest populations – moderate-to-low income seniors with complex chronic diseases. Operating over 50 medical centers in eight states, we are known to our patients as Dedicated Senior Medical Center, Chen Senior Medical Center, or JenCare Senior Medical Center.

Through our innovative operating model, physician-led culture and empowering technology, we drive key quality and cost outcomes that create value for patients, physicians and the overall health system. By recruiting focused physicians and reducing their doctor-to-patient ratios, we increase patients’ “face time” during each monthly appointment and help foster stronger doctor-patient relationships.

Results of our high-touch approach to primary care are impressive, as illustrated in the recent Modern Healthcare cover story published on Oct. 20, 2018, which reports that: “Indeed, ChenMed's approach has resulted in 50 percent fewer hospital admissions compared with a standard primary-care practice, 28 percent lower per-member costs, and significantly higher use of evidence-based medications.”

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