Project Manager - Covina California

Company: Regal Medical Group
Location: Covina, California
Posted On: 05/01/2024

Job Description

Position Summary:

TheProject Manager is responsible for maintainingoutpatientquality and financial budget and ensuring positive patient outcomes for Regal Medical Group. Accountable for overseeing management and optimization of Utilization Management activities related tooutpatientcare delivery programs. AProject manager isalso expected to provide outpatient oversight.

Essential Duties and Responsibilities include the following:

• Works collaboratively with outpatient leadership team working in concurrent review/Vital Care management/Prior Authorization Departments. Monitors and analyzes UM protocols and identifies trends and makes recommendations and develops reports and interventions to improve management.
• Develops and coordinates strategies, in collaboration with the outpatient Medical Director, for ensuring the delivery of care in the most cost effective setting. (i.e. hospitals)
• Oversees outpatient medical management operations, works with staff including concurrent review, prior auth and vital care staff in order to achieve company goals and metrics.
• Interprets and analyses outpatient utilization reports for outpatient leadership team.
• Works cooperatively and collaboratively with the outpatient leadership Decision Support and Information Technology teams.
• Coordinates or performs outpatient project/activities as delegated.
• Monitors and analyzes UM protocols and identifies trends and makes recommendations and develops programs and interventions to improve outpatient budget as well as processes.
• Identifies opportunities for the development and implementation of new approaches that improve efficiencies and production while maintaining quality.
• All other duties as directed by management.The pay range for this position at commencement of employment is expected to be between $70,304 - $75,000 annually; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
  
  The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
  
  Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
  
  If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
  
  As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
  
  Full Time Position Benefits:
  
  The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
  
  Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
  
  Health and Wellness:
  • Employer-paid comprehensive medical, pharmacy, and dental for employees
  • Vision insurance
  • Zero co-payments for employed physician office visits
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance
  • Employee Assistance Program (EAP)
  • Behavioral Health ServicesSavings and Retirement:
    • 401k Retirement Savings Plan
    • Income Protection InsuranceOther Benefits:
      • Vacation Time
      • Company celebrations
      • Employee Assistance Program
      • Employee Referral Bonus
      • Tuition Reimbursement
      • License Renewal CEU Cost Reimbursement Program
      • Business-casual working environment
      • Sick days
      • Paid holidays
      • MileageRequirements
        
        Education and / or Experience:
        • Bachelor in Health Administration. Masters preferred or 3 Years IT experience
        • Highly organized and able to handle multiple priorities.
        • Process Improvement, workflow benchmarking and/or evaluation process.
        • Excellent verbal and written communication skills and ability to present to large audiences required.
        • Must be detail-oriented.
        • Proficiency with systems and a variety of software applications
        • Ability to work in a team environment
        • Leadership, facilitation, critical thinking, problem solving, decision making and analytical skills required
        • Broad knowledge of business functions
        • Ability to influence, motivate, and lead stakeholders from various business units to meet agreement. More...

              

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