Manager, Claims Operations managing auto claims for USAA. Leading teams, ensuring process improvement and operational effectiveness in claims handling.
About the role
- Perioperative Operations Director providing operational leadership across perioperative services. Collaborating with teams and establishing strategic goals at Sutter Health.
Responsibilities
- Provides administrative and operational leadership for all aspects of the Perioperative Services across all areas of perioperative services and associated procedural areas.
- Establishes and implements goals, standards and practices that guide and support patient care and operational initiatives while ensuring the delivery of high-value quality care and exceptional care experiences.
- Develops and fosters a solid partnership with physicians, medical staff and Sutter Health leaders, care teams and other employees to facilitate and collaborate on initiatives.
- Works with senior leadership to develop and establish short- and long-term strategic plans that complement system, operating unit or affiliate goals and initiatives.
- Responsible for the management of capital planning, contracting support, departmental and special project management as well as strategic growth development.
- Sets priorities and allocates resources to align with business objectives and annual plan.
- Collaborates in the development and direction of policies and procedures, and sets a structure for providing safe, consistent and effective patient care.
- Establishes overall operating and capital budget with input from management team, ensuring financial targets are achieved and variances are addressed timely.
Requirements
- Graduate of an accredited school of nursing or business with relevant education in healthcare management and operations (MSN, MS, MHA, MBA, or relevant education and experience preferred).
- BLS-Basic Life Support Healthcare Provider
- 12 years of recent relevant experience.
- Demonstrates clinical proficiency and knowledge to effectively plan and coordinate patient care consistent with applicable standards and regulations.
- Working knowledge and thorough understanding of state/federal/local and/or accreditation standards and requirements as they relate to operations and organization.
- Knowledge of emerging trends and regulatory changes, and how they impact operations.
- Solid understanding of operations and workflows, and how the department’s process/workflow impacts other department operations.
- Understands business and operational requirements, demonstrating ability to design and establish goals to meet long and short- term objectives.
- Demonstrates credible leadership presence.
- Ability to handle difficult circumstances and make sound business decisions with little direction.
- Working knowledge of wage and hour laws.
- Demonstrates commitment to providing exceptional customer service and responding to customer needs/requests in a prompt, courteous manner.
- Verbal and written communication skills, with the ability to convey concepts and communicate information or issues in a manner that is readily understood by management and employees.
- Interpersonal skills with the ability to deliver presentations to a variety of audiences.
- Understanding of the budgetary process and the healthcare financial environment.
- Demonstrates effectiveness in achieving goals through individuals without having direct control of those resources.
- Delegates effectively, with the ability to manage and prioritize multiple projects in a fast-paced environment with changing business priorities.
- Demonstrates flexibility and is adaptable to change, and is able to inspire others to welcome change.
- Demonstrates ability to work/interact with a diverse population while respecting cultural and linguistic differences and fostering an inclusive work environment.
Benefits
- Comprehensive benefits package
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