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Regional Practice Manager
Job in
Cincinnati, Hamilton County, Ohio, 45208, USA
Listed on 2026-08-17
Listing for:
Jobtailor
Full Time
position Listed on 2026-08-17
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
- Provide operational leadership for multiple infusion centers
- Ensure consistent execution of organizational standards, regulatory compliance, and exceptional patient care
- Lead, mentor, coach, and develop clinical, intake, and administrative teams
- Assess operational challenges and make timely decisions supporting patient care, compliance, employee engagement, and organizational objectives
- Monitor regional performance metrics and implement strategies to improve efficiency, patient satisfaction, and financial performance
- Ensure standard operating procedures are followed and identify process improvement opportunities
- Oversee facility readiness, vendor relationships, inventory coordination, staffing plans, and operational continuity
- Serve as regional operational expert for patient access, reimbursement, and healthcare insurance processes
- Guide Intake teams through payer requirements, prior authorizations, denials, appeals, medical necessity requirements, referral barriers, and specialty medication access
- Develop strategies to improve patient access and maintain compliance
- Partner with Intake, Nursing, Pharmacy, and Revenue Cycle teams to resolve reimbursement challenges and improve referral conversion
- Monitor payer policy changes and communicate operational updates and best practices
- Coach and educate team members on insurance processes, documentation requirements, reimbursement workflows, and payer-specific expectations
- Escalate complex reimbursement issues and resolve routine and moderately complex insurance challenges
- Manage staffing models and labor utilization
- Address patient, provider, employee, and facility concerns
- Prioritize multiple operational initiatives in a high-volume environment
- Use EHR/EMR systems, payer portals, referral management software, scheduling platforms, CRM systems, Microsoft Office, and other healthcare applications
- Travel throughout the assigned region, including occasional short-notice travel, for onsite leadership, staffing support, training, and business continuity
- Bachelor's degree in Healthcare Administration, Business Administration, Nursing, or a related field preferred
- Three or more years of progressive leadership experience in healthcare operations, physician practice management, ambulatory care, specialty pharmacy, infusion services, or a related healthcare setting
- Strong working knowledge of commercial insurance, Medicare, Medicaid, prior authorizations, reimbursement processes, referral management, specialty medication access, payer policies, and medical necessity documentation
- Clinical background preferred
- Ability to analyze complex situations independently, make sound decisions, and drive operational outcomes with minimal supervision
- Exceptional organizational, prioritization, and time management skills
- Ability to manage multiple competing priorities in a fast-paced healthcare environment
- Ability to multitask across multiple practices, departments, technology platforms, and operational initiatives
- Strong analytical, critical thinking, and problem-solving abilities
- Excellent communication, leadership, coaching, and relationship-building skills
- High level of initiative, accountability, professionalism, and adaptability
- Advanced proficiency with electronic health records, payer portals, Microsoft Office Suite, scheduling software, CRM platforms, and other healthcare technology systems
- Ability and willingness to travel throughout the assigned region, including overnight or short-notice travel, based on operational needs
Demonstrates expertise in healthcare operations management, focusing on patient access, reimbursement processes, and regulatory compliance. Proven ability to lead and develop teams while driving operational efficiency and enhancing patient care outcomes.
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