Practice Administrator, Physician Practice

Department: CNE-ADMIN

Operating Unit Care New England Medical Group

Location: Providence, RI

Job : 24872

Job Status: Full Time

Shift: Days

Schedule: Other

Responsible for strategic planning, practice development, and the administrative and clinical operations of multiple Specialty ambulatory practice locations to support achievement of medical group goals. Partnering with clinical directors and managers in practices where nursing leadership oversees or has a matrixed relationship for clinical operations. Operates in a collaborative and supportive environment to manage practice growth, support development efforts, and emphasize service and quality.

Oversees and manages operational and practice related requirements with the Office/Practice Manager, providing dotted line supervision for administrative and clinical staff. Responsible for providing leadership and direction, while ensuring consistent applicability with the policies and procedures of CNE Medical Group, as well as within the applicable operating unit(s). The Practice Administrator has a visible on site presence at the practices and focuses on establishing and maintaining professional relationships with the providers, managers, and staff.

Collaborates with the Executive Director Operations and other members of the leadership team, develops and facilitates the implementation of the strategic direction of CNE and CNEMG. Ensures the strategic direction is achieved while ensuring that high quality of health care is delivered.

Ensures the development and implementation of approved annual practice plans, goals and objectives for each practice/program, based on the strategic plan of CNE and CNEMG, with a focus on:

• Implementing cost controls to improve net margin where applicable
• Expanded services
• Addition of new providers
• Patient access and satisfaction
• Employee engagement

Establishes and manages provider relationships in assigned practices. Understands and supports providers' productivity challenges and implements practices and workflow changes to alleviate them. Engages providers to enhance productivity in a manner that will fully utilize clinic resources and increase CNE’s net patient revenue.

Provides leadership to direct reports in the execution of approved strategies and goals. Meets weekly, in-person, with managers to ensure all business needs are met. Collaborates with managers to facilitate monthly practice priority meetings with providers. Maintains, at a minimum, a weekly presence in all practices managed. Participates at office/practice manager group meetings as required. Fosters an accountable environment and monitors achievement.

Communicates effectively to all levels of the organization.

Manages the implementation of operating policies, procedures, systems and programs consistent with organization philosophy, strategy and financial accountability. Ensures standardization of policies and procedures across business units whenever possible.

Manages the fiscal resources of the practices in a manner that is financially responsible and consistent with the overall goals of the organization. Makes recommendations for capital, operating and staffing budgets for departments and clinics for which the Practice Administrator is responsible. Prepares annual goals and budgets for submission as required. Responsibilities include preparation, submission and management of annual budget for all assigned practices.

Management includes preparation of variance report explanations when actual results deviate from established budget parameters.

Works closely with the revenue cycle management (RCM) leadership to continuously improve the revenue cycle for the practices. Maintains up-to-date knowledge of general third-party billing and coding regulations. Ensures all practice and provider encounters are closed within the prescribed period. Monitors all work queues to ensure they are being worked. Accountable for the timely resolution of Charge Review, Charge Router Review, Claim Edit, Follow-up, Open Encounters, and other work queues as assigned to the practices.

Collaborates with the Executive Director Operations to enhance existing services and/or implement new business strategies to build and maintain desired patient panel levels for both new and existing physicians/providers. Develop and enhance physician practice growth and quality of care. Evaluates the need for new resources such as additional providers, staff or services and designs comprehensive business plans/proposals to make a case.

Manages identified key performance indicators that measure financial performance, operational effectiveness and efficiency, clinical quality, and patient experience of assigned practices. Develops and executes strategic action plans aimed at improving metrics that are not meeting target. Provides dashboard and action plan results monthly to the Executive Director Operations, physician leadership and other stakeholders.

Ensures practice efficiency and…