Dedicated and experienced Healthcare professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Manage operations for primary care office Medicare patients with a membership of twelve hundred and primary care for Medicaid Adult and Pediatric patients with a combined membership of 2100 hundred.
• Manage staff, medical assistants, provider's schedule, and payroll.
• Assist in the process of recruiting, onboarding, and training of new employees.
• Work collaboratively with other departments such as IT, maintenance, Retention, compliance, case management, human resources, and more.
• Ensuring quality customer service and resolving patient concerns.
• Review of weekly performance report ensuring we schedule and follow up with patients and their care.
• Implement all company policies and procedures, including HIPAA.
• Work closely with Medicare Advantage partners and PCMH accreditation with a focus on quality and safety enhancement and coordination across the continuum of care.
• Review and update the team with performance metrics and area opportunities such as process adherence, wait times, and patient surveys via Salesforce.
• Work closely with financial reports to increase our areas of opportunities by analyzing MLR, MRA, Part A, Part B, and Part D, including GDR Scores.
• Participate with HEDIS and STAR measurements.
Participate in PCMH accreditation. Oversaw the recruitment, hiring, and onboarding processes to ensure a skilled workforce capable of meeting center objectives.