Director, Patient Access

Summary

Responsible for creating, guiding and implementing all new strategic aspects of Patient Access functions. Ensures that the models meet the demands for high value, integrated, affordable care that is expected in our brand promise to individual patients, aligned medical groups, and payers. Responsible for operational planning and evaluation, budgeting and providing financial oversight. Collaborates with staff and leadership within the organization to drive standard processes and ensure consistency of practices as well as continuous process improvement within the Patient Access Department.

These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).

Responsibilities:

OPERATIONS.

• Coaches, mentors, and motivates direct reports to carry out the goals of Patient Access with their teams.
• Monitors and analyzes performance of staff and departments.
• Utilizes daily management system to establish key measurements for each department; sets standards and develops goals to continuously meet or exceed standard.
• Develops and fosters a solid partnership with leaders, work teams and other employees to facilitate and collaborate on initiatives, to resolve operational challenges and/or to improve processes.
• Develops and establishes the direction of policies and procedures and sets a structure for providing a safe and productive work environment.
• Ensures protocols are in place to comply with affiliate, operating unit, and/or system standards, policies and procedures, and applicable laws and regulations.
• Identifies and works to remove barriers that may hinder delivery of services or the achievement of process/productivity improvement and efficiency.

STRATEGY/PLANNING.

• Works with Patient Access reporting team to develop and analyze metrics related to the performance of Patient Services related functions and staff.
• Monitors and analyzes trends in the environment—local, regional and national markets— that affect strategies.
• Communicates strategic plans to department managers to ensure alignment of goals.
• Sets priorities and allocates resources to align with business objectives and annual plan.
• Leads departmental goal setting process and provides roadmap for accomplishing goals. Monitors progress, developing action plans to address issues and challenges.
• Communicates affiliate, operating unit and system goals to staff, helping staff understand impact on patients, operations and resources.
• Develops/approves plan of action to address current and future resource needs in order to meet service and/or operational demands and objectives.

FINANCIAL MANAGEMENT.

• Establishes overall operating and capital budget with input from management team, ensuring financial targets are achieved and variances are addressed timely.
• Approves department operating budgets, and capital requests.
• Works with department managers to ensure achievement of financial targets via effective utilization of personnel, resources and supplies.
• Monitors department productivity, ensuring operational challenges are addressed timely.
• Reviews financial reports and develops and implements corrective action plans to address unfavorable variances.

PEOPLE.

• Provides and fosters an inclusive work environment that encourages staff engagement and collaboration, establishing a culture of teamwork.
• Manages assigned staff, makes hiring and termination decisions, and reviews and approves timekeeping records.
• Establishes expectations with all direct reports, holds individuals and work teams accountable, and ensures job descriptions accurately reflect job responsibilities and expectations.
• Evaluates staff performance and determines/approves merit increase. Provides constructive feedback, coaching and counseling. Implements disciplinary actions and/or performance improvement plans to achieve desired performance.
• May work with leadership when major disciplinary action is necessary or in consultation with Human Resources.
• Provides opportunities for career development, role expansion, and cross-training.
• Conducts staff meetings for informative and educational purposes.
• Responds timely to alleged violations of policies, procedures, regulations and standards of conduct by evaluating or initiating investigative procedures.
• May consult with Human Resources or Compliance to determine appropriate course of action.
• Ensures staff maintains current and appropriate professional credentials.

EDUCATION:

• Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's: Business Administration, Healthcare or related field

TYPICAL EXPERIENCE:

• 12 years recent relevant experience.

SKILLS AND KNOWLEDGE:

• Demonstrated ability to plan, coordinate, evaluate, and direct activities of non-clinical personnel. Knowledge of third-party regulations and requirements, managed care concepts and current practices.
• Effective, dynamic communicator (written/verbal); with ability to communicate sensitive/tough messages with tact and authenticity.
• Demonstrates credible leadership presence, with the ability to respond to questions with logic, clarity, calmness and authority; and the ability to motivate and engage others.
• Proven ability to manage a complex environment and plan and execute new services or changes to services. Collaboration skills to facilitate open sharing of information and cooperation with various stakeholders.