Health Underwriting Director jobs in Ann Arbor, MI

GENERAL SUMMARY:

Responsible for providing overall direction and administration of the in patient and out patient Surgical and Endoscopy Services departments across multiple sites in order to ensure same operates efficiently and effectively. Regularly reviews and revises department standards and ensures procedures performed comply with all Hospital and regulatory agency standards. Develops and implements programs within department(s) based on needs assessment.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

1. Plans and administers directly, and through supervisory personnel, the effective management and delivery of overall departmental services in accordance with all Hospital and regulatory agency standards. Directs activities of personnel engaged in the delivery of services.

2. Accountable to establish and maintain partnerships/relationships with both the Medical Director and the Director of Anesthesia as well as the Chief of Surgery and all other relevant medical staff and personnel. Manages and positively influences the perceptions, image and trust level of services with all customers, both internal and external, within specific areas of accountability.

3. Oversees development and maintenance of department policies, technical procedures, quality control programs, and operational records and reports.

4. Responsible for developing and maintaining mechanisms that ensure compliance and competency of all assigned staff.

5. Interviews, hires, evaluates the performance of and, when necessary, disciplines and discharges supervisory personnel. Approves hiring and, when necessary discharge recommendation of supervisory personnel and assists same in resolving complex employee relations matters. Takes corrective action in response to incident reports and/or patient complaints.

6. Develops, recommends, and implements short- and long-term departmental goals and objectives and, in collaboration with supervisors, develops and implements plans to meet agreed-upon goals and objectives. Monitors department's performance and implements necessary changes to effect continual improvement in the services provided. Provides periodic reports to senior management concerning attainment of or progress toward goals and objectives.

7. Prepares, secures approval of, and administers departmental budgets. Evaluates, reviews and approves equipment and supply purchases. Monitors adherence to operational and capital budgets, identifies variances and makes recommendations for adjustments as needed.

8. Demonstrate a thorough understanding of department charges, charge order set(s), department CDM management, and charge capture processes (including crediting charges).

9. Have the ability to execute charge capture processes including charge reconciliation, monitoring and reconciling gross charges daily and monthly, identify and investigate variances, and ensure resolution of issues.

10. Must be proficient on the applicable software systems(s) and how to access and retrieve reports from Quest.

11. Obtain, review, and correct errors per error report(s) or upon request.

12. Performs all other duties as required.

13. Maintains a working knowledge of applicable Federal, State and local laws and regulations, the Integrity/ Compliance Program, Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

SPECIALIZED JOB DUTIES:

Participates in developing and implementing departmental marketing strategies

EDUCATION/EXPERIENCE REQUIRED:

· Bachelor's Degree in Nursing (BSN)

· RN with Master Degree in Nursing, Health Administration, or Business Administration (or enrolled in accredited program with completion within two (2) years)

· Three (3) years of successful administrative experience in related clinical setting

· Two (2) years of appropriate clinical experience

· Demonstrates leadership ability, communications, and interpersonal skills necessary to interact effectively with physicians, management staff, external agencies/customers and patients/families

· Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the HFHS' Customer Service Policy and summarized below: Communication; Ownership; Understanding; Motivation; Sensitivity; Excellence; Teamwork; Respect

· Must practice the customer skills as provided through on-going training and in-services

· Must possess the following personal qualities: Be self-directed; Be flexible and committed to the team concept; Demonstrate teamwork, initiative and willingness to learn; Be open to new learning experiences; Accepts and respects diversity without judgment; Demonstrates customer service values

CERTIFICATIONS/LICENSURES REQUIRED:

RN licensure in the State of Michigan

PREFERRED QUALIFICATIONS:

MSN or other related Master's degree

Demonstrated leadership experience in surgical services

Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the HFHS' Customer Service Policy and summarized below:

Communication Ownership

Understanding Motivation

Sensitivity Excellence

Teamwork Respect

Must practice the customer skills as provided through on-going training and in-services.

Must possess the following personal qualities:

Be self-directed

Be flexible and committed to the team concept

Demonstrate teamwork, initiative and willingness to learn

Be open to new learning experiences

Accepts and respects diversity without judgment

Demonstrates customer service values

PHYSICAL DEMANDS/WORKING CONDITIONS :

Normal office environment with minimal exposure to noise, dust, or extreme temperatures.