Medical Management Manager jobs in Chicago, IL

Job Summary

WELLBE INTRODUCTION

The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. Care is provided throughout the entire continuum of care – from chronic care and urgent care in the home, to hospital, to skilled nursing facility, to assisted living, to palliative care, to end of life care. WellBe's physician/advanced practicing clinician led geriatric care teams’ partner with the patient’s primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum.

GENERAL SUMMARY

We are looking for an individual with deep transformational change experience in community-based care who is looking for an exciting challenge to join WellBe’s Performance Management Team to help transform the organization through data-driven process improvement.  This is a high-visibility, “in-the-trenches” role and will include daily interaction with our Performance Management Team, field operations, IT and analytics teams. You will be expected to leverage your transformational change expertise to help identify opportunities to minimize defects and improve process outcomes, while demonstrating an ability to produce executive level deliverables and solid judgement when solving problems.

Some of your work products will include financial analyses, process performance reports, process flows, group meeting facilitation, and interdepartmental relationship development. The ideal candidate will be a high-performing hands-on individual who has proven delivery with a strong understanding of operations and technology. You will have excellent communication skills, attention to detail and the ability to form the big picture. You likely thrive under pressure and see ambiguity and uncertainty as your opportunity to solve problems, innovate and deliver.

You will be expected to work both independently and as part of a team within a highly cross-functional environment. IT is critical the Performance Management Team serves as the connective tissue across the organization to drive true cross-functional collaboration and alignment while achieving lasting change. This is truly an exciting time of transformation and provides tremendous opportunity for lasting impact and influence.

Job Description

POSITION RESONSIBILTIES

• Actively build and participate in the operational rhythm of the business including appropriate communication, insight and incident management
• Partner across teams and with key stakeholders to simplify processes, policy and align procedures to changing business models/priorities
• Leverage real-world understanding of community-based care processes and be an expert and trusted agent of communication to drive both accountability and prioritization of critical operational processes
• Additionally, you will use data to generate key insights including variances to best practice, current maturity and performance, adoption levels, and pain points
• Ensure initiative tracker, action registry and meetings are driving top priorities and work down plans are created as appropriate to track progress
• Collaborate with field operations team to optimize efficiencies around daily operations adhering to compliance requirements while reducing time away from primary tasks for frontline staff to drive process and performance improvement
• Ensure performance expectations are communicated, measured and reported timely
• Run weekly Analytics SWAT to triage metric outcomes, assess trends and derive actionable insights
• Run daily/weekly metric cadences with market leadership teams
• Drive overall routine hygiene; work with markets to ensure adherence to best practices and role requirements
• Run governance cadences to provide strategic oversight for the market
• Work with IT, Operations, and Medical Management to build out standard workflows
• In collaboration with other Performance Management team members, identify and share best practices across markets
• Memorialize standards, SOPs, policies, etc.
• Support markets in roll-out of new initiatives (e.g., standards, workflows, etc.)
• Serve as a mentor and resource for the operations team
• Serve on new market LAUNCH team to deploy the “WellBe Way” in newly opening markets

Job Requirements

QUALIFICATIONS

Educational/Experience Requirements:

• Bachelor’s degree in healthcare administration, business operations, or other related educational field.
• Master preferred
• Experience in population health/community health/managed care programs strongly preferred
• Experience with Health Plan Medicare Advantage products
• 7  years with a strong emphasis on community-based care, operations, finance and data analytics 

Required Skills and Abilities:

• Community-based clinical background and/or extensive operations experience
• Experience solving problems in fast paced high pressure situations
• Proven ability to look at the world through the eyes of others and interpret business needs in a way that drives the success of others
• Strong financial, economic, analytical and technical acumen
• Strong communication skills (both written and verbal), good collaboration and negotiation skills, and the ability to work effectively across groups 
• Conflict/Negotiation management skills 
• Attention to detail, highly organized and strong process-focused aptitude
• Possess strong leadership and organizational skills and can positively influence others 
• Ability to think creatively, be analytically minded, objective and independent 
• Can deal with ambiguity and thrive in a highly dynamic environment 
• Demonstrated ability to negotiate and provide alternative business solutions
• Strong process improvement and change management skills
• Strong Project and Program Management skills
• Demonstrates creative problem-solving skills
• Identifies and resolves issues effectively and appropriately
• Strong work ethic with initiative
• Execution, results and solutions-oriented mindset
• Ethics and integrity
• Teamwork

Travel requirements: 25% local or national travel required

Work Conditions:  This position will work in a variety of settings, e.g. office. The noise level in the work environment is usually moderate.   Requires prolonged sitting.  Requires bending, stooping, twisting, kneeling, crouching, crawling and/or stretching from seated or standing positions. Requires eye-hand coordination and manual dexterity sufficient to operate medical equipment, frequently operates a keyboard, telephone, copier, calculator and other office equipment.  Manual dexterity and coordination necessary to operated office equipment, telephone, keyboard, copier and calculator.  Requires close vision, peripheral vision, and ability to adjust visual focus, hearing and smelling.  Must be able to communicate information via telephone or computer.  Requires moderate to intense concentration due to complexity.  Must be able to lift and/or move up to 25 lbs.

The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.

WellBe Senior Medical is an equal opportunity employer. We embrace diversity, inclusion, and equity and encourage all interested readers to apply at wellbeseniormedical.com/careers.