Medical Policy Manager jobs in Orange, CA

Regenerative Medical Group is seeking a well experienced professional to manage day-to-day operational responsibility for a thriving and an innovative medical practice in Orange. This role includes the people management, coordination and communication between various departments including billing, business office, administration, finance and human resource and supervisory aspects of managing a busy medical practice. Experience in both front office and back office supervision is necessary, as is experienced in Electronic Medical Records.

Responsibilities:

• Responsible for the overall day-to-day operations of the practice including patient flow and provider support while fostering an environment of continuous improvement and maintaining high standards of service and support to patients, providers, and staff.
• Serves as a member of the management team; collaborates on organizational business issues, communicates appropriate messages, and supports and drives corporate initiative.
• Oversee job duties, staffing schedule and PTO requests.
• Interview and assist in hiring staff on as needed basis.
• Oversee the front and back offices
• Monitor inventory management and ordering: medical supplies and office supplies
• Handle patient complaints
• Coordinate with the HR and PEO on mandatory trainings for employees
• Coordinating training for new hires.
• Providing feedback to employees as needed
• Handling incident reports.
• Revising roles and responsibilities of staff periodically.
• Handle any crisis which arises in the office or with the staff.
• Oversee the housekeeping staff and provide feedback.
• Coordinate on machine calibration and service
• Periodic meetings with supervisors, management and business office
• Reviewing office opening and closing checklist
• Coordinate training with labs and reps
• Schedule any maintenance and post notices as needed.
• Ensures that there is always provider coverage during operating hours
• Continuously identifies a way to increase profitability
• Drives improvement efforts through effective provider productivity management
• Works with the Directors and management team to establish targeted goals and growth plans
• Provide goal-oriented direction to direct reports; assist with problem-solving as needed
• Ensures all operations are carried out in an ethical, responsible manner. Monitors compliance with all clinical policies and procedures and ensures all operational services meet regulatory and quality standards
• Other responsibilities as directed by senior management

We are seeking an expert able to balance the needs of a very fast-paced office. This is a key leadership position in one of our busiest offices; the manager must be able to demonstrate:

• The strongest possible commitment to high-quality care
• Response to very high demand for services in a productive and efficient manner

Skills Required:

• Excellent Communication
• Problem solving
• Billing knowledge
• Compliance knowledge
• Analytical skills
• Training and mentoring skills
• Excellent organizational and time-management skills.
• Outstanding communication, interpersonal, and leadership skills.
• In-depth knowledge of medical procedures, operations, and terminologies.
• Comfortable with technology, troubleshooting and EMR systems

Qualification Requirements:

• Previous working experience as Medical Office Management and Healthcare combined for a minimum 15 years of total experience.
• Minimum of 10 - 12 years experience in a managerial role.
• Holds a bachelor degree: minimum
• Bilingual: preferably Spanish to support patients
• Managed a minimum of 25 people in the past.

Job Type: Full-time

Pay: $40.00 - $55.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Healthcare setting:

• Medical office

Schedule:

• 8 hour shift

Application Question(s):

• Maximum number of people managed in the previous managerial roles?

Education:

• High school or equivalent (Required)

Experience:

• Medical office management: 10 years (Required)
• EMR systems: 10 years (Required)

Language:

• Spanish (Required)

Work Location: In person