Definition


Under general administrative program supervision from the RPHC Chief Operations Officer, is accountable for the effective and efficient day to day operation of assigned divisions of the River People Heath Center regarding patient satisfaction, business and financial matters. Responsibilities include ensuring the quality management of care delivery to patients and families, managing and directing staff, overseeing the service delivery budget and implementation of operational plans. The Practice Administrator interfaces with external and internal services to ensure the effective and efficient operation of the clinical operation. The position is responsible for providing leadership and promoting the strategic directions and goals of the organization by applying and evaluating standards, policies, practices and procedures to the patient care services of assigned divisions. This job class is treated as FLSA Exempt.


Examples of Tasks


Essential Functions: Essential functions may vary among positions and may include the following tasks and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive list of tasks performed by all positions in this classification.


Tasks:




Mentoring, Workflow & Supervision:Provides direct supervision for assigned practice managers, and administrative support to health professionals in their respective practice.



Oversees the work of tribal employees and contractors, provides administrative and technical expertise as needed.

Prioritizes and coordinates workflow for all clinical operation requirements.

Accomplishes staff results by communicating job expectations; planning, monitoring, appraising and evaluating job results; management performance through coaching, counseling, and disciplining employees, following the Community's personnel policies. Seeks/receives input for the evaluation of work performed by employees who are outside the Practice Administrator's realm of expertise (i.e., pharmacy, dental, etc.)

Identifies training needs and provides and/or arranges for needed training.

Approves leave requests, provides advice, counsel or instructions to employees on both work and administrative matters.

Evaluates and adjusts organizational, position and staffing levels to accomplish the basic mission of delivering priority care and in the provision of progressive professional services.



Organizational Management and Operation: Maintains and operates their assigned service lines in accordance with Community and departmental standards, guidelines, policies and procedures; as well as applicable licensing and accreditation standards. .



Develops, establishes and directs implementation and execution of overall policies and procedures for the administration and operation of the River People Health Center.

Monitors and considers the effects of regulatory or other actions taken by outside entities on the health care delivery system and design ways to ensures services to River People Health Center are not impacted. As needed, provides recommendations to leadership regarding service provision.

Ensures ongoing quality control and performance activities for assigned service lines.

In conjunction with clinical leadership, analyzes, identifies and reviews the unique health care needs of the patient population served and plans, develops and implements a health care delivery system tailored to meet these needs utilizing a collaborative approach with executive management of the Salt River Pima-Maricopa Indian Community

Maintain knowledge of current government and payer-specific regulations governing billing of patient services.

Maintains staff retention by ensuring the recruiting, selecting, orienting and training of employees, maintaining a safe, secure and legal work environment, developing personal growth opportunities.

Develops strong inter-departmental teamwork to meet the needs of the patients and providers and drive decision-making and other actions.

Maintains knowledge of current government and payer-specific regulations governing billing or patient services.

Takes the lead in the preparation of annual budgets including reviewing of monthly financials for budget compliance and monitoring expenditures.

Participates in the development of business plans for the negotiation or re-negotiation of payer contracts on an annual basis and refines and executes on the plan throughout the year.

Proactively identifies opportunities to expand revenue sources and ancillary services and reduce expenses.

Responsible for assuring customer/patient service needs are met. Monitors patient service feedback and contributes to the process of resolving complaints and service issues. Plans and initiates process improvement.

Develops, recommends and implements changes to policies and procedures as necessary.

Responsible for OSHA, the Community's Tribal Emergency Response Commission and other regulatory training and compliance to ensure safety of working environment and Community.

Works with appropriate Community staff to plan, evaluate, recommend and implement new initiatives when appropriate.

Demonstrates strong written and verbal communication.



Administrative Oversight:Identifies the changing needs of the beneficiary population and initiates program improvements and modifications for change that will meet and achieve the goals and objectives of providing quality health care services.



Maintains department direction with River People Health Center objectives on standards of operations including monitoring productivity and revenue projections.

Ensures optimum use of available financial, human and material resources.

In collaboration with Practice Managers and leadership, identifies administrative best practices for the operation specifically responding to the health needs of the Community and other patients.

Develops comprehensive short and long range plans to constantly anticipate and plan for activities required to meet the health needs of the Salt River Indian Community

Establishes and maintains a satisfactory professional level of preventive, diagnostic and therapeutic health care services in assigned Health Center divisions.

Provides for the ongoing planning and collaboration between the Phoenix Indian Medical Center and the River People Heath Center to ensure identified health and support services are provided.

Participates in advising and consulting on the programmatic aspects of all health care delivery to the Salt River Indian Community.

Participates in advising and consulting to other federal, state, county and other agencies with regard to the impact of health problems at the request of the Community

Coordinates activities with other health organizations and the IHS to achieve a comprehensive health care delivery system, integrating plans with groups to maximize health services and to increase communication that increase level of care for customers/patients.

Promotes the utilization of all available health service resources to improve the health of the customers/patients.

Ensures the provision of clinical and preventative services to patients, i.e., Physician's Assistant, Clinical Nurse, Nurse Practitioner, or Pharmacist duties, by assisting in tracking training needs so that staff maintain skills and professional membership/licensure.



Performs other duties as assigned.

Knowledge, Skills, Abilities and Other Characteristics:




Knowledge of the history, culture, laws, rules, customs and traditions of the Salt River Pima-Maricopa Indian Community.

Knowledge of health systems

Knowledge of public health practices

Knowledge of and expertise in healthcare contracting models for managed care, risk contracting and fee-for-service.

Knowledge of Revenue Cycle Management.

Knowledge of ICD-10, CPT and HCPC coding standards and regulations.

Knowledge of relevant healthcare federal laws/regulations and standards (preferably around accreditation, Indian Health Services and CMS)

Knowledge of project management methodologies

Ability to engage in critical thinking and creative problem solving.

Ability to work as part of a team

Ability to work in a fast-paced, deadline driven environment with a cross functional team.

Ability to demonstrate credibility and maintain productive and collaborative relationships with physicians, nurse practitioners, nurses, other health care providers and support staff.

Skill in effective communication both verbally and in writing.

Superior analytical abilities

Proven organizational skills and ability to balance multiple projects.

Skill establishing and maintaining effective relationships with patients/clients, Community Members, colleagues, subordinates, supervisors, interdisciplinary staff, health care professionals and providers, Tribal Government officials and representatives of resource agencies

Demonstrate the ability to work independently, take initiative and demonstrate good judgment.

Ability to meet and comply with HIPAA/Confidentiality policies and procedures and ability to handle highly confidential and sensitive patient information and staff member information.

Ability to develop an effective and cohesive team and to lead, direct and guide them to meet Community, clinic and department goals and objectives.

Minimum Qualifications


Qualifications:


Education and Experience: Previous leadership or administrative experience in a clinically integrated healthcare network, accountable care organization, or patient centered medical home highly desirable.


5+ years professional experience in a combination of the following:




Clinical integration

Managed care

Health system leadership

Management Service Organization leadership or Independent Practice Association

Health Plan executive level contract management

IT/Data management

Quality Management

Ambulatory Care/Physician best practice metrics

Client-facing healthcare consulting role

Master's degree from an accredited college or University required in Business, Health Administration, Organizational Management, Social Work, Health Services, Behavioral Health or a closely related field.

Experience in healthcare focused implementations especially with IHS or Tribal entities preferred.

Proficiency in MS Office Suite - Word, excel, PowerPoint, MS Project.

Experience managing projects that successfully achieved budget and timeline goals.

Knowledge of Arizona state and federal health insurance plans required

Experience working with Native American communities or an IHS facility strongly preferred

Equivalency: Any equivalent combination of education and experience that will allow the applicant to satisfactorily perform the duties of the job may be considered when filling the position. The equivalency clause does not apply to the special requirements section of the qualifications. Special Requirements


May be required to work outside normal work hours including nights, weekends and holidays.




Employees in, and applicants applying for, jobs providing direct services to children are subject to the "Community Code of Ordinances", Chapter 11, "Minors", Article X. "Investigation of Persons Working With Children". Successful completion of the background investigation is required.

Prior to hire as an employee, applicants will be subject to drug and alcohol testing. Will be required to pass a pre-employment background/fingerprint check. Employees are subject to random drug and alcohol testing.


"SRPMICis an Equal Opportunity/Affirmative Action Employer" Preference will be given to a qualified Community Member, then a qualified Native American and thenother qualified candidate.


In order to obtain consideration for Community member/Native American preference,applicantmust submit a copy ofTribal Enrollment card or CIB which indicates enrollment in a Federally Recognized Native American Tribe by one of the following methods:


1) attach toapplication


2) fax (480) 362-5860


3) mail or hand deliver to Human Resources.


Documentation must be received by position closing date.


The IHS/BIAForm-4432 is not accepted.


Your Tribal ID/CIB must be submitted to HR-Recruitment-Two Waters.

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