Health Insurance Operations Manager jobs in Oregon

Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.

As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:

• We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
• We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
• We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
• We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.

The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.

Job Summary:
Lead a portfolio of center with accountability for communicating and executing the growth strategy, direct facility P&L responsibility and overall operation execution.

Key Roles:

• Clinical Quality and Patient Safety: Champion SCAH's HRO Journey with responsibility to ensure leaders, teams, and physicians achieve clinical excellence and drive zero harm through adoption and standardization of Clinical Quality standards
• Facility Partnership Performance: Partners with facility CEOs to implement the strategic vision for their set of facilities to align with the goals of the region. Direct P&L responsibility for portfolio of centers including annual budget development, monthly financial analysis, improving KPIs, action planning, and direct actions to positively impact top line growth, margin improvement and distributions
• Support Teammates: Recruits, leads, mentors and develops a high performing team of facility leaders and CEOs including clinical and operational professionals modeling and promoting SCA's Values, supporting teammate growth and operational excellence
• Advance Relationships: Builds and maintains collaborative relationships and influences key internal and external stakeholders to deliver value and strategic opportunity and mitigate risks.

Key Responsibilities:

• Guides the regional safety culture focusing on structure, processes and monitoring systems deployed by SCA that demonstrate and drive patient harm prevention. Employs a comprehensive strategy of visioning, development and accountability.
• Manages operational aspects for a portfolio of centers to ensure strong facility leadership, clinical excellence and patient care, operational and financial performance, and teammate and physician relationships and engagement
• Work cross functionally with all support services lanes including clinical, finance, revenue cycle, supply chain, D&I , Legal, Compliance, HR and all functions to gain alignment and collaborate on mutual goals
• Partner with the business development team and SSL team to recruit new physicians, physician groups and grow share of practice
• Live SCA's Values and model the way for his/her team while recognizing and rewarding teammates living the mission and enhancing our culture of inclusion

Education Requirements: Bachelor’s degree required, MBA, MHA, or advanced degree preferred

Years of Experience: The ideal candidate should have a minimum of 3-5 years of experience in healthcare, coupled with 2 years of leadership experience.

Preferred Experience: Preference will be given to candidates with experience in ASC, outpatient, surgical site, and multi-site healthcare settings

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