Assistant Director, Independent Dispute Resolution (IDR) Operations (On-site)

ProPeer•Schertz, TX

20d•Onsite

About The Position

The Assistant Director, Independent Dispute Resolution (IDR) Operations, works closely with the Director, Operations, and Vice President, Dispute Resolution Services, to ensure the organization is well-positioned in a rapidly evolving and competitive environment by being an agent for ongoing organizational change. This person is responsible for ancillary support for the Intake, Fulfillment, and clinical services, as well as for the daily administrative workflow efficiencies for ProPeer IDR. This person also oversees daily operations, which could include supervising the operational team performing all aspects of the IDR business lines. The goal is to achieve operational and departmental goals through effective management, communication, and role modeling. The role is responsible for ensuring success in financial management, human resources management, leadership, quality, and operational management objectives. The role participates in program development and unit performance improvement, and consistently demonstrates the core values of ProPeer IDR and serves as a role model to other team members.

Requirements

Demonstrates ability to independently identify and define potential and/or current issues of concern, collect and analyze data, establish facts, draw valid conclusions, and exercise discretion and sound judgment
Excellent problem-solving skills
Ability to adapt quickly to changes in plans and drive progress to initiatives that may not be fully defined
Ability to effectively monitor, evaluate, and administer the resources of each assigned area and make substantiated recommendations regarding resource allocation needs for future planning purposes
Ability to identify trends through analysis of practices to improve the overall utilization of resources and cost containment
Ability to communicate those trends found through analytical study using a variety of reporting mediums
Proven ability to participate in hiring, training, and motivating personnel to balance staffing strength with profitability and growth
Proven track record in leading and implementing successful change management initiatives to drive organizational transformation and efficiency. Experienced in guiding teams through the change management process, fostering adaptability, engagement, and performance continuity
Demonstrates a strong sense of professionalism and maintains a positive attitude in all interactions
Demonstrated ability to problem-solve complex, multifaceted situations
Ability to engage easily in abstract thought
Strong organizational and task prioritization skills
Strong analytical, numerical, and reasoning abilities
Participative management style (advocates team concept)
Strong interpersonal abilities with a proven capacity to collaborate effectively across diverse personalities, demonstrating tact, diplomacy, and professionalism
Ability to establish credibility and be decisive – but able to recognize and support the organization’s preferences and priorities
Results-oriented with the ability to balance other business considerations
Ability to construct grammatically correct documents using standard medical terminology when necessary
Computer literacy utilizing Microsoft Office products and database programs, including Excel
Ability to travel to support business needs as needed
Must hold a high school diploma or equivalent; a bachelor’s degree is preferred
Minimum of 3 years in a people and process leadership role

Nice To Haves

Experience with IDR or government contracting and State and Federal regulations is strongly preferred
Project Management experience is preferred

Responsibilities

Supervises and directs the workload of the IDR program
Responsible for workflow and production expectations
Reviews performance against operating plans and standards. Provides reports to subordinates with interpretation of results and approves changes in direction of plans (as applicable)
Presents monthly reporting on performance as requested by the Director, Operations, and the Vice President, Dispute Resolution Services
Develops and presents to the department leadership matters requiring a decision outside of their authorization level
Develop and recommend objectives in each area of Operations
Develop specific short-term and long-term plans, processes, and programs, together with supporting budget requests and financial estimates
Coordinates and collaborates with other departments of the organization in establishing and carrying out responsibilities
Reviews operational projects involving major functional changes within the organization’s functional areas and creates change management plans for approval by the Director, Operations
Develop plans for new areas of technology for the operational functions, along with sufficient planning for areas that support the mission of the organization within Operations
Establishes objectives and processes governing the performance of assigned activities
Conducts URAC audits in conjunction with the Director, Compliance
Selects and maintains qualified personnel in all positions reporting to Operations and provides the necessary coordination between activities
Identifies training needs, initiates development of subordinates, and recommends effective personnel action
Participates in the development and management of department budgets and productivity targets
Manages human resources utilization, promotes employee satisfaction, supports staff development, and utilizes the progressive discipline process when appropriate
Ensure that workflow operations complete client-specified work according to the client specifications
Participates in quality improvement processes and assures implementation of regulatory standards
Oversees and mediates interdepartmental problems/issues, takes corrective action promptly, and also promotes respectful, responsive communication between departments
Performance monitoring of all team members
Maintains appropriate communications within areas of responsibility
Consistently communicates organizational goals, plans, and progress to team members, ensuring alignment and transparency.
Consults with all segments of management responsible for policy or action
Ensures compliance within the assigned area of responsibility
Make recommendations for improving the effectiveness of policies and procedures
Provides orientation and on-the-job training for subordinates and ensures that the authority and responsibility for each position are defined and understood
Ensure that the duties, responsibilities, authority, and accountability of all direct subordinates are defined and understood
Assumes other activities and responsibilities from time to time as directed