Assistant Director, Operations (On-site)

Nexus•Schertz, TX

5d•Onsite

About The Position

The Assistant Director, Operations works closely with the Director, Operations to ensure that the organization, as well as its subsidiaries, is well-positioned in a rapidly evolving and competitive environment by being an agent for ongoing organizational change. The position is responsible for management and oversight of Fulfillment Operations and Assignment Operations within the Nexus office, working closely with the Director, Operations, and is responsible for the processes and functions of the daily administrative workflow process for Nexus. They will oversee daily operations, which include supervising the Operational Management Team staff performing all aspects of the UR business line. The goal is to achieve clinical, financial, and utilization goals through effective management, communication, and role modeling. The Assistant Director, Operations is responsible for carrying out assignments in a manner to assure success in financial management, human resources management, leadership, quality, and operational management objectives. The Assistant Director, Operations participates in program development and unit performance improvement. The Assistant Director, Operations consistently demonstrates the core values of Nexus and serves as a role model to other team members.

Requirements

Current knowledge of utilization review processes and managed care
Will have knowledge of or the ability to learn financial management related to UM function and reporting, quality improvement processes, and human resources management
Will be able 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 recruit, train, and motivate personnel to balance staffing strength with profitability and growth
Ability to make recommendations for practice changes to improve the Utilization Management efforts of the department
Ability to represent Utilization Management in organizational committees as assigned
Excellent relationship management skills, including a high degree of professional demeanor and non-aggressive assertiveness
Demonstrated ability to 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 type (advocates team concept)
Well-developed interpersonal skills. Ability to get along with diverse personalities. Tactful, mature
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
Knowledge of multi-state workers’ compensation systems
Computer literacy utilizing Microsoft Office products and database programs
Ability to construct grammatically correct reports using standard medical terminology
Minimum of 3 years of experience in a Worker’s Compensation Managed Care setting
Minimum of 2 years of management experience in a Utilization Management organization
A bachelor’s degree is preferred

Responsibilities

Reviews performance against operating plans and standards. Provides reports to subordinates, interprets results, and approves changes in direction of plans
Presents monthly reports on performance as requested by the Director, Operations
Develops and presents to the Director, Operations matters requiring a decision outside of their authorization level
Develops and recommends objectives in each area of Operations
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
Works in conjunction with IT to assist in the development of 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. Issues specific annual objectives to immediate subordinates and reviews the objectives of the Operations Management Team
Assists in selecting and maintaining 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
Ensures that workflow operations complete client-specified work according to the client specification
Participates in quality improvement processes and ensures implementation of regulatory standards
Researches interdepartmental problems/issues and takes corrective action promptly, and promotes respectful, responsive communication between departments
Establishes, evaluates, and monitors UR processes, policies, and procedures
Supports company and departmental QA/QI initiatives
Maintains appropriate communications within areas of responsibility
Keeps team members informed as to the organization’s plans and progress
Coordinates activities of assigned responsibilities with outside departments and seeks mutual agreement on problems involving coordination
Consults with all segments of management responsible for policy or action, ensures compliance within the area of responsibility, and makes 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
Ensures 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