Campus Administrator

Regal Medical Group•Orange, CA

2d•$130,000•Onsite

About The Position

This position is responsible for ensuring the financial performance of an assigned campus by collaborating with various departments including operations, medical leadership, finance, and network management. The role involves monitoring and analyzing utilization, budget reports, and UM protocols to identify trends, develop improvement plans, and implement new strategies for efficiency and cost-effectiveness. The Campus Administrator will also support network and medical management operations, analyze contract terms, and conduct meetings with providers to improve operational and financial results. Participation in cross-functional projects and coordination of campus activities are also key aspects of this role.

Requirements

College BA, BS, Masters preferred.
One year or more experience in managed care environment
Proficient with Microsoft applications

Nice To Haves

Masters Degree, MS
Proficient in Company database software such as CART
Experience in coordinating inpatient and outpatient case management
Experience managing disease management programs

Responsibilities

Works collaboratively with SVP of Regional Operations, medical director leadership, managers and staff working in concurrent review/Vital Care management/Prior Authorization Departments, Contract Directors, Network Management leadership, and Finance/Decision Support to ensure financial performance of an assigned campus.
Monitors and analyzes UM protocols and identifies trends and makes recommendations and develops programs and interventions to improve management.
Develops and coordinates strategies, in collaboration with SVP of Regional Operations and Medical Director leadership, for ensuring the delivery of care in the most cost effective setting. (i.e. hospitals), facilitating the right care at the right time and right setting.
Supports Network Operations and medical management operations, works with staff including contracting, network management, concurrent review, prior auth and vital care staff in order to achieve company goals and metrics.
Interprets and analyses campus utilization and budget reports with daily tracking and monitoring whenever possible.
Develops / implements performance improvement plans for utilization and cost outliers identified.
Assures most efficient contracted providers are utilized and collaborates with the Contracting Departments to obtain new contracts for specialty and ancillary services.
Provides guidance and support to Directors, managers and staff working in Utilization Management/Contracting/Network Management as it relates to improving performance of the campus.
Monitors and analyzes UM protocols and identifies trends and makes recommendations and develops programs and interventions to improve outpatient budget as well as processes.
Identifies opportunities for the development and implementation of new approaches that improve efficiencies and production while maintaining quality.
Works collaboratively with the Network Management and Medical Management teams to assure appropriate processes are in place to maintain compliance with regulatory bodies.
Works with Decision Support and/or IT to provide ad hoc reports and other projects as assigned or required.
Effectively analyzes and when needed negotiates contract rate and language proposals and drafts contracts and other documents to support agreed upon terms.
Works closely with Network Management leadership and medical director to conduct meetings with targeted providers for the purpose of reviewing and improving operational and financial results.
Participation on cross-functional projects requiring collaboration with key internal departments.
Coordinates or performs campus project/activities as delegated.
Communicate verbally and in writing through appropriate channels.
Maintain confidentiality and follow HIPAA policies.
Follow dress code.
Participate in staff meetings.
Notify supervisor in writing of time of requests.
Be courteous and promote professionalism.
Be flexible and adaptable.
Promote organizational goals.
Know and follow safety standards.