Director-Regional Operations

Prisma Health•Columbia, SC

1d•Onsite

About The Position

Providing strategic and operational leadership for multiple clinical practices, ensuring high-quality, compliant, and efficient operations aligned with the organization’s mission and strategic plan. The position oversees daily business and clinical functions, leveraging data, KPIs, and continuous improvement methods to drive performance in patient experience, access, quality, finance, and operational effectiveness. Serving as a key liaison between practices, medical group leadership, and enterprise partners, ensuring clear communication, alignment with corporate goals, and coordinated implementation of new programs, standards of care, and operational changes. Accountable for developing, hiring, training, and performance-managing leaders and staff, fostering collaboration, accountability, and a culture of excellence across teams. Financial stewardship is central to the position, with responsibility for budget development and management, resource utilization, physician productivity, reimbursement optimization, and oversight of revenue cycle and billing processes. The role champions patient satisfaction by systematically gathering and acting on patient and referral feedback, implementing process improvements, and expanding or enhancing services to meet patient needs. Ensures robust quality assurance and regulatory compliance, leading accreditation and quality reviews while monitoring and reporting clinical, operational, and safety outcomes across all assigned practice locations.

Requirements

Master’s degree in healthcare or related field of study.
Five (5) years related experience
Bachelor’s degree and eight (8) years management level experience preferably in healthcare
Knowledge of office equipment (fax/copier)
Proficient computer skills (word processing, spreadsheets, database)
Data entry skills

Responsibilities

Leads the daily business and clinical functions of multiple practices to ensure highly successful operation within the strategic plan and mission in coordination with departmental and medical group leadership.
Ensure daily operations of multiple practices comply with health system policies and best practices.
Initiates, develops, implements, and maintains clinical department practice management procedures to ensure operational effectiveness and compliance with policies and procedures and the system's Code of Excellence.
Track key performance indicators (KPIs) and implement improvements across areas including but not limited to patient experience, access, quality and finance.
Address operational issues and find solutions across practices, leveraging partnerships across departments and markets.
Rounds regularly in practices and with team members, managers and clinicians.
Champions use of daily tiered huddles for practices of oversight as well as leading teams for regular use and updates of impact boards as part of Pulse Program.
Ensures the coordination of clinical procedural changes, new program development, standards of care and ongoing activities with departmental and medical group leadership.
Analyzes data to project staffing needs and ensure adequate staff coverage in all areas.
Help develop, implement and execute strategic and marketing plans at direction of departmental and medical group leadership.
Responsible for all clinical department practice management functions including patient scheduling and pre-registration, charge capture compliance, pre-certification and other effective billing practices.
Monitors the registration process to ensure efficient patient access and flow to and through practice.
Measures and reports improvements to financial and overall operational performance of clinical department via regular review of and formal comment upon monthly presentations as well as other reports as deemed appropriate.
Effectively engages Legal and Contracting Department in facilitation of contracts, i.e., lease agreements, equipment purchase/rental, purchased/contracted services, etc. through established system (currently CORE).
Builds and maintains strong working relationships with physicians, APPs, support staff, and external partners.
Convey and support corporate goals and decisions to staff and ensures effective and consistent communication within the department.
Liaison between clinical department and Medical Group Leadership and responsible for accurately conveying related communications to physician faculty and staff in a timely manner.
Responsible for communicating corporate goals, decisions, and operating guidelines to service line staff.
Participates in the development and implementation of the annual marketing plan in coordination with the system's strategic direction.
Actively engaged in providing regular flow of clinical department information to formal communication plan effort.
Ensures that all internal and external communication material appropriately reflects the mission and values of Prisma Health.
Lead and support Practice Managers, Clinical Managers and teams.
Hire, train, evaluate, and manage to provide top tier staff performance.
Encourage and develop collaboration between practice managers and clinical managers for enhancement of environment and patient care.
Recruits and selects appropriate staff within the constraints of approved budgets.
Trains managers and other team members on policies and procedures of department and Prisma Health.
Evaluates and monitors work performance of designated staff.
Counsels, disciplines, and terminates designated staff as necessary.
Establishes productivity standards for support staff and monitors their adherence.
Ensures the establishment of employees' annual performance goals.
Prepares and conducts timely and appropriate performance appraisals.
Ensures that all positions have accurate, valid position descriptions on file and that employees are familiar with the position description and the standards of performance.
Ensures that the program operates in an environment where all employees are treated fairly and in accordance with policies and procedures.
Participates in the recruitment and recommendation/selection of physicians and APPs.
Ensures payroll is prepared and submitted in accurate and timely manner.
Ensures compliance by all employees with time and attendance guidelines.
Gather feedback from patients and referral sources and implement improvements through learning collaboratives leveraging standardized problem-solving approaches.
Solicits feedback on overall satisfaction from patients and referral sources through satisfaction surveys.
Evaluates feedback and makes recommendation for change to address identified issues.
Establishes processes to identify new or improved services to meet client needs and implements those services where appropriate.
Champions process improvements and implements leading measures to increase patient satisfaction in all areas of the patient experience.
Assist with creation and management of annual budgets, prepare financial reports, and oversee resource utilization such as physical spaces, supplies and human resources.
Develops, monitors, and manages annual fiscal budgets.
Prepares ad hoc financial reports.
Responsible for the intra-departmental control of corporate assets and the effective/efficient management/utilization of clinical department resources.
Measures and understands reimbursement rates, physician productivity, and staffing levels utilizing internal and external benchmarking tools and implement solutions for efficient resource utilization
Facilitates responsible decision making to balance fiscal and academic missions.
Coordinates and establishes the annual capital budget requests in accordance with equipment needs and the department's business and strategic plans.
Measures and understands reimbursement by payer, by procedure code, for services rendered by the department.
Measures and understands physician clinical productivity levels rendered against national norms by provider.
Measures and understands appropriate staffing levels for services provided against national practice management benchmarks including tools and reports.
Efficiently manages billing processes "front office functions", within parameters established by regulations (i.e., including charge capture, coding, documentation, claims processing, demand billing, payment posting).
Maintains a working knowledge of third-party payment practices, including (as applicable) Medicare, Medicaid, managed care organizations, private insurers, worker's compensation carriers and occupational medicine payment practices.
Works with Revenue Cycle to review diagnosis and procedure codes utilized by the department to ensure greatest reimbursement while maintaining compliance with regulatory guidelines.
Works with Revenue Cycle to maintain knowledge and expertise in billing related matters including denial management associated with department specialty and communicate pertinent information to staff and physicians.
Ensures the resolution of third-party reimbursement issues by working with various departments to maximize reimbursement within the limits defined by law.
Oversee billing processes, patient registration, and reimbursement issues.
Ensure practices meet quality standards and regulatory requirements including but not limited to medication safety, infection prevention and clinical equipment deployment and usage.
Ensure practices comply with regulatory and accreditation standards.
Measures quality indicators such as cost effectiveness, efficiency and outcomes data on a regular basis.
Report measurements of quality indicators to staff as well as the department and medical group leadership.
Responsible for leading the physician practice component of accreditation and quality reviews for their respective clinical department practice locations to ensure compliance.
Performs other duties as assigned.