Oregon Medical Group Management Association

Current Open Positions

  • 05/15/2019 8:59 AM | Mindy Zaubi (Administrator)

    posted 5.15.19

    Provider Contract Manager (temporary)

    Office: Kaiser Permanente Bldg

    Overview: Northwest Permanente, P.C. is a self-governed (physician led), multi-specialty group of over 1500 physicians, surgeons, and clinicians, caring for over 600,000 members in Oregon and Southwest Washington. Kaiser Permanente is one of the nation's pre-eminent health care systems, a benchmark for comprehensive, integrated and high-quality care. We are currently seeking a temporary Provider Contract Manager to help support our Provider Contracting and Relations Department.The overall purpose of the Provider Contract Manager position is to effectively manage an assigned portfolio of NWP, KFH and KFHPNW contracted provider relationships in a manner consistent with (1) NWP’s objectives, (2) KFH and KFHPNW’s objectives, (3) NCQA, JCAHO, and other accreditation requirements, (4) applicable federal and state laws and regulatory requirements, (5) meets the Care Delivery needs of KFHP-NW’s Members, and (6) upholds the business, finance, regulatory and reputational interests of KPNW.

    Major Responsibilities / Essential Functions:

    Contract Performance

    1. Monitor contract performance to ensure compliance with contract terms and conditions. Collaborate with Care Delivery (Practice Directors, DA’s, Chiefs) in the ongoing clinical, operational and business management of external provider relationships.

    2. Coordinate implementation of new contracts as well as administration of existing contracts; work with Provider Relations and Care Delivery partners to assure smooth transition from contracting to service activities.

    3. Negotiate and facilitate resolution of complex care delivery, claims payment, utilization management, credentialing and/or other operational issues with provider.

    4. Monitor external healthcare delivery marketplace and internal utilization trends. Assess new opportunities for cost savings, alternative delivery models and financial risk sharing

    Contract Compliance

    1. Work with Legal, Regulatory and Compliance to assure that contract templates are compliant.

    2. Ensure that contracts can be administered within KPNW systems (e.g., Claims payment).

    3. Meet all regulations related to the sphere of contracting.

    4. Coordinate with Provider and Quality Resource Management Department to ensure timely credentialing of all providers prior to contract being effective.

    5. Coordinate with Director, Provider Contract Analytics and Reimbursement, and other KFH/KFHP-NW and NWP Finance staff to develop analyses and payment strategies that will result in cost effective contracts.

    6. Coordinate with Provider Configuration to assure that all contracts are loaded accurately and in a timely manner and to avoid negative impact on claims performance due to retro contracts or inaccurate configuration

    Minimum Education:

    Bachelor’s degree or equivalent experience in business, finance, healthcare administration or related field

    Minimum Work Experience:

    Minimum of 2 years progressive responsibility and quantifiable results in network development and delivery system negotiations, with experience contracting for multiple managed care products including HMO, PPO, POS, EPO and multiple funding options including fully insured and self-funded plans.

    Strong influencer; demonstrated contributor to building and upholding a positive team culture.

    Strong financial acumen – must possess extensive knowledge of hospital, physician, skilled nursing, and ancillary provider reimbursement models for commercial and government payers, including pay for performance models.

    Knowledge of network development, provider network clinical and business operations, provider relationship management, reimbursement analysis, contract performance analysis.

    General knowledge of legislative and government activities and marketplace issues affecting the region preferred.

    Comprehensive knowledge of Medicare and Medicaid payment methodologies, level of care pricing, and federal and state health care regulations.

    Demonstrated knowledge of and skill in adaptability, change management, conflict resolution, customer service, decision making, influence, negotiations, interpersonal relations, oral and written communication, prioritization, problem solving, quality management, systems thinking, teamwork, time management, leadership, facilitation and project management.

    Must be a “self-starter” with a strong sense of initiative and follow-through. Ability to work independently under high-pressure circumstances with little or no supervision.

    Software skills including Microsoft Word, Excel, PowerPoint, Access, Project, and Visio preferred

    How to apply: Email Resume to: andrea.m.price@kp.org or visit our career website to apply directly

  • 04/22/2019 11:14 AM | Mindy Zaubi (Administrator)

    posted 4.22.19

    Are you a Healthcare professional who is passionate about quality care for all? Do you have experience improving patient outcomes and managing multiple projects? If you have 5+ years of clinical experience, we would love to have you join our Quality team in Woodburn, OR!

    What You'll Do:

    Develop, implement and manage the Quality, Risk Management, and Patient Safety Programs in order to:

    Improve patient care and outcomes;Reduce the possibility of adverse outcomes from patient care activities;

    Monitor compliance with regulatory and accreditation requirements and standards; and

    Reduce and/or mitigate the risk of professional legal liability.

    What We're Looking for in You:

    An experienced healthcare professional with knowledge of risk management theory and concepts, quality management, and patient safety principles, methods and techniques.

    An organized, multi-tasker with an in-depth understanding of performance improvement techniques.

    A project-minded communicator who can competently track multiple processes and projects involving multiple people at the same time.

    Strong statistician with a computer skillset which includes Microsoft Office (Access, Word, Excel, and PowerPoint).Certification in Risk Management, Quality and/or Patient Safety required.

    One of the following would be an acceptable certification.

    CPPS: Certified Professional in Patient SafetyASHRM: American Society of Healthcare Risk Management

    CPHRM: Certified Professional in Healthcare Risk Management

    CPHQ: Certified Professional in Healthcare Quality

    What We Offer You:

    Relocation Assistance

    Excellent benefit package: Medical, Dental, Vision, Rx, 24/7 telemedicine, profit sharing, 403(b) retirement plan, generous paid time off, paid holidays, profit-sharing and more.Minimum Qualifications

    Education:Bachelor's degree in a healthcare related field or a combination of college education and clinical experience.

    Experience:Five or more years of clinical experience and progressive experience in healthcare administration with specific practical knowledge of healthcare industry risk management, quality management and/or patient safety preferred. Experience in an outpatient clinic setting in a large system advantageous.

    Licenses/Certificates/Registration:RN or other clinical license or claims adjuster license preferred; will consider comparable clinical experience in lieu of licensure. Current Washington State driver's license and proof of automobile liability insurance coverage.

    About YVFWC

    We serve more than 149,000 across 24 medical clinics, 12 dental clinics, 8 pharmacies, and 59 program sites in two states. We are Level 3 Certified as a Patient-Centered Medical Home (PCMH). With integrated services including medical, dental, pharmacy, orthodontia, primary care nutritional counseling, autism screening, and primary care behavioral health, YVFWC's patient-centered model of care offers patients the full spectrum of care and shelter assistance, energy assistance, weatherization, HIV and AIDS counseling and testing, home visits, and four mobile medical/dental clinics.

    Working at YVFWC

    Working in our organization means being the passionate champion for those who have no voice. It means having the opportunity to work with underserved populations and with peers committed to the same work.

    At Farm Workers Clinic:We will consistently trust one another to work for the common good.

    We will foster integrity by demonstrating ethical behavior and insisting on doing what we say we will do.

      We will demonstrate transparency by being candid and truthful no matter the risk.

    We will create partnerships to strengthen ourselves and our community.

    We will fight for just treatment for all individuals.

    We will let joy in.

    We have the courage to be an agent of change and refuse anything short of excellence.

    Our mission celebrates diversity. We are committed to equal opportunity employment.

    Apply Here: http://www.Click2Apply.net/bcsfmvcn773khk8tPI109397785


  • 04/08/2019 11:41 AM | Mindy Zaubi (Administrator)

    posted 4.8.19

    Rebound is the largest orthopedic and neurosurgical practice in the Portland-Vancouver area with an array of sub-specialties including orthopedics, brain and spine care, sports injuries, physiatry, and physical therapy. We are proud to be the team physicians for the Portland Trail Blazers, the Portland Winterhawks and several collegiate teams. This year, we celebrate 50 years of serving the community with a commitment to providing superior service to our patients.

    Rebound has an exciting opportunity for an experienced Director of Clinical Services. The Director of Clinical Services is a key member of the Senior Leadership Team and works directly with physician leadership. The Director of Clinical Services is responsible for staff management, operational effectiveness, patient care and quality assurance, and financial oversight. The right candidate will have proven success building and maintaining clinic operations and teams in a fast-paced, dynamic environment

    First application review 4/19/2019.

    Responsibilities:

    • Provide leadership in matters of clinical care and the development of patient care systems.
    • Work as a liaison to bridge functional areas and ensure consistent, timely and quality patient care and continually evaluate performance within delegated areas.
    • Evaluate resource needs and staffing models;develop budgets and work within the parameters that are established.
    • Maintain regulatory standards, and ensure that the clinic is managed within those standards.
    • Conduct monthly meetings to communicate objectives and vision with the department leads.Make sure information is flowing to all levels of the organization.
    • Mentor, coach and develop staff for current and future roles in the organization.
    • In collaboration with human resources, serve as a resource to the department leads for administering policies and procedures.
    • Work collaboratively with senior leadership team and physician leadership to accomplish strategic objectives.

    Requirements:

    • Bachelor's degree is required. Preference for Nursing, Health Administration, or related field.
    • Master’s degree is preferred.
    • A minimum of five years’ clinical experience at the director level.
    • Excellent management and leadership skills.
    • Financial management experience.
    • Success establishing and maintaining effective professional relationships with patients, physicians, staff, outside facilities and the public.
    • Excellent written and verbal communication skills.
    • Strong technical skills, EHR experience (NextGen preferred).
    • Skill in writing protocols and procedures.
    • Commitment to quality patient care, process improvement and quality assurance.

    We are proud to offer:

    • Competitive salaries
    • Full benefit package (100%Medical for Employee, dental and vision);flex spending account
    • 401(K) retirement plan
    • Life insurance
    • Short & long-term disability insurance
    • Free parking
    • Paid Time Off/Holidays

    This is a great opportunity to work in a quality organization with Top Doctors in the Northwest. At Rebound, our goal is to cultivate an organization that offers superior patient-centered medical care, with mutual respect and cooperation, in a positive and supportive environment. Come join our team!

    Go Directly to our job posting to apply: 

    https://theapplicantmanager.com/jobs?pos=R1299


  • 04/05/2019 3:45 PM | Mindy Zaubi (Administrator)

    posted 4.5.2019

    The Vancouver Clinic has an exciting new opportunity for a Director of Ambulatory Surgical Center Operations to join our team of healthcare professionals! 

    The Director of ASC Operations is a seasoned and effective healthcare leader with high visibility and accountability across the organization. The role, in conjunction with the Specialty Care Medical Director, is responsible for assuring that target measures and initiatives supporting the TVC strategic plan are met across the division. Direct responsibility for the ASC Administrator and Coordinated Scheduling Manager.  Has overall responsibility for approximately 100 staff members, while working with approximately 100 Providers.  Works collaboratively with the Medical Director for Specialty Care and reports to the Chief Operating Officer.

    • The ideal candidate will be an inspirational leader with the proven ability to achieve large project and initiative goals through application of lean processes and principles.  
    • A minimum of ten years of senior leadership experience working within a large healthcare system such as a hospital, medical group or large, independent multi-specialty group practice is required, ASC preferred. 
    • Bachelor’s degree in Business, Healthcare Administration, or related field required, Master’s degree preferred.
    • Knowledge of Lean process improvement experience required.  
    • An intelligent and articulate individual who can relate to people at all levels of an organization and possesses excellent oral and written communication skills. 
    • Forward thinking and creative individual with high ethical standards and appropriate professional image.
    • Ability to create budget assumptions based on an operational plan, develop the budget, and evaluate budget performance to achieve expectations and improvement of the planning and budgeting process.
    • Experience in analysis and financial modeling of business units is necessary.
    • Capacity to inspire and mentor others with superior interpersonal skills achieving results through a collaborative effort.

    We offer a competitive salary and a comprehensive benefits package which includes insurance programs covering medical, dental, vision, life, long-term disability, paid time off, education reimbursement, and a 401(k) plan. You’ll enjoy an enthusiastic team environment, the latest technology, and the opportunity to take your career to the next level. 

    Apply today at www.tvc.org, staff careers.


  • 04/03/2019 6:08 PM | Mindy Zaubi (Administrator)

    posted 4.3.19

    Interested in joining a leading community health center in Josephine County?

    For over 40-years, Siskiyou Community Health Center (SCHC), has been dedicated to delivering high quality, comprehensive health care to the citizens of Josephine County.

    Consider joining our Siskiyou Community Health Center team because we believe:

    ...in treating our patients, clients and each other with dignity and respect, regardless of race, age, gender, ability, values, lifestyle, or economic status.

    ... in compassion, honesty, and integrity guiding us in all of our actions.

    ... that teamwork and cooperation are vital to the success of our working and community relationships.

    ... in our commitment to provide the highest quality health care and customer service and that our success is measured only by how well we serve.

    Qualified Billing Office Manager candidates have a

    • Bachelor's Degree in Business Administration or related area of study or the equivalent work experience required.
    • Two (2) years' experience in a supervising/managing role in a medical billing department required.
    • Knowledge of accounts receivable practices, medical office billing procedures; knowledge of coding, medical terminology and clinic operating policies.
    • Proficient in Microsoft Word and Excel.
    • Confidentiality, punctuality, excellent attendance, and ethical conduct are required.

    Duties and Responsibilities include:

    • Overseeing the day to day operations of the billing office.
    • Ensuring that all billing office functions are completed in a timely manner.
    • Preparing required periodic reports and delivering them to the Director and Executive Team.
    • Creating policies and procedures.
    • Attending regular office meetings and sharing information with staff.
    • Other duties as assigned.

    SCHC offers all the advantages you would expect from an industry leader. This includes a competitive salary and comprehensive benefits package, including medical, vacation and sick pay, matching 403(b), and much more. If you would like to be part of a team that is committed to making a difference by providing quality patient care, we would like to meet you to discuss our current openings.

    Siskiyou Community Health Center is an alcohol and drug-free workplace and an Equal Opportunity Employer. Offers of employment are contingent on successful completion of drug and background screenings. Please note we follow Federal Guidelines regarding prohibited substances, even for those legal at the state level.

    How to apply: email cover letter and resume to resumes@siskiyouhealthcenter.com

Contact us! main@omgma.com | 971-373-1477 | P.O. Box 790, Sherwood, OR 97140

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