Physician Practice Plan Administrator

California University of Science and Medicine

Colton, CA

ID: 7078534
Posted: May 17, 2021
Application Deadline: Open Until Filled

Job Description

Physician Practice Plan Administrator

California University of Science and Medicine

Position Purpose

The Physician Practice Plan Administrator is responsible for managing the administrative aspects of CUSM Health, including but not limited to: Revenue Cycle Administration, Physician Contracting, Physician Credentialing, Clinical Operations, Clinical Partnership Management. The Practice Manager oversees the adequacy and soundness of the clinical practice plans financial structures, reviews operating results of the clinical contracts and clinical operations, compares them to established objectives and benchmarks and takes steps to ensure the appropriate measures are taken to correct unsatisfactory results. Establishes current and long-range objectives, plans and policies, subject to the approval of CUSM's Dean/President. Proposes the CUSM Health Budget needs and manages approved annual budget.

Information provided below is a general description of responsibilities; it is not intended to provide an all- inclusive list of responsibilities and may change depending on the needs of CUSM.

Essential Functions

• Facilitates, encourages, and participates in improvement efforts alongside team members
• Communicates clearly and effectively with team members and stakeholders to ensure forward progress of CUSM Health goals
• Demonstrates humility and displays interest in team members
• Establishes daily processes that provide the team flexibility to perform as effectively as possible
• Fosters positive and actionable feedback to staff
• Meets with clinical staff as needed
• Negotiates Contracts
• Assists with payer contract negotiations, manages billing reports, prepares budget and variance
• Ensures all federal and state law and guidelines are followed (OSHA, HIPAA, )


Interpersonal Skills

• Ability to inspire and motivate others
• Ability to be self-conscious, to accurately assess self, have a fair understanding for others, facilitate communication, collaboration, and work with
• Ability to establish and promote relations, helping others to get the opportunity to

Information Management

• Collects, organizes, and interprets
• Adapts to change in dealing with new situations to define strategies and solutions.
• Understands and is aware of organizational events, listens with an open mind, and understands the sources of obtaining and information exchange.
• Assimilates information from various sources, discovers their meaning and interpretation of specialized information for the purpose of communication and general

Analytical Skills

• Ability to see things from a broader perspective, conceptualizing, set theory, predicting the future and developing long-term
• Ability to use analytical tools/techniques from functional disciplines (finance, marketing, operations management), statistics and computers to analyze

Action Skills

• Ability to identify goals and standards, the distribution of personnel and resources, and to evaluate
• Ability to dedicate the achievement of the objectives, work in conditions of limited resources, respect deadlines, routing the others and efficiency.
• Ability to take initiative, seek and use opportunities, risks, decision making in uncertain conditions, and allow things to happen.

Minimum Qualifications

Bachelor's degree plus a minimum of 3 years of experience in the same or similar job.

Supervisory experience preferred.

Knowledge of the healthcare industry preferred.

Preferred Qualifications

Previous recent Physician Practice Management of small to medium private or academic physician practice.

Working Environment

General office environment with low levels of noise

Physical Demands

Occasional lifting, carrying, bending, pushing and/or pulling. Significant fine finger dexterity

Sitting - 85%

Walking - 10%

Standing - 5%

Diversity and Equal Employment Opportunity Policy Statement

California University of Science and Medicine (CUSM) supports the principles of equal opportunity, inclusion and diversity in employment and education. The University seeks to ensure that no person will encounter discrimination in employment or education on the basis of age, skin color, ability status, biological sex, gender identity, gender expression, national origin, immigration status, race, ethnicity, religion, sexual identity, or Veteran's status. This policy is applicable to both the employment practices and administration of programs and activities within the University. It is the policy of the University that no person shall be excluded from the participation in, be denied the benefits of, or in any way be subject to discrimination in any program or activity at the University. Further, CUSM is committed to being an antiracist institution that continuously works to end oppression in all forms. Therefore, CUSM actively maintains institutional structures and learning opportunities to prevent incidents of bias or discrimination, and to address them with individual and collective accountability should they occur.

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