Manager, Process Systems

🕒 Outubro 26

🏈 Ohio – Remoto

🏈 Ohio – Remote

💵 $68.315 - $126.383 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

⚙️ Operações

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US Acute Care Solutions

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2015

🏥 Saúde

💊 Farmacêutico

📡 Telecomunicações

💰 Private Equity Round em 2021-02

Healthcare • Pharmaceuticals • Telecommunications

A US Acute Care Solutions é uma empresa de propriedade de médicos, especializada na gestão e fornecimento de serviços de atendimento agudo nos Estados Unidos. Com foco em medicina de emergência, medicina hospitalar e cuidados críticos, a USACS faz parcerias com sistemas de saúde para aprimorar o atendimento ao paciente e melhorar o contínuo de cuidados de saúde. Anualmente, a empresa atende mais de 10 milhões de pacientes e opera mais de 500 programas clínicos em 30 estados, impulsionada por um compromisso com a inovação, qualidade e prestação colaborativa de cuidados de saúde.

Descrição

• Define and communicate the vision, goals, and operating roadmap for Process Systems • Translate strategy into actionable plans with priorities, owners, milestones, and measurable outcomes • Establish SOPs, roles and responsibilities, escalation paths, and change management protocols • Champion Service Desk Plus as the system of record for team work • Design and optimize SDP workflows, service catalog, categories, templates, automation rules, and SLAs • Establish, monitor, and report KPIs including ticket volume, response and resolution times, SLA compliance, backlog, and process/error rates • Lead operational reviews to maintain transparency, prioritize work, and remove obstacles • Oversee practice management system development and support, including file maintenance, electronic transactions, interfaces, upgrades, and month-end close • Oversee clearinghouse production of claim, statement, eligibility, and status files • Manage payer and subcontracted clearinghouse vendor relationships, setup, maintenance, FTP processes, and vendor performance • Develop and maintain audit and control procedures for accuracy, quality, and compliance • Lead strategic planning for system development and recommend software, modules, and upgrades • Design and deliver technical solutions and automation • Maintain system documentation, procedures, and known resolutions • Provide end-user support and training for newly released functionality • Communicate priorities, status, risks, and results to leadership and cross-functional teams • Supervise staff, assign and track work through SDP, and ensure timely, high-quality completion • Set performance expectations, coach employees, and address performance gaps • Build team capability through training, cross-training, knowledge sharing, and succession planning • Manage recruiting, hiring, evaluations, corrective action, counseling, and employee separations • Verify, approve, and submit employee time records • Ensure staff adhere to company and department policies and procedures • Perform other duties as assigned

🎯 Requisitos

• Bachelor’s degree in Information Systems, Business, Mathematics, or a related field; equivalent experience with a strong healthcare billing background will be considered • Management or supervisory experience required, with a demonstrated record of leading process improvement and operational change • Experience implementing structured IT service management (ITSM) practices; familiarity with ITIL or similar frameworks a plus • Hands-on experience administering and leveraging a ticketing system, preferably ManageEngine Service Desk Plus (SDP), including workflow configuration, SLAs, automation, and reporting • Experience configuring and supporting EDI transactions (837P, 837I, 837 outgoing, 835, 834) • Experience with interfaces and FTP processes • Understanding of continuous quality improvement methodologies and quality control frameworks • Strong analytical skills, with the ability to diagnose system, people, and process issues and present data-driven solutions • Proficiency in Microsoft Windows and Office applications, particularly Excel, as well as database and web-based applications • Excellent verbal and written communication skills, with the ability to engage effectively with staff and leadership • Ability to identify, escalate, and communicate emerging issues and risks to management • Strong organizational and project management skills, with the ability to manage multiple priorities in a fast-paced environment • Exceptional attention to detail • Ability to maintain confidentiality, including protected health information (PHI) in accordance with HIPAA • Ability to work overtime as business needs require • Demonstrated leadership through commitment to teamwork, alignment with company and department goals, adaptability to change, and proactive work with minimal supervision • Ability to resolve conflict constructively and persuade others to accept a course of action • Experience in healthcare revenue cycle operations and IT service management preferred • Experience with athenahealth is a plus • Ability to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds • Requires close visual acuity to perform job duties

🏖️ Benefícios

• Medical, dental, and vision insurance options • Health savings accounts (HSA) and flexible spending accounts (FSA) • 401(k) employee and employer contributions • Paid time off, including vacation, sick leave, and company holidays • Paid parental leave & family support benefits • Short-term and long-term disability insurance • Life and accidental death & dismemberment (AD&D) insurance • Employee assistance programs & wellness resources • Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role

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