Manager, Enterprise Provider Based Clinics

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⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Manage the team providing financial and compliance analyses to organizational leaders across WVU Medicine • Train staff and maintain standards for creating and compiling reports supporting decision-making for outpatient services • Maintain and improve staff development and orientation programs for the provider-based team • Provide leadership and direction to professional staff and maintain interdepartmental communication • Create and maintain best-practice toolkits, documents, and resources covering provider-based clinic compliance, finance, reporting, legal, and billing structures • Evaluate new provider-based clinic locations and guide their setup • Advise stakeholders on CMS provider-based compliance under 42 CFR 413.65 and alert leadership to regulatory changes • Identify and interpret legislation affecting provider-based billing • Serve as the department’s first point of contact and translate business concepts into actionable terms • Manage ad hoc financial analyses of clinic reimbursement impacts across hospitals in the health system • Monitor standard Epic designations related to provider-based billing • Conduct and participate in business meetings with clinical leadership, including reporting packages, ongoing support, and project tracking • Participate in or lead cross-functional workgroups recommended by the Provider Based Steering Committee • Support problem identification, resolution, and solution design for business needs • Respond to and resolve issues raised by department leadership, IT, clinical departments, and support staff

🎯 Requirements

• Bachelor’s degree in Business Administration, Finance, Accounting, or related field • Minimum five (5) years of experience in finance or accounting • Minimum one (1) year of experience with CMS provider-based and/or RHC regulations • Effective verbal and written communication skills • Strong interpersonal skills • Extensive knowledge of personal computers and Microsoft Office products • Prior experience managing a team of professionals preferred • Ability to work 40 scheduled hours weekly