VP/General Manager of MSO

The Vice President General Manager of the MSO plans, organizes, directs, and controls the Managed Services Organization (MSO). Reporting to the COO, has oversight of the MSO operations and P&L ownership (e.g., general administrative, patient care, professional services and / or a combination of these and other services). Directs and oversees the daily operations of the MSO, as well as all functions related to provider contracting, provider education, utilization management, coding, quality management, network management, and case management.

Duties and Responsibilities :

• Responsible for the overall growth and success of the MSO across all functions either directly or through matrix-management.
• Manages MSO P&L / Budget, regularly identifying growth and cost-savings opportunities, and develops business cases / project plans to execute on opportunities.
• Manages a team of clinical and administrative consultants to direct provider clinics in population health management to improve quality of care, patient satisfaction, and total cost of care.
• Works with Healthplan partners on growth and improvement initiatives.
• Builds and cultivates relationships with new provider partner candidates.
• Determines and supports the provider’s needs in order to reach their requisite financial performance.
• Holds regular Joint Operations Committee meetings with the MSO partners.
• Works with management and physicians to identify and establish programs and practices which will help drive cost effective and high-quality care for patients, staff, and physicians.
• Studies financial and utilization reports to identify opportunities for improvement and develops projects / programs to act on these opportunities.
• Demonstrates effective communication, by communicating progress, challenges, and issues to both senior leadership and partner-providers.
• Conducts regular retro-evaluations on the effectiveness of implemented action plans based on review of financial and clinical performance.
• Contributes toward the overall development of programs and services to meet the needs of patients, physicians, and staff.
• Provides strategic leadership to ensure equitable distribution of resources and delivery of high quality, cost-effective health care and efficient management of staff in accordance with goals, objectives, policies, and applicable regulatory agency rules and regulations.
• Responsible for the day-to-day operations by facilitating the development, implementation and monitoring of service, quality, and utilization standards.
• Continually evaluating and improving the delivery of service by initiating and promoting best practice models.
• Develops short- and long-term plans to improve the service level of department efficiency for each area managed.
• Directly and with the manager / supervisor, develops and administers appropriate policies, standards, practices, and procedures.
• Assures compliance with administrative, legal and regulatory requirements and government / accrediting agencies.

Qualifications / Education / Licenses :

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