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The RN Practice Manager will have a focus on Borgess Family Practice located in Portage, MI.

This full-time, day shift position will focus on managing, planning and coordinating all practice activities, supervision of staff, provider relations, patient relations and financial operations for the practice. This role will also be responsible for operational and clinical excellence, standards and quality assurance for the practice. The Practice Manager will also have oversight of clinical coordination, clinical practices, triage procedures, patient flow, and ancillary services, as needed to ensure proper care is provided to patients.Additional Responsibilities:• Development and management of services• Expenditures• Work schedules• Budgets• Site policies and procedures• Operational reports• Staff developmentQualifications:1. Bachelor’s degree in health service management or related area required.2. RN license required3. Three years of management experience or minimum of two years experience in an ambulatory setting required4. Ability to establish priorities to facilitate most efficient operation of the clinic5. Ability to establish and implement operational clinical standards, policies, and programs6. Knowledge of disease management process and protocols.7. Knowledge of clinical standards of care.8. Comprehensive knowledge of practice management, personnel management, resource management and reimbursement issues to be able to organize and direct the activities of the clinic and ensure accurate and efficient procedure are utilized.9. Effective leadership competencies especially in the areas of Financial Management, Operations Management and Human Resources Management.10. Analytical skills necessary to plan, develop and administer department budgets, evaluate and maintain standards of quality and safety, and resolve complex administrative problems encountered in the operation of the clinical service.

Reporting directly to the CEO, responsibilities include development of business plans, short- and long-term strategic planning, healthcare contract negotiations, and directing clinical operations while enhancing operational effectiveness with an emphasis on cost containment and high quality patient care. The ideal candidate must possess extensive knowledge of the operations function for physician groups as well as healthcare regulations, business plan development, strategic forecasting, IT and clinical systems, and a proven ability to increase operational effectiveness. - A minimum of 10 - 15 years of experience in operations within the healthcare industry with a minimum of 10 years of management experience is required. - A Bachelor´s degree in Business or Healthcare Administration is required. - A Master´s Degree in Business Administration or Healthcare Administration is strongly preferred. - Strong leadership, team-building, and interpersonal skills as well as the ability to be a self-starter are a must! We offer a competitive salary and benefits package for qualified candidates. If you would like to work in a team-oriented atmosphere for a growing company, please submit in confidence your cover letter and resume with salary expectations. Additional information regarding MMP can be found at www.mmponline.com

Live and work where others vacation!

Assists in the monthly preparation of business reports for Otsego Memorial Hospital and OMH Medical Group. This includes functional analysis and reporting. Manages general ledger. Prepares audit reports as required by external auditors. Assists in the completion of many RHC related documents. Provides support for annual budgeting process. Monitors resource productivity, assists in the development of short- and long-term financial plans, develops and creates decision support methods, performs financial analysis, and develops and revises methodologies used to communicate and gather information. Assists in evaluating and supporting improvements in operations financial performance. Minimum knowledge, skills and abilities: 1. Bachelor degree with a major in Finance or Accounting is required. Master degree in statistical analysis desirable. 2. Minimum of 3-5 years of related work experience in hospital or physician medical group. 3. Requires organization, prioritization, time management skills, and effective presentation and public speaking skills. Ability to communicate effectively in order to assure effective exchange of information. 4. Ability to integrate clinical operations knowledge with financial skills; analytical and interpretive skills with a propensity for thoroughness and attention to detail. 5. Experience with performance improvement methodologies and a strong track record of variance and root cause analysis. 6. Advanced proficiency in report writing; and proficiency utilizing electronic financial software and hardware packages required. Possesses a minimum of five years experience with computer spreadsheets and database applications. Advanced excel skills required. 7. Knowledge of legal and fiscal requirement and regulations. 8. Skill in examining documents for correctness and interpreting their accuracy. 9. Ability to organize, coordinate, and monitor project work. 10. Knowledge of medical terminology, CPT, and ICD-9 coding and documentation.

Assists in the monthly preparation of financial statements for Otsego Memorial Hospital and OMH Foundation. This includes fluctuation analysis and reporting. Manages general ledger. Prepares audit schedules as required by external auditors. Assists in the completion of all tax related documents. Provides support for annual budgeting process. Monitors resource productivity and provides unclaimed property reporting. Efficiently retrieve, use and analyze information pertinent to daily work and develops and revises methodologies used to communicate and gather information. Minimum knowledge, skills and abilities: 1. Bachelor degree with a major in Accounting is required. 2. Minimum of 2-3 years of related work experience. 3. Requires organization, prioritization, time management skills, effective presentation and public speaking skills. Ability to communicate effectively in order to assure effective exchange of information. 4. Ability to integrate clinical operations knowledge with financial skills; analytical and interpretive skills with a propensity for thoroughness and attention to detail. 5. Experience with performance improvement methodologies and a strong track record of variance analysis. 6. Advanced proficiency in report writing; and proficiency utilizing electronic financial software and hardware packages required. Possesses a minimum of two years experience with computer spreadsheets and database applications.

Experience in practice growth preferred.

Directs and administers the integrated operational activities of the practice to ensure compliance with established objectives and continuous provision of quality, cost-effective services. Directs and oversees management of all physician and other provider billing and collection. Oversees the management, accounting, finance, communications, human resources and information systems.Directs the day-to-day business operations, and performs other duties as assigned by Chief Executive Officer. Responsible for the timely, effective and profitable patient flow and services. Develops annual operating and capital budgets.Facilitates and implements short- and long-range organizational goals, objectives, policies, and operating procedures; monitors and evaluates operational effectiveness; effects changes required for improvement.Designs, establishes, and maintains an organizational structure and staffing to effectively accomplish the practices goals and objectives; recruits, employs, trains, supervises, and evaluates support staff.

The Performance Improvement Specialist is Responsible for providing on-site support for quality monitoring, performance improvement and education activities. Facilitates compliance with Medicare, JCAHO, along with state licensure and VITAS Healthcare Requirements, and handles Corporate-based duties. Assists with quality monitoring and program evaluation, assists with responses to Focused Medical Review, and participates in the development of company-wide initiatives. Bachelor´s degree in nursing preferred. Qualified candidates must be credentialed and licensed (as required) health care professional. Certified Professional in Health Care Quality preferred. Experience with data collection, basic statistics and statistical measurement tools, and data analysis. Excellent interpersonal, communication and facilitation skills. Must be organized and detail oriented. Experience with spreadsheet and word processing programs; experience with databases a plus. Knowledge of hospice operations and performance improvement strategies; well-organized, detail-oriented and possess excellent communication skills; experienced with data collection and analysis; have the ability to create spreadsheets and be familiar with various software programs, and be able to travel. This position is part-time.

Chief of Surgical Services Spectrum Health Medical Group

Spectrum Health Medical Group in Grand Rapids, Michigan has exclusively engaged Cejka Executive Search to assist in the recruitment for the Chief of Surgical Services. Spectrum Health Medical Group (SHMG), formed in late 2008, is a rapidly growing multispecialty group practice and part of Spectrum Health, an integrated system hospital, a health plan and now a multispecialty medical group. While many healthcare organizations are downsizing, Spectrum Health Medical Group is growing at an unprecedented rate.The Chief of Surgical Services, integral to SHMG, will be responsible for the integration, enhancement and oversight of the multi-disciplinary group of surgeons who are currently employed by the group and those who will be joining the group; approximately 50 surgeons. The Chief will lead: recruitment and retention; development of new programs and surgical services; serve as the key liaison and Chief with Spectrum Health Hospitals Group; and serve as the oversight leader of the departments operational effectiveness, quality and efficiency. The Chief will work collaboratively with the MSU Chairman to advance the scholarly activities of the surgical team.Board certified candidates for this position will have proven and demonstrable track records in managing performance metrics, building surgical programs, leading integration strategies and tactics, managing budgets, and excelling in quality and patient safety metrics. Best candidates will have stellar results as surgeons and in leading other surgeons through change and healthcare advancements in a group practice setting. Ideally, candidates will have recent experience in teaching and will have a background in research and academia.Grand Rapids, Michigan is the second largest city in the state located just 35 minutes from the shores of Lake Michigan. Just two hours from Chicago, the metropolitan area population is 750,000 with a 3 million population referral base. Grand Rapids boasts top-rated public and private schools and seven colleges. The downtown area is vibrant and growing with multiple cultural, professional sporting events, concerts, river activities, parks and excellent restaurants. This is a family-friendly city not too small not too large.

Purpose: Responsible for the education and servicing of providers regarding all aspects of MHP and its subsidiaries. Responsible for assisting in the development of policy, procedures, and educational materials for use with all Provider Programs and for the development of benchmarks to measure performance against MHPs goals. Establishes and maintains effective relationships with key administrative executive staff of contracted medical delivery entities (i.e. physician organizations, physician hospital organizations, faculty groups, large independent groups, hospitals, etc.). Responsible to develop and maintain routine communications with such groups, performing presentations, education, and other activities to support MHPs provider servicing goals. Responsible for contracting of PCPs, Specialists, and Ancillary providers in their defined servicing area. Responsible for claims research and resolution. All duties are to be carried out in collaboration with the contracting staff and other key senior staff as appropriate. Essential Functions and Responsibilities:1.Establishes and maintains effective relationships with key administrative executive staff of contracted medical delivery entities (i.e. physician organizations, physician hospital organizations, faculty groups, large independent groups, hospitals, etc.). 2.Acts as the primary resource and liaison for the medical delivery entities to facilitate effective communication, problem solving, and provide information and data necessary for optimal working relationships with MHP and its subsidiaries.3.Develop and maintain positive relationships with contracted medical delivery entities, including significant time spent out of the office meeting with providers and their office staffs.4.Collaboratively develops and implements strategic plans in collaboration with the contracting staff for provider development.5.Develops and maintains a monitoring system for the business aspects of network services and development.6.Resolves provider related problems related to servicing issues.7.Represents MHP on related internal and external committees and task forces as appropriate.8.Works with MHP designated staff in profiling the quality and financial effectiveness of providers, optimal size of the network, etc. and carries out corrective action plans as appropriate.9.Coordinates network activities with other MHP departments to support membership growth.10.Interfaces with other MHP departments to assist in developing and refining the operational systems to meet the changing needs of the providers, facilities, customers, and MHP corporate objectives. Works collegially with these departments to solve problems.11.Assists in the development of provider training manuals, seminars, etc.12.Make recommendations to senior personnel regarding network expansion, provider compliance issues, etc.13.Responsible for contracting PCPs, Specialists, and Ancillary providers in a defined servicing area.14.Responsible for claims research and resolution.15.Communications: communicates verbally and in writing in a positive, consistent, enthusiastic, and open mannered approach with all internal and external customers. 16.Works independently in a self directed, non-confrontational, collaborative manner.17.Constantly seeks opportunities to improve processes to support more efficient and effective work outcomes.18.Customer Focus: promotes positive internal and external relations by actively seeking and being responsive to customer feedback. Ability to support and participate in continuous quality improvement projects.19.Translates the Vision, Mission, and Leadership traits in to daily interactions with internal and external clients. Exhibit at all times a high level of character that exemplifies the core leadership traits developed by MHP. Demonstrates drive, initiative, and ownership in all endeavors undertaken for the benefit of the Plan.20.Displays high ethical standards.21.Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole.Knowledge and Skills Requirements:Required:1.Associates Degree in business, health care, or related field. An equivalent combination of relevant education and experience may be substituted for the educational requirement.2.Two (2) years experience and knowledge of HMO, PPO, TPA, PHO, and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting, and risk arrangements and actuarial precepts).3.Extensive knowledge of clinical, operational, and regulatory functions of a managed care organization.4.Experience in servicing hospitals, providers, and their office staff5.In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.6.Ability to handle multiple projects simultaneous and work well in stressful situations.7.Available to work a flexible schedule to meet organizational needs.8.Excellent analytical skills and independent decision making ability.9.Excellent communication, consultancy, facilitation, and conflict resolution skills.10.Strong relationship building skills and the ability to influence others positively. 11.Proficient computer skills including command of Word, Excel, Access, Power Point, and email required.12.Possess ability to interact with all customers, internal and external in professional manner.13.Must have use of a personal vehicle for travel.PREFERRED:-Five years experience in provider contracting and servicing.-Established relationships with providers in MHPs service areas.

McLaren Health Care Corporation is one of the top 25 integrated health care systems in the United States.

Position Overview: Coordinates all appeal/grievance activity for McLaren Health Plan and its subsidiaries (MHP). Responsible for ensuring organizational compliance with applicable regulations and tracking of all grievance/appeal activities. Facilitates member and provider grievance and appeals processes, complying with state and regulatory standards. Handles all member and provider complaints through resolution. Responsible for Medicaid special and for cause disenrollments.Essential Functions and Responsibilities:- Responsible for all aspects of member and provider complaints and grievances, appeals and administrative law hearings, including research, resolution, and follow-up.- Will serve as the McLaren Health Plan Complaint and Grievance contact for Michigan Department of Community Health (MDCH), the Office of Financial and Insurance Regulation (OFIR), and federal agencies.- Responsible for Administrative Disenrollments through MDCH and OFIR.- Coordinates and tracks all grievance and appeal activities for MHP.- Coordinates and maintains a system for receiving, processing, and resolving member and provider grievances and appeals in accordance with all application contract provisions, plan policies, procedures, rules and regulations.- Ensures grievances and appeals are resolved in a professional, expeditious manner within the required time limits set by MHP policy and applicable accrediting and regulatory agencies guidelines.- Interacts with members and providers on a regular basis, presenting a professional approach in all interactions.- Conducts special surveys and/or analyses in order to identify recurring prob¬lems/complaints. Notifies appropriate departments and makes recommendations to improve processes to minimize, if not eliminate, identified problems.- Regularly performs the following activities:- investigates complex member or provider com¬plaints by conducting interviews with involved parties and reviewing pertinent documentation;- responds to member and provider problems, concerns and perceived unmet needs in order to promote plan satisfaction;- objectively resolves grievances, explains final resolution of problems or concerns to member or provider; and- conducts surveys in order to identify recurring member or provider problems.- Chairs MHP Appeals Committee.- Compiles monthly, quarterly, and annual reports, including reports for the Board of Directors.- Assists in the development of member and provider education relative to complaints, grievances, and appeals.- Communications: communicates verbally and in writing in a positive, consistent, enthusiastic, and open mannered approach with all internal and external customers. - Works independently in a self directed, non-confrontational, collaborative manner.- Constantly seeks opportunities to improve processes to support more efficient and effective work outcomes.- Customer Focus: promotes positive internal and external relations by actively seeking and being responsive to customer feedback. Ability to support and participate in continuous quality improvement projects.- Translates the Vision, Mission and Leadership traits in to daily interactions with internal and external clients. Demonstrates drive, initiative and ownership in all endeavors undertaken for the benefit of the Plan.- Displays high ethical standards.- Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole.Knowledge and Skills Requirements:Required:- Bachelors Degree in business, health care or related field. An equivalent combination of relevant education and experience may be substituted for the educational requirement.- Minimum three (3) years experience with a government regulated health organization or a managed care setting.- Demonstrated experience in providing objective, balanced benefit interpretations using Certificates of Coverage and Plan Documents.- In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.- Ability to handle multiple projects simultaneously.- Available to work a flexible schedule to meet organizational needs.- Excellent analytical skills.- Excellent communication, consultancy, facilitation and conflict resolution skills.- Strong relationship building skills and the ability to influence others positively. - Computer skills including command of Word, Excel, Power Point and email required.Preferred:- Five (5) years experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts).

Responsible for generating new provider contracting activities within assigned market segments for McLaren Health Plan and its subsidiaries. Professionally and effectively markets the advantages of being a McLaren Health Plan network provider to prospective providers. Generates new contracting opportunities through telemarketing, written communications, and other distribution channels. Responsible for meeting established provider contracting targets. Develops and implement processes to monitor contractual obligations and ensure MHPs compliance with such. Supports all contracting activities of the Network Development Coordinators, including required follow up with such groups to facilitate obtaining provider demographic information required by MHP, ensuring documentation is accurately completed for entry onto the MHP claim system, issuing contract reminders, ensuring contracts are returned and filed, etc. Assists in preparing contracting activity reports and other ad hoc reports as necessary. Responsible for research and resolution of provider claims issues. Identifies process improvement opportunities and develops plans to address opportunities. Essential Functions and Responsibilities:1.Responsible for generating new provider contracting activities within assigned market segments for McLaren Health Plan and its subsidiaries.2.Research and recommend best practices for network development processes. Assist in development and implementation of policies and procedures relative to contracting. 3.Develop and implement processes to monitor contractual obligations and ensure MHPs compliance with such (i.e. annual performance benchmarks, open panels, payment rate changes, etc.).4.Assist in ensuring the Plan meets or exceeds all of the accrediting body, and States regulatory requirements pertaining to provider servicing, contracting, and quality standards.5.Achieves new contracting opportunities through telemarketing, written communications and other distribution channels. 6.Responsible for meeting established provider contracting targets. 7.Supports all contracting activities of the Network Development Coordinators, including obtaining provider demographic information required by MHP, ensuring documentation is accurately completed for entry onto the MHP claim system, issuing contract reminders, ensuring contracts are returned, properly executed and filed, etc.8.Maintains provider prospect databases and spreadsheets.9.Identify and communicate process improvements to the contracting process and data requirements.10.Assists in preparing contracting activity reports and other ad hoc reports as necessary. 11.Responsible for the provider error report, identify areas for improvement, work with servicing staff to educate providers and make corrections, as appropriate.12.Maintains and updates provider directories, weekly or as needed.13.Responsible for claims research and resolution of provider claims issues.14.Identifies process improvement opportunities and develops plans to address opportunities.15.Promotes positive internal and external relations by actively seeking and being responsive to customer feedback. Ability to support and participate in continuous quality improvement projects.16.Research identified issues, develop work plans, including implementation to resolve issues. 17.Communications: communicates verbally and in writing in a positive, consistent, enthusiastic, and open mannered approach with all internal and external customers.18.Works independently in a self directed, non-confrontational, collaborative manner.19.Customer Focus: promotes positive internal and external relations by actively seeking and being responsive to customer feedback. Ability to support and participate in continuous quality improvement projects.20.Translates the Vision, Mission and Leadership traits in to daily interactions with internal and external clients. Demonstrates drive, initiative and ownership in all endeavors undertaken for the benefit of the Plan.21.Displays high ethical standards.22.Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole.Knowledge and Skills Requirements:Required:1.Associates Degree in business, health care or related field. An equivalent combination of relevant education and experience may be substituted for the educational requirement.2.Excellent analytical and problem solving skills.3.Proven computer skills including command of Access, Word, Excel, and email required.4.Excellent organizational skills and ability to handle multiple projects simultaneously.5.Proven sound judgment and diplomacy skills.6.Excellent communication, consultancy, facilitation and conflict resolution skills.7.Strong relationship building skills and the ability to influence others positively. 8.Must have use of a personal vehicle for travel.9.Available to work a flexible schedule to meet organizational needs.Preferred:1.Bachelors degree in business, health care or related field.2.Three (3) years experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts).3.Two (2) years healthcare claims and/or billing experience with basic understanding of payment methodology and medical terminology.4.Demonstrated sales and negotiating experience with successful outcomes.5.Established relationships with providers in MHPs primary service areas.