Manager, Provider Operations

Manager, Provider Operations

Upward Health is a home-based medical group specializing in primary medical and behavioral care for individuals with complex needs. We serve patients throughout their communities, and we diagnose, treat, and prescribe anywhere our patients call home. We reduce barriers to care such as lengthy delays due to scheduling. We see patients when they need us, for as much time as they need, bringing care to them. Beyond medical supports, we also assist our patients with challenges that may affect their health, such as food insecurity, social isolation, housing needs, transportation and more. It is no wonder 98% of patients report being fully satisfied with Upward Health!

Upward Health provides technology-enabled, integrated, and coordinated care delivery services that improve outcomes and reduce costs for patients with severe behavioral health diagnoses and co-morbid, chronic physical conditions. We are not your typical medical practice. At Upward Health, we see every day as an opportunity to make a difference in our patients' lives. We could tell you about our outcomes and patient satisfaction ratings. We could tell you about our commitment to our mission. Or you could join us and experience it all for yourself.

WHY IS THIS ROLE CRITICAL?

The Manager, Provider Operations is responsible for overseeing the day-to-day clinical operations of Nurse Practitioners, Licensed Clinical Social Workers, Behavioral Health providers, and other clinical professionals. This role requires exceptional leadership in healthcare practice management. The ideal candidate will be highly skilled in business aspects of provider practice management, possess advanced Excel skills, and be able to work seamlessly across multiple time zones. They must demonstrate superior organizational skills, excellent time management, and the ability to manage various priorities simultaneously.

KEY RESPONSIBILITIES

• Oversee strategy and execution of day-to-day clinical operations, directly driving performance, productivity, and financial Key Performance Indicators (KPIs)
• Utilize advanced Excel skills to analyze complex data sets, generate reports, and track provider performance and KPIs across multiple teams
• Lead clinical professionals by motivating, communicating effectively, and providing actionable feedback
• Perform audits and analyses of provider activity, ensuring the integrity of patient care data in various provider systems
• Partner with credentialing and licensing teams to ensure timely submission and ongoing monitoring of provider status
• Coordinate operations across multiple time zones, ensuring smooth provider services regardless of location
• Ensure compliance with all applicable regulatory requirements
• Develop talent within the team, ensuring readiness for future organizational needs
• Maintain strict real-time updates of operational and staffing data, utilizing Excel and other tools for tracking and reporting

KNOWLEDGE, SKILLS & ABILITIES

• Advanced Excel skills: Demonstrated expertise in data analysis, complex reporting, and automation
• Proven ability to manage time effectively, prioritizing tasks while handling multiple projects in a fast-paced environment
• Highly organized with exceptional attention to detail
• Experience leading teams and managing operations across multiple time zones
• Excellent communication skills, both written and oral
• Strong focus on culture, employee engagement, and performance management
• Ability to attract, develop, and manage top talent
• Experience with telehealth technology and provider performance monitoring
• Utilizing resources to develop strategic approaches to solutioning barriers ad challenges to operations

REQUIRED QUALIFICATIONS

• Bachelor’s degree in a health-related field
• 3+ years of experience in a leadership role within operations
• Demonstrated success in managing clinical teams and operations
• Proven expertise with Excel and other data management tools
• Experience with Medicaid and Medicare patient populations
• Commitment to addressing health disparities through improved care and service

PREFERRED QUALIFICATIONS

• Master's degree preferred

Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.