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You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://www.billingsclinic.com/app/files/public/8786e5d8-f08c-4b2a-89b8-16197604bfee/NEO/Staff Benefits Guide.pdf) .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more!

Manager - Primary Care Payer Programs and Outpatient Care Management

Billings Clinic (BILLINGS CLINIC CLINIC)

req10951

Shift: Day, Evening

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)

Starting Wage DOE: $0.00 - 0.00

The Primary Care Payer Programs Manager assists the other Manager and/or Director in providing leadership and management within the division of primary care. The Primary Care Payer Programs Manager works with, Primary Care, Payer Relations, Coding, Compliance, Ambulatory Pharmacy team, as well as Payers to find innovative solutions for closing gaps in care. Position will have a line of sight to Medicare Shared Savings Program Accountable Care Organization (MSSP ACO), along with other CMS programs, and development of additional networks. The Primary Care Payers Program Health Manager assists the Director in providing leadership and management within the Primary Care Division.

This position also directly supervises the outpatient care management department. This position leads outpatient care management department that includes registered nurses, licensed practice nurses, social services workers, patient support specialists, and community health workers.

Essential Job Functions

• In collaboration with physician leadership and other medical staff, administration, and other health care providers, develops and implements short and long range plans, and leads, develops and revises programs which enhance department services.

• Leads department in the overall marketing, program development, and service priorities.

• Coordinates with physicians and other Billings Clinic leadership to assure continuity in pursing service line/organizational goals and synergy in implementing plans and problem resolution.

• Responsibilities include personnel management, orientation/training, scheduling, development/mentoring, performance appraisals, coaching and counseling, disciplinary actions, patient care delivery, physician relationships, intradepartmental and interdepartmental activities, quality control and process improvement activities, and regulatory compliance.

• Develops, implements, and maintains a realistic, cost-effective annual budget.

• Performs advanced support and analytical work in managing, monitoring, coordinating, facilitating and tracking the program’s operational initiatives, and activities.

• Works closely with key operational leaders to manage and communicate team decisions; resolve issues; work with teams to identify and implement workflow changes to meet the goals of the individual projects.

• Practices effective process improvement principles to assess and improve the quality of the service/care provided within the department.

• Develops, retains, recruits, and leads and successful supervises a talented team committed to accomplishing the goals and objectives of Billings Clinic.

• Recommends, implements, and evaluates plans and systems that assure sufficient number of qualified and competent staff to provide care/services. Adheres to administrative policies and procedures relating to human resource management.

• Demonstrates and encourages an ethic of open communication and teamwork throughout the organization. Builds an environment of shared commitment to Billings Clinic’s goals and responsibility to achieve quality outcomes. Provides consultation for related concerns and acts as a customer advocate by demonstrating sensitivity to ethical and legal ramifications of practice.

• Manages the coordination and implementation of programs related to value based care. Develops and reviews action plans and process improvement to identify unresolved or repetitive issues.

• Effectively works closely with the Payer Relations team, Primary Care Director, and Physician leadership to assure data integrity to inform strategic recommendations.

Minimum Qualifications

Education

•4 Year / Bachelors Degree In a related field.

Experience

•2 years successful experience working in a related service area.

•2 years successful experience supervising and management staff members,

•2 years successful budget managing experience, preferred.

Certifications and Licenses

•MT Driver license or the ability to obtain one, at hire

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/)

Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.