The General Manager directs and coordinates all business activities of the CareMore Essentials Project to obtain optimum efficiency, maximize profits, maintain membership, and sustain strong positive relationships with the Client, the Providers, and the Community. He/She performs the following duties personally or through subordinate supervisors.
Essential Duties and ResponsibilitiesEssential duties and responsibilities include but are not limited to:
Responsibility for Client relationship (AmeriGroup) to ensure success of overall project.Establishes, implements and maintains Physician, Hospital, Urgent Care and Ancillary strategy in partnership with AmeriGroup's Network Contracting Team to facilitate provider education, engagement, participation and support of the CareMore model.Ensures assigned network performance goals.Establishes, implements and maintains Community Outreach and Resource Strategy in concert with AmeriGroup, to establish program acceptance, positive public relations and needed partnerships for program success.Establishes, implements and maintains member retention strategy to ensure on-going enrollment and retention goals are met.Coordinates administrative activities of market to effect operational efficiency.Builds, maintains and nurtures successful project team for provider relations, community outreach, and administrative support.Works closely with market clinical leader to hit clinical goals.Works closely with AmeriGroup to increase membership and prove model success thus creating expansion opportunities to other geographies and LOBs such as Medicare.Analyzes department budget requests to identify areas in which reductions can be made, and allocates operating budget.Confers with administrative personnel and reviews activity, operating, and membership reports to determine changes in programs or operations required.Analyzes financial and operational data to uncover issues and highlight opportunities.Creates and maintains policy and procedures necessary to successful project launch and maintenance.Supervisory ResponsibilitiesCarries out supervisory responsibilities in accordance with organization policies and applicable laws. Responsibilities include interviewing, hiring and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
QualificationsEducation and/or Experience: Bachelor's degree (B.A.) from a four-year college or university; or one to three years related experience and/or training; or equivalent combination of education and experience. Master's degree preferred.Certificates, Licenses, Registrations: None required.Other Qualifications:At least 15 years of experience in the field.Must demonstrate expertise in a variety of the field's concepts, practices, and procedures.Additional InformationAll your information will be kept confidential according to EEO guidelines.
Direct Staffing Inc
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