Healthcare Services Job Description
Healthcare services
provides consultation to healthcare facilities regarding compliance with radioactive materials licenses and applicable state and/or federal regulations.
Healthcare Services Duties & Responsibilities
To write an effective healthcare services job description, begin by listing detailed duties, responsibilities and expectations. We have included healthcare services job description templates that you can modify and use.
Sample responsibilities for this position include:
Build the offering of new Healthcare Services
Be responsible for providing services for and improving the quality and productivity of the Healthcare Services department in of the core functional areas of case management, concurrent review, prior authorization, appeals, medical audit, quality and credentialing
Collaborate within marketing with business line managers, process managers and senior leaders to ensure marketing deliverables are consistent with provided strategy and meet stated objectives
Ensure brand messages are consistent, are aligned to audience message strategies and marketing programming is integrated
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations
Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list and route to appropriate staff when needed
Help implement and oversee the quality of deliverables and effectively manage the team and day-to-day relationships to ensure exceptional performance
Identify and map the key stakeholders and decision-makers
Coordinates appropriate Abbott resources to execute the strategic account plan including assigning roles
Acts as internal advocate for the customer
Healthcare Services Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Healthcare Services
List any licenses or certifications required by the position: PA
Education for Healthcare Services
Typically a job would require a certain level of education.
Employers hiring for the healthcare services job most commonly would prefer for their future employee to have a relevant degree such as Master's and Bachelor's Degree in Pharmacy, Nursing, Education, Social Work, Healthcare, Business, Public Health, Gerontology, Graduate, Accounting
Skills for Healthcare Services
Desired skills for healthcare services include:
HIPAA compliance requirements
Corporate finance and investment banking products
Preferably with execution experience
Respiratory home care techniques and relevant respiratory therapy concepts
Applicable state
Federal regulations/requirements
Healthcare services
Managed Care and Medicare programs
Systems and procedures
Desired experience for healthcare services includes:
Requires 5-6 years in an environmental services/housekeeping leadership role
Minimum of 4 years of supervisory and training experience
10+ years of relevant healthcare experience or equivalent combination of education and work experience (Application, Healthcare Provider, Payer Business Process Outsourcing)
Minimum 10 yrs prior experience in a Director or high-level leadership Healthcare Consulting role
The target field service population includes but not limited to Field Engineers, Techs, Mechanical Installation Techs, Remote Service Engineers the Customer/Hospitals Biomed technicians
Assists with the coordination of operational activities in support of HCS Sales team
Healthcare Services Examples
1
Healthcare Services Job Description
Job Description Example
Our growing company is searching for experienced candidates for the position of healthcare services. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for healthcare services
- Achieve a personal business plan/practice which aims to deliver €5M+ in annual consulting revenues
- Research and drive business expansion/collaboration opportunities for the markets
- Build and foster relationships, and create strategic alliances with CS leaders across Healthcare
- Strong quantitative skills – The ideal candidate for this position will demonstrate strong finance, accounting and overall valuation skills
- Solid writing and presentation skills – The candidate should have an equal capacity to express quantitative conclusions in both written and spoken form
- A minimum of 10 years of sector-specific work experience in sell-side equity research, investment banking, private equity and/or investment management
- MBA and/or CFA certification preferred but not required
- Design and adjust, as necessary, engagement scope
- Provide technical insight to continually improve solution set implementation and execution
- Actively develop and maintain peer relationships with other Advisory Services practices and other firm Service Lines to promote an integrated cross-discipline sales and delivery model and actively pursue cross-sell opportunities appropriate to the client needs
Qualifications for healthcare services
- Excellent verbal and written communication skills in local language good command of English
- Strong overall knowledge of key healthcare provider trends and strategic issues facing the industry
- A proven track record in business development of acquiring new clients through establishing deep relationships with clients
- Demonstrated capability to construct and lead a profitable professional services engagements
- A burning desire to conceive and deliver world class and industry transforming solutions
- Passion about delivering true value to the client and assuming the ownership of total client satisfaction and results
2
Healthcare Services Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of healthcare services. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for healthcare services
- Manages the operational implementation and execution of client payment policy decisions by working with health plan operations managers in Network Operations, Provider Relations, Member Services, Grievance and Appeals, Call Center, Claims and IT services
- Records and distributes meeting minutes and action items, and follows-up on action items to ensure satisfactory and timely completion
- Posts and maintains accurate, up-to-date client documentation in library
- Includes internal team management along with coordination within the client
- Provides client testing support and coordination for system enhancements, upgrades, corrections, batch support, new policy logic, data mapping, parser changes
- Maintains escalation plans and monitors file processing statistics and provide production reporting as necessary to quickly identify provider negative impact, data anomalies
- Develops and executes action plans to remedy
- Analyzes monthly results and draft monthly performance summary for client, providing insight and observations on drivers of trends and status of initiatives
- Identifies client education needs and develop and deliver client training programs for implementing and active clients
- Enters all client inquiries and requests in the appropriate application
Qualifications for healthcare services
- Ability to lead and manage diverse, cross-cultural teams and individuals and to drive quick wins in order to capitalize on rapidly changing market conditions
- Ability to read, analyze and interpret industry information
- Master’s in Business Administration or Finance is strongly preferred
- Bachelor's degree in Accounting, Finance, Economics, Business Administration, Health Information Management and/or a Master’s degree in Business Administration, Accounting, Health or Hospital Administration
- At least five years of progressive advisory or consulting experience within a medium or large professional services and advisory firm or major management consulting firm or at least five years of experience in a healthcare provider setting with revenue integrity responsibilities
- Knowledge of and experience in the capturing of charges for services provided in healthcare settings
3
Healthcare Services Job Description
Job Description Example
Our growing company is looking for a healthcare services. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for healthcare services
- Responsible for reviewing and implementing new program requirements and ensuring the HCS CM department complies with all contractual and regulatory reporting requirements
- Serves as the HCS CM department lead for State care management program contractual and regulatory requirements, including performing the initial assessment and overseeing the implementation of all proposed and new contractual and regulatory standards, ensuring the HCS CM department meets all filing requirements and ad hoc reporting requests, in a timely manner and with quality deliverables
- Leads project teams involving staff from across the CM department and the organization to implement new standards for which the department is accountable or otherwise involved
- Leads workgroups to carryout assigned responsibilities
- Assesses proposed State laws and regulations to determine potential impact, and provides written reports of findings to HCS CM leadership team
- Serves as a key liaison with State healthcare agencies and regulators under the direction of the Director
- May directly supervise individual clinical or non-clinical HCS staff or teams
- RN or SW licensure required
- Focus on technical and analytical support and/or the organization and coordination of functional area support activities, analysis of service, production and/or program outcomes against policies, standards and objectives
- Use a global approach to assure core activities and functional areas are integrated and linked to achieve the highest outcomes for our customers
Qualifications for healthcare services
- Minimum of 6 years food service management experience to include strong financial acumen as supported by a minimum of 3 years of successful P&L management experience within a professional environment
- Manages a team in planning and executing business programs
- Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM) and monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements
- Organizes and maintains the service level review process with the business and service providers
- Strong data analytical skills, generate and review data to provide summary and analysis on impact for operations
- Ensures adequate training occurs from knowledgeable staff and coordinates with other departments as needed
4
Healthcare Services Job Description
Job Description Example
Our innovative and growing company is looking to fill the role of healthcare services. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for healthcare services
- Provide technical and analytical support and/or organize and coordinate department support activities
- Help ensure Technician core activities integrate with overall department goals, thereby achieving the highest customer outcomes and caregiver satisfaction
- Translate the strategy into a strong and coherent research portfolio, and manage the successful execution of that portfolio
- Develop and evaluate first-of-kind informatics solutions to provide clinical decision support, improve clinical workflow and care coordination, optimize patient outcomes and demonstrate cost-effectiveness and value
- Provide leadership in a team of research scientists and software engineers
- Interact with clinical customers to understand their unmet needs, share insights and best practices, and validate prototypes of solutions to assess their value in patient care
- Establish and lead collaborative relationships with universities, scientific institutions, academic organizations and governmental resources to achieve the long team objectives within the global research program
- Work closely with prospective healthcare customers and sales teams to identify, prioritize and quantify key business drivers (metrics) and understand how our solutions will help solve their problems
- Provide expertise on business value throughout the entire sales cycle (account planning, discovery, solutioning, business case, investment justification)
- Working with our clients' decision makers to develop ongoing relationships to build confidence and client loyalty
Qualifications for healthcare services
- May supervise Program Managers
- Advanced proficiency with Cerner CCL
- Strong knowledge of Revenue Cycle Reports and aligning them with Cerner Revenue Cycle and Charge Master Reports and Clinical Reconciliation Reports
- Intermediate-Advanced Experience with Cerner PowerInsight for Business Objects preferred
- Ability to provide client with a high-level overview of the Revenue Cycle data structure
- Expertise in the use of common reporting tools for Revenue Cycle including Discern Analytics
5
Healthcare Services Job Description
Job Description Example
Our innovative and growing company is looking to fill the role of healthcare services. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for healthcare services
- Responsible for weekly, weekend and day to day schedules, utilizing staff effectively and keeping clients informed of schedule
- Assures the accuracy of all funding and activity code information
- Able to handle and resolve complaints/problems appropriately
- Evaluates overall performance of Home Health Assistants (adherence to policy/procedures and client satisfaction) arranging for clinical competency evaluations
- Direct and supervise building staff and vendors and monitor performance in accordance with the Company and Owners' policies
- Prepare (or assist in the preparation of) annual budgets, quarterly reforecasts and monthly financial statements
- Actively participate in accounts payable and accounts receivable process
- Conduct regular building inspections as assigned
- Prepare bid specifications, request proposals, and evaluate bids
- Coordinate contractor activities and oversee all construction projects as required
Qualifications for healthcare services
- 2+ years’ experience in a financial health care setting or healthcare industry audit experience
- Undergraduate degree-or- equivalent work experience (5 years in related field)
- Provides clear and timely verbal and written feedback of issues to team members and management
- 5+ years’ experience implementing Treasury Services and or Healthcare products
- Must be able to work independently and manage many different projects simultaneously
- Experience with Microsoft Office applications including Word, Excel and Power Point is expected