Market General Manager

Job Summary

This role, in collaboration with Medical Center Leadership is responsible for providing leadership and management in the delivery and achievement of the financial, strategic, and operational goals of a given market. In addition, the role is responsible for member engagement, new member enrollment, utilization management, and relationship building with hospitals, payors, and community physician partners. This role is multi-faceted, highly visible role that partners with our national team of subject matter experts (SMEs) and local leadership team to make a positive impact on all of our key performance indicators (KPIs).

Duties and Responsibilities

• Own and operate the design, development, and implementation of the ongoing strategy within the market to ensure all AbsoluteCare goals are met, including financial, clinical, member satisfaction and growth.
• Analyze competitive position within the market with respect to payer needs, direct competitors, and other adjacent solutions. Work with the local and national leadership teams to maximize our position within the market.  Determine opportunities for geographic expansions and/or M&A.
• Partner with each Medical Center Leadership team to execute their business plan and meet their clinical, growth and financial objectives by ensuring action plans are generated and followed.
• Manage execution of key operational outcomes to ensure member, provider and regulatory expectations are met/exceeded. Develop and optimize all market KPIs to meet triple aim.
• Coordinate and interface with various National Leaders to ensure the appropriate resources are available to the market.
• Work with the national team to develop a payer account management strategy that includes growing same store membership, expanding product/programs, maximizing quality and risk pool payments and other operating metrics, maintaining best in market relationships, and securing new payer relationships.
• Create a “best-in-class” culture to attract and retain physicians and other providers.
• Review financial and operations reports to ensure progress toward the annual business plan and remediate areas of underperformance.
• Develop, implement, and manage the adoption of controls that allow the organization to quickly identify trends and potential issues and address them in a timely manner.
• Establish and manage service strategies in coordination with organizational goals and competencies. Aids in establishes operating budgets for the market’s organic growth and service operations.
• Function as a support leader for all of departments within the market including Operations, Clinical, Network and Growth as directed by Executive Leadership.
• Assist local Medical Center Leadership in determining community staffing needs and recruitment activities as needed. Ensures the attraction, selection, retention, and assignment of a competent, qualified workforce is a driving factor for operational optimization.
• Mentor, coach, and develop the community operations team in the market. Grow the team to match the needs of the business.
• Assist in customer resolution responses and coach management on appropriate responses. Handle escalated issues and determine proper resolution.

Minimum Qualifications

• Strong business acumen and relationship management/building skills.
• Advanced knowledge of business and management principles involved in strategic planning, resource allocation, human resource modeling, leadership technique and operations.
• Superior knowledge of member/patient needs assessment, meeting quality standards for services and evaluation of member/patient satisfaction.
• Knowledge and implementation of regulatory requirements and laws that govern Medical Center and IPA/ACO activities.
• Knowledge of medical center operations, risk-based contracts, provider network management.
• Knowledge and experience working with Medicare and Medicaid payers.
• Exceptional track record of driving revenue growth and controlling expenses and driving P & L.
• Ability to effectively leverage business and organizational knowledge within and across functions.
• Skilled in negotiating; able to effectively influence executives, leaders, and all levels within the organization in matters of transformational change and operational optimization.
• Exceptional written and verbal communication skills.