To facilitate the physician-led creation of strategy and services related to the business side of medicine for the Medical Society; develop and manage HCMS strategies that support the successful business operations of medical practices in Harris County, Texas. Monitor and educate members about state and federal regulations that have a direct economic impact on medical practices. Develop policy solutions to improve laws and regulations to enhance the efficiencies and effectiveness of medical practices and submit those to the Texas Medical Association.
Develop strategies and support services that help physicians thrive in all practice settings (independent, employed and academic practices).
Coordinate and monitor relationships between physician practices, and private and public third-party payors.
Manage the HCMS Payment/Practice Help Program that entails assisting members with getting paid and assisting with practice management issues.
Work collaboratively across HCMS departments to plan and direct HCMS’s business of medicine policy and advocacy activities.
Participate in the development and delivery of educational programs by serving as a content expert on business of medicine management, payment policies and issues, revenue cycle management and regulations.
Manage HCMS’s relationships with the Centers for Medicare & Medicaid Services (CMS) regional office in Dallas, private and government payers in Harris County, Health and Human Services Commission and Texas Department of Insurance.
Supervise staff of four and monitor budget of the Business of Medicine Department.
Assignments are complex and may vary greatly. They require the exercise of independent judgment regarding the definition of basic problems and determination of courses of action to be taken.
GENERAL QUALIFICATION REQUIREMENTS
Knowledge and Experience:
Requires understanding of the business side of a medicine which entails knowledge of operations, revenue cycle management and laws/regulations in Texas and at the federal level. Knowledge required is normally equivalent to the attainment of bachelor's degree, preferred master’s (CPA, MBA, MHA or JD), and several years of work experience.
Skills and Abilities:
Ability to understand and follow oral and written instructions and to deal effectively with other HCMS employees and HCMS members. Must be organized and able to pay strict attention to detail while handling multiple tasks. Ability to plan work which requires analysis or interpretative thinking regarding more than one situation to develop solutions for problems.
Member focus: Organized; Business and financial acumen; Team player; Decision maker; Relationship building; Perseverance; Problem-solving; Priority setting; Managing and measuring work; Working for results; Integrity; Responsive; Motivated; Accountability; Humility; Open-mindedness; Positive; and Trustworthy.
WORKING CONDITIONS AND PHYSICIAL DEMANDS
Sedentary inside office work. Available a few evenings and/or weekends per year as needed. Works with volunteers. Requires ability to lift, sit, and stand for long periods of time, pack and unpack boxes, supplies, and other items (up to 30 lbs.).
HCMS is a voluntary professional association of physicians in the Greater Houston area. With over 12,000 members, HCMS is the largest County Medical Society in the US and larger than all but eleven State Medical Associations. HCMS has a foundation, the Houston Academy of Medicine, which addresses community service and health education. The organizations have founded several organizations including the Texas Medical Center Library, Gulf Coast Regional Blood Center and McGovern Health Museum.
The Business of Medicine department has assisted with collection of over $30 million in unpaid insurance claims for HCMS members, in addition to changing numerous payer payment policies in favor of the physician’s business, and educational efforts.