Director of Clinical Practice Management

About the role

Join us at GA Med Group—a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life—both inside and outside of our centers. You’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities.

Responsibilities

• Coordinate with the appropriate internal team members to identify provider staffing needs and support timely recruitment efforts.
• Ensure candidates have a clear understanding of role expectations, including clinical responsibilities, facility coverage needs, documentation requirements, productivity expectations, and organizational standards.
• Make recommendations regarding candidate advancement based on qualifications, communication skills, experience, and operational fit.
• Coordinate provider interviews with appropriate internal stakeholders.
• Schedule and organize interviews to ensure timely, professional, and efficient candidate experience.
• Participate in provider interviews to assess candidate readiness, professionalism, communication style, clinical background, and ability to meet the expectations of the role.
• Maintain clear communication throughout the interview process to help ensure candidates remain engaged and informed.
• Provide onboarding training for newly hired providers.
  • Educate new providers on organizational policies, clinical workflows, documentation expectations, EHR processes, billing and coding basics, compliance requirements, and operational procedures.
  • Support new providers during their transition into assigned facilities and clinical responsibilities.
  • Coordinate onboarding needs with relevant departments to ensure providers are prepared before beginning patient care responsibilities.
  • Monitor new provider progress during the initial onboarding period and identify areas where additional education, support, or follow-up may be needed.
• Serve as an ongoing resource for providers regarding workflow expectations and documentation standards.
• Monitor MIPS-related data and provider performance trends to help identify opportunities for education, improvement, and workflow adjustment.
  • Coordinate with the Director of Informatics to review MIPS data, analyze performance gaps, and support quality improvement activities.
  • Assist in developing and coordinating provider education related to MIPS performance, quality measure documentation, reporting expectations, and improvement strategies.
  • Help providers understand how documentation, clinical workflows, and reporting requirements affect MIPS outcomes and organizational performance.
  • Monitor and track improvement efforts and provide follow-up support to promote accountability and sustained performance improvement.
  • Support the implementation of education and corrective action plans when performance gaps are identified.
• Assist with provider education related to billing and coding requirements, including CPT code selection, documentation standards, medical necessity, and compliance expectations.
  • Coordinate with the Billing Coordinator to review billing and coding concerns, identify provider-specific trends, and support improvement efforts.
  • Help address documentation gaps, coding concerns, claim-related issues, and payer-specific requirements in collaboration with the Billing Coordinator.
  • Support providers in understanding how documentation quality impacts coding accuracy, reimbursement, claim submission, and payer compliance.
  • Monitor provider coding patterns, including visit-level coding, frequency of services, documentation alignment, and potential areas of coding discrepancies.
  • Assist in coordinating training when billing or coding errors, documentation deficiencies, or coding pattern concerns are identified.
  • Support workflow improvements that promote timely documentation, cleaner claims, and reduced denials.
• Monitor provider performance related to documentation timeliness, productivity, visit expectations, coding patterns, and quality indicators.
  • Identify provider performance trends and escalate concerns to the Senior Director of Physician Services as appropriate.
  • Assist in developing education plans, performance support strategies, and workflow improvement recommendations.
  • Participate in operational discussions related to provider performance, staffing needs, productivity, documentation quality, and quality improvement initiatives.
• Cross Department Collaboration
  • Collaborate with internal teams including informatics, billing, credentialing, compliance, operations, and human resources as needed.
  • Coordinate with the Director of Informatics on MIPS data, reporting trends, provider education needs, and performance improvement activities.
  • Coordinate with the Revenue Cycle Management Team on billing trends, coding concerns, documentation issues, claim-related patterns, and provider education needs.
  • Support the development and implementation of provider-related policies, procedures, training materials, and workflow improvements.
  • Provide regular updates to the Senior Director of Physician Services regarding provider onboarding, performance concerns, education needs, MIPS trends, and billing/coding support activities.
• Attend and participate in mandatory in-services.
• Follow established safety procedures when performing job tasks and/or working with equipment.
• Honor patients’ rights to fair and equitable treatment, self-determination, individuality, privacy, property, and civil rights.
• Comply with the Corporate Compliance Program.
• Report job-related functions/tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary.
• Follow established safety regulations to include fire protection/prevention, smoking regulations, infection control, etc.
• Comply with all Privacy and Security, Adverse Event Response, and Disaster Security and Business Recovery programs.
• Promote the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
• Contribute to the work of committees, workgroups, project management, and other collaborative efforts of the System.
• Perform other duties as necessary to ensure the success of the System.

Qualifications

• Valid Georgia Driver’s license
• Bachelor's degree with 3–5+ years Practice Management Experience or Associate’s Degree with 5-8+ years Practice Management Experience
• Advanced Practice Provider Certification preferred

Skills

• Knowledge and compliance with rules and regulations governing medical care and payment for medical services.
• Knowledge and compliance with the procedural guidelines for the organization and its health service locations.
• Knowledge of federal and state health services regulations, value-based care and standards emanating from Medicare and Medicaid, third-party payers, and other external agencies and businesses.
• Knowledge of issues and challenges facing care delivery elements of the system with the ability to respond effectively to improve quality advancement, such as health care industry changes, legal/regulatory changes, and technological trends.
• Knowledge and reasonable experience in establishing and/or developing productive relationships with physician groups, third-party payers, employers, and other healthcare entities such as HMOs, PPOs, PHOs, and community clinics.
• Knowledge of care transitions/case management/resource utilization programs, evidence-based treatment protocols, and other initiatives used to improve physician and health service performance within a market.
• Demonstrated ability to provide leadership in the implementation of clinical quality assurance, utilization review, and risk management programs.
• Good understanding of physician incentives and compensation methods, preferably with a record of accomplishment of building physician support.
• Understanding of the approaches and methods of process improvement, including planning, setting priorities, systematic performance assessment, implementation, and ongoing monitoring to continue improvement.

Supervisory Responsibilities

Yes