Physician Practice Manager
PruittHealth · Norcross, GA · 2 wk ago
HealthcareFull-time
About the Role
The Practice Manager provides operational leadership, performance management, and infrastructure oversight for the long-term care (LTC) physician and advanced practice provider (APP) group across Georgia. This role ensures consistent clinical coverage, provider productivity, regulatory compliance, and alignment with facility operations and value-based care models, including Medicare Advantage and I SNP populations. The Manager partners closely with Medical Directors, APPs, facility leadership, and corporate stakeholders to drive quality outcomes, operational efficiency, and growth in the Georgia market.
Responsibilities
- Provider Operations & Coverage
- Oversee daily operations of physician and NP teams across Georgia facilities.
- Ensure consistent weekday clinical coverage.
- Manage scheduling and territory alignment, coverage gaps, contingency plans, call-out response, and escalation.
- Productivity & Performance Management
- Monitor and manage provider productivity benchmarks (encounters, efficiency), timeliness of rounding and documentation, and attendance and reliability.
- Implement performance improvement plans, coaching, and corrective actions when necessary.
- Facility & Stakeholder Alignment
- Serve as liaison between Providers, Facility Administrators, Directors of Nursing (DONs), and Corporate leadership.
- Resolve workflow inefficiencies, communication breakdowns, and operational escalation issues.
- Workforce Management
- Lead recruitment, onboarding, and retention strategies.
- Manage PTO, scheduling transitions, and provider performance issues.
- Ensure collaborative agreements comply with Georgia regulations, and credentialing and onboarding processes are completed.
- Clinical Operations Support (Non-Clinical Leadership)
- Partner with medical leadership to standardize documentation expectations and support appropriate coding (HCC/RAF).
- Identify variation in care processes involving falls management, rehospitalization trends, and psychotropic medication management.
- Quality & Utilization Performance
- Drive performance on rehospitalization reduction, preventive care gap closure, and length of stay and utilization trends.
- Analyze and act on facility-level data and provider-level performance.
- Regulatory & Compliance Oversight
- Ensure adherence to CMS LTC requirements, Medicare Part B billing standards, and Georgia scope-of-practice regulations.
- Support Survey readiness and documentation defensibility.
- Financial & Growth Alignment
- Partner with Physician Services leadership to support financial performance, provider productivity, and sustainable growth.
- Monitor provider productivity trends, encounter volume, documentation timeliness, and billing readiness to support accurate and timely revenue capture.
- Identify opportunities to improve provider deployment, facility coverage, and market expansion based on census, payer mix, facility needs, and value-based care priorities.
- Collaborate with billing, coding, credentialing, and operations teams to address workflow barriers impacting charge capture, documentation completion, or provider onboarding.
- Support growth initiatives related to new facility coverage, provider staffing models, and alignment with value-based care strategies.
Qualifications
- Education
- Bachelor’s degree in healthcare administration, business administration, nursing, or a related field required.
- Master’s degree in healthcare administration, business administration, nursing, or related field preferred.
- Experience
- Physician (MD/DO), Nurse Practitioner, or Healthcare Executive (MBA/MHA preferred).
- 5+ years of experience in:
- Long-term care or post-acute care.
- Provider group operations.
- Value-based care environments/models.
- Strong knowledge of:
- Medicare Part B Billing.
- HCC/RAF coding.
- SNF/LTC operations.
- Licensure/Certification
- No clinical license is required. If the selected candidate is a licensed clinician, they must maintain an active, unrestricted license in the applicable state of practice and remain in good standing with all applicable licensing boards and regulatory agencies.
Skills
- Operational leadership and accountability.
- Multi-site provider management.
- Data-driven decision-making.
- Conflict resolution and stakeholder communication.
- Balancing clinical quality, regulatory compliance, and operational efficiency.
- Experience with value-based care, TPAs, and Self-Funded Healthcare.
- Strong technical aptitude including EMR, Matrix Care, and complex spreadsheets.
- Excellent project management skills.
- Experience in public speaking.
Additional Qualifications (Preferred)
- Well-rounded and personable with the proven ability to drive productivity and exhibit credibility.
- Foundational understanding of medical practice operation and billing documentation.
- Six Sigma certification or other operational leadership certifications.
Schedule
Full-time, 1st Shift.
Location: Norcross, Georgia.