Practice Administrator Post Acute Medical GRO

Key Duties and Responsibilities

• Provide oversight of medical group operations across multiple regions, ensuring consistency, scalability, and operational excellence.
• Establish and implement organizational goals, policies, procedures, and operating systems.
• Standardize workflows, staffing models, and best practices across markets.
• Lead teams to deliver a high level of patient and customer service across all care settings.
• Utilize knowledge of organizational systems, policies, and procedures to drive operational effectiveness.
• Exercise independent judgment, initiative, and problem-solving in a fast-paced, evolving environment.

Operations & Execution

• Maintain accountability for operational performance across regions, including staffing models, provider workflows, and care delivery execution.
• Oversee day-to-day operational performance and ensure effective coordination across interdepartmental functions.
• Ensure provider coverage standards are met (visits/day/week, admission timeliness and weekend/after-hours coverage).
• Monitor and manage rounding schedules, documentation timeliness and workflow compliance.
• Identify and resolve operational gaps impacting care delivery.
• Establish communication systems with facility staff, triage, and providers to improve efficiency and quality.
• Support execution of initiatives tied to: MSSP ACO REACH LEAD.
• Monitor effectiveness of operational processes and implement continuous improvement initiatives.
• Ensure appropriate delegation of responsibilities and development of leadership capabilities within the team.

Financial Management & KPI Ownership

• Own P&L performance across the medical group.
• Develop and manage budgets, forecasts, and expense controls.
• Review monthly financials and implement strategies to improve revenue and manage costs.
• Monitor key operational performance indicators, including: Provider productivity and schedule utilization, Revenue cycle performance (collections, denial rates, days in A/R), Adjusted collection rates (target ≥95%), Cost management and contribution margin, Track and improve key VBC metrics: Readmissions (RTA), ED utilization, Length of stay (supportive, not primary driver).
• Ensure alignment of expenditures with budget.

Revenue Cycle & Practice Performance

• Partner closely with Revenue Cycle Management (RCM) to optimize billing, collections, and denial management.
• Maintain strong understanding of Medicare, Medicaid, and managed care guidelines.
• Monitor collections performance and provide regular reporting to leadership.
• Maintain accurate charge capture, coding alignment, and compliance with payer requirements.

Physician Partnership & Incentive Alignment

• Manage SNFist physicians and advanced practice providers (NPs/PAs) schedules and staffing.
• Track and enforce: Productivity (visits per day, admissions), Quality metrics (RTA, care transitions, documentation quality), Compliance with client requirements.
• Provide real-time coaching on: Facility engagement and communication, Family interaction and care planning.
• Serve as a key operational partner to physician leadership.
• Provide physician performance reporting and operational insights.
• Support design and execution of physician compensation and incentive models aligned with: Productivity, Quality outcomes, Value-based care performance.
• Drive provider engagement, accountability, and alignment with organizational goals.

Scheduling, Access & Patient Flow

• Build and maintain provider schedules across facilities.
• Align staffing with facility density and growth strategy.
• Monitor admissions, visits, discharges to ensure target visits for patients are met.

Facility Relationship Management

• Serve as the primary operational liaison to SNF administrators and DONs.
• Proactively address: Service concerns, Coverage issues, Patient assignment challenges.
• Support growth and retention by maintaining high facility satisfaction.

Marketing & Growth

• Partner with business development to increase density in existing facilities, add new facilities and expand geographic footprint.
• Identify opportunities to grow patient volume and strengthen referral networks.

Leadership & Talent Management

• Lead, coach, and develop staff.
• Foster a culture of accountability, teamwork, and continuous improvement.
• Partner with HR on recruitment, hiring, and workforce planning.
• Ensure timely hiring processes and alignment of roles with business needs.

Compliance & Risk Management

• Ensure compliance with CMS, regulatory requirements, and organizational policies.
• Maintain audit readiness and proper documentation standards.
• Support credentialing processes for physicians and advanced practice providers.
• Ensure adherence to: Medicare and payer billing requirements, SNF regulatory expectations.
• Monitor documentation quality and audit readiness.
• Support implementation of workflows (e.g., TCM, APCM, ACP where applicable).