COPE Health Solutions Careers

Description

Partners closely with the Medical Director to support the effective and efficient delivery of care through a hub-and-spoke model consisting of telehealth providers, Community Health Workers (CHWs), a 24/7 RN warm line, embedded pharmacy services, and contracted specialty telehealth providers. Oversees day-to-day operations, staffing, vendor management, performance reporting, and compliance activities to support organizational goals, quality outcomes, and financial sustainability. Works under general supervision.

Duties and Responsibilities (including but not limited to)

• Oversees and directs day-to-day operations of the ambulatory primary care practice and ensures services are delivered in accordance with organizational policies and applicable regulatory requirements.
• Partners with the Medical Director to support quality, operational, and financial performance goals.
• Coordinates operational activities across providers, nurses, pharmacists, Community Health Workers (CHWs), Care Navigators, and contracted vendors.
• Oversees patient access functions including scheduling, intake, referrals, prior authorizations, and care coordination workflows.
• Monitors key operational and performance metrics including panel growth, encounter volume, telehealth access, CHW productivity, and patient engagement.
• Utilizes performance reporting structures, dashboards, and scorecards to evaluate practice performance and identify opportunities for improvement.
• Oversees staffing models, onboarding, training, scheduling, and performance management activities.
• Serves as liaison with technology vendors, specialty referral partners, outsourced Revenue Cycle Management (RCM) partners, and other contracted service providers.
• Assists with budget monitoring, resource allocation, operational planning, and implementation of support systems and services.
• Ensures operational policies, procedures, and workflows are implemented and maintained throughout the practice.
• Conducts staff meetings and promotes effective communication between clinical, operational, and administrative teams.
• Identifies opportunities to improve operational efficiency, patient experience, care coordination, and overall practice performance.
• Maintains accurate operational records, reports, and communications according to organizational guidelines.
• Supports implementation of new programs, technologies, and initiatives designed to improve quality, access, and organizational performance.

Qualifications or Education, Training and Experience

• Bachelor's degree in Healthcare, Business, Public Health, or related field required.
• Master's degree in Healthcare Administration, Business Administration, Management, or related field preferred.
• Minimum three years of healthcare operations, clinic management, or practice administration experience.
• Experience supporting primary care, ambulatory care, managed care, or value-based care programs preferred.
• Experience with Medicare Advantage, Commercial PPO/HMO plans, and population health programs preferred.
• Demonstrated leadership experience overseeing multidisciplinary teams and operational workflows.
• Excellent organizational, interpersonal, verbal, and written communication skills.
• Proficiency with Microsoft Office applications and healthcare technology platforms.

Working knowledge of the following required:

• Medical office operations, practice administration, and healthcare operations management principles.
• Medicare Advantage, Commercial PPO/HMO plans, and value-based care models.
• Staffing, performance management, operational reporting, and workflow optimization.
• Patient access, scheduling, referrals, and care coordination processes.
• Revenue cycle fundamentals, vendor management, and financial performance reporting.
• Regulatory compliance, healthcare operations, and quality improvement principles.
• Electronic Medical Record (EMR) systems, Microsoft Office applications, and other healthcare technology platforms.

Examples of Competencies:

• Ability to lead and motivate teams to achieve organizational goals. 
• Ability to analyze and solve problems using operational, financial, and performance data. 
• Strong communication and interpersonal skills. 
• Excellent organization, prioritization, follow-up, analytical, and time management skills. 
• Ability to effectively manage multiple priorities and deadlines. 
• Good interpersonal skills, sense of urgency, being proactive, and ownership for one’s work. 
• Dependable, with strong work ethic and a high degree of personal integrity. 
• Ability to develop and implement new approaches to improve operational performance and patient experience. 
• Ability to review critical issues, effectively solve problems, and create action plans. 
• Ability to build and maintain effective relationships with providers, staff, vendors, and community partners. 

Benefits: 

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/. 

About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com. 

To Apply: 

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.