MGA Homecare
At MGA, we go above and beyond to provide a personal approach to professional home health care. Our healthcare professionals deliver high-quality clinical care with the individualized attention that truly makes a difference for patients. We also have the broad service infrastructure to provide a comprehensive approach to home care, including full clinical and administrative support teams. We are focused on ensuring that each pediatric, geriatric or adult patient receives home health care that is most relevant to them and tailored to their individual medical circumstances. We provide the clinical support necessary to achieve the best possible outcome, by matching a healthcare professional with the right skills and experience to meet a patient’s specific needs.
Headquarter Location:
Scottsdale, Arizona
MGA Homecare is hiring a Remote Area VP of Clinical Operations
Job Description
The Area Vice President of Clinical Operations (AVPC) provides strategic leadership and operational oversight for all clinical functions within the organization. This role ensures the delivery of high-quality, patient-centered care while maintaining compliance with regulatory standards and driving operational efficiency. The VP of Clinical Operations collaborates with executive leadership to align clinical objectives with organizational goals and fosters a culture of innovation, accountability, and excellence. The Area VP of Clinical Operations will have direct supervision over the Directors of Clinical Services and the provision of training and compliance oversight for all case management staff within the region. This individual will also be responsible for creating and implementing Clinical Development Plans (CDP) that are specific to the needs of the various clinical roles. This role will partner with clinical leadership to implement clinical initiatives related to training, process improvement, QAPI, systems and technology, and compliance. This role will collaborate with Business Development and Operations Leadership and reports directly to the Chief Clinical & Government Affairs Officer.
Duties and Responsibilities
- Provide leadership in supervising, training, and fostering the professional development of all licensed clinical staff and unlicensed employees. Collaborate closely with program management to ensure effective service delivery across all locations. Maintain consistent, high-quality care standards by monitoring and supporting the performance of both licensed and unlicensed team members.
- Recruit, mentor, and retain top clinical talent. Provide coaching and performance feedback to clinical leaders and staff. Foster an environment that promotes collaboration, innovation, and professional growth.
- Develop, monitor, and evaluate key performance indicators/ clinical excellence measures (KPIs) to maintain excellence in care delivery.
- Plan and schedule/assign on-going workload assignments; adjust program and project priorities in consultation with Chief Government Affairs & Strategy Officer and program leaders; and prepare schedules for work completion.
- The PI Coordinator for QMP Initiatives is responsible for supporting and advancing the organization's Quality Management Program (QMP) by coordinating performance improvement projects, monitoring quality metrics, and ensuring compliance with relevant standards and regulations. This role collaborates with interdisciplinary teams to enhance care delivery, patient outcomes, and clinical operational efficiency.
- Monitor healthcare trends and recommend adjustments to maintain a competitive edge and prepare progress and performance reports for internal and external communication.
- Partner with executives and other stakeholders to achieve strategic goals by representing clinical operations in executive meetings. Build relationships with community organizations, payers, and regulatory bodies to enhance care delivery and access.
- Develop and manage budgets in partnership with AVPO for clinical operations, ensuring financial sustainability. Analyze financial data to identify cost-saving opportunities without compromising care quality. Collaborate with finance teams to align clinical goals with organizational financial targets.
- Establish agency policy and protocol in all areas of clinical service and work with Managing Directors, peer AVPCs (as applicable), Chief Clinical Officer, and program management staff to ensure that best practices are being effectively executed so the clinical needs of all the agency clients are addressed.
- Oversee and coordinate multiple projects and teams concurrently, ensuring seamless execution, alignment with organizational goals, and timely delivery of outcomes.
- Assist in all areas of program development and evaluation to ensure that programs are effective, efficient, and consistent with the organization’s mission and goals.
- Actively contribute to MGA's Risk Management programs and support the development and implementation of new initiatives to enhance organizational safety and compliance.
- Ensure compliance with all local, state, and federal laws regarding licensure and certification of organization personnel and maintain compliance to the CHAP & ACHC Home Care standards.
Qualifications
- Bachelor’s Degree in Nursing, business or health Administration preferred or equivalent years of experience.
- 7-10 years in healthcare administration
- Current State license with no restrictions or demonstrated equivalent experience providing direct oversight of clinical staff.
- Experience with supervising licensed staff and providing clinical supervision.
- Excellent written and oral communication skills, interpersonal skills, and ability to work both individually and as part of a team in a fast paced, professional environment.
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MGA Homecare is hiring a Remote Accounts Receivable Specialist
Job Description
As an Accounts Receivable Specialist, you will report directly to the VP of Revenue Cycle and will be responsible for all billing/collection functionalities for Texas locations. Seeking an individual who thrives in a fast-paced, high-volume environment.
Duties and Responsibilities
- Represents themselves in a positive and professional manner in the company and community. Supports and executes the mission, ethics, and goals of the company effectively.
- Reports on time and as scheduled to complete work within designated time. Adheres to dress code with a clean and neat professional appearance.
- Adhere to all other company policies and procedures outlined in the Employee Handbook, Employee Agreement, or communicated from executive team.
- Communicate effectively with staff and management, companywide.
- Run weekly billing reports (Holds, AR, Unbilled, Non-Billable, etc.) for all assigned locations prior to beginning Weekly Billing. Reports will highlight accounts with deficient items that are unable to be billed resulting in potentially missed revenue.
- Draft invoice batches for each payer and location. Review for any discrepancies prior to sending. High volume environment.
- Review Insurance and Clearing House website weekly to ensure all submitted claims are being processed. Correct any rejected claims and resubmit.
- Use websites and phone calls to gather claim status info for payment, denial or rejections.
- Adhere to state guidelines and regulations for EVV (Electronic Visit Verification).
- Assist with projects as needed. Perform all other duties assigned by Revenue Cycle Management.
Qualifications
- 1 year of Medical Billing and knowledge of State and Commercial/Private Insurance payers. (Preferred) TX, TN or WA a plus.
- General knowledge of Microsoft Office programs, including Excel.
- Strong attention to detail, organized, determined, and customer service oriented.
- Excellent written and verbal communication abilities.
- Able to perform all assigned tasks within timelines given.
- Maintain strict confidentiality regarding any information disclosed and adhering to all HIPAA guidelines and regulations.
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