Medical Practice Administrator - Multi Specialty Clinic (RHC Transition)

Practice Administrator – Multi-Specialty Clinic (RHC Transition)

Position Summary

The Practice Administrator provides expert operational leadership for a multi-specialty ambulatory clinic undergoing transition to Rural Health Clinic (RHC) designation. This role is accountable for aligning clinical, financial, and administrative functions with RHC regulatory requirements while improving clinic quality, efficiency, financial position, systems and processes. The Administrator will support transformation efforts including care model redesign, compliance infrastructure, revenue cycle optimization under cost-based reimbursement, and integration with WHR. The candidate should expect to rely on considerable high-quality assessments and the support of key leaders at West Hawaii Region (WHR), and will be expected to become deeply involved in the day-to-day operations of the clinic in efforts to effectuate positive change.

Key Responsibilities1. RHC Transition Leadership

• Supports end-to-end transition to RHC status from within the clinic, including readiness assessment, application, and certification process.
• Ensure compliance with all CMS RHC Conditions for Certification and state-specific requirements.
• With support from WHR and consulting support teams, candidate develops and implements policies and procedures required for RHC operations.
• Coordinates site surveys, audits, and ongoing compliance monitoring.

2. Operational Management

• Direct day-to-day operations across multiple specialties (e.g., primary care, specialty services, ancillary services).
• Standardize workflows to support team-based care and RHC productivity expectations.
• Optimize scheduling templates, panel management, and access strategies.
• Oversee facilities, supply chain, and vendor relationships.

3. Financial Oversight, Revenue Cycle & Billing Transformation

• Liaises with WHR finance teams to create greater transparency and organizational effectiveness.
• Works with interim financial team to improve financial position.
• Monitor key financial metrics: cost per visit, encounter rates, payer mix, and margin performance with support from financial teams.
• Partner with finance to ensure accurate allocation of allowable costs and revenue capture.
• Ensure accurate coding, charge capture, and documentation aligned with RHC requirements.
• Collaborate with billing teams to reduce denials and optimize reimbursement.
• Implement training for providers and staff on RHC billing nuances.

5. Clinical Operations & Care Model Integration

• Partner with Medical Director and leadership to implement RHC-compliant staffing model (e.g., NP/PA utilization).
• Support integration of care coordination, population health, and chronic disease management.
• Align clinic operations with quality initiatives and value-based care strategies.

6. Regulatory Compliance & Risk Management

• Maintain compliance with federal and state regulations including HIPAA, OSHA, and HRSA (if applicable).
• Oversee credentialing, privileging, and licensure processes.
• Implement internal audit and compliance programs specific to RHC operations.

7. Human Resources & Team Leadership

• Work with WHR leadership to recruit, hire, train and retain clinical and administrative staff aligned with RHC model.
• Help develop staffing plans that meet productivity and compliance requirements.
• Support performance management, training, and professional development initiatives.
• Foster a culture of accountability, patient-centered care, and operational excellence.
• Develop strong processes for provider onboarding, including credentialing processes that minimize administrative burden to providers.

9. Data, Reporting & Performance Improvement

• Help establish KPIs for operational, financial, and clinical performance.
• Utilize data analytics to drive decision-making and continuous improvement.
• Prepare reports for executive leadership, board, and regulatory bodies.
• Lead quality improvement initiatives tied to patient outcomes and operational efficiency.

QualificationsEducation

• Bachelor’s degree in Healthcare Administration, Business Administration, or related field (required)
• Master’s degree (MHA, MBA, or equivalent) strongly preferred

Experience

• 5–7+ years of progressive healthcare management experience, preferably in multi-specialty or ambulatory care settings
• Direct experience with RHC conversion, operations, or reimbursement highly preferred
• Demonstrated success in operational turnaround, regulatory compliance, and financial management

Knowledge & Skills

• Deep understanding of RHC regulations, cost reporting, and encounter-based billing
• Strong financial acumen, including budgeting and reimbursement models
• Experience with EHR systems, practice management systems, and data analytics tools
• Excellent leadership, communication, and change management skills
• Ability to operate effectively in rural or resource-constrained environments

Key Performance Indicators (KPIs)

• Successful RHC certification by 12/31/26
• Improvement in operating margin post-transition
• Increase in patient access and visit volume
• Reduction in claim denials and billing errors
• Compliance audit results (internal and external)

Reporting Structure

• Reports to: Alii Health Board of Directors
• Works closely with: Medical Director, WHR Sr. Director Ambulatory Care, WHR leadership

Pay: $170,000.00 - $200,000.00 per year

Benefits:

• 401(k)
• 403(b)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Education:

• Bachelor's (Required)

Experience:

• Healthcare management: 5 years (Required)
• Financial management: 5 years (Preferred)

Work Location: In person