Director, Professional Services

The Director, Professional Services is responsible for overseeing the daily administrative operations of multi-state provider groups within Oceans Healthcare. This role supports clinical efficiency, drives professional billing operations, and ensures compliance with local, state and federal regulations related to all employed providers. Serving in a key leadership capacity, the Director promotes industry best practices, operational consistency, and high-value, patient-centered care. The position plays a critical role in aligning administrative functions with organizational goals, fostering collaboration across departments and sustaining excellence in care delivery and provider support.

Essential Functions:

Oversee the administrative operations of professional services provided to the facilities of the organization including, but not limited to, onboarding, credentialing and training of new providers. Collaborates with payer engagement department to ensure provider enrollment is timely and compliant. Works collaboratively with Health Information Management team to ensure that staff are trained on electronic documentation and billing systems related to professional services. Collaborates with internal provider groups and executive leadership to develop and implement strategic initiatives, such as telemedicine capabilities. Partner with hospital leadership and finance teams to prepare and manage annual budgets; monitor financial performance to ensure adherence to budgetary guidelines. Collaborate with Revenue Cycle Management team on billing and collections; evaluate financial aspects of new service decisions. Identify, recommend, and implement operational needs related to staffing, services, equipment and facilities. Lead provider/management meetings, including setting agendas, preparing relevant data, and contributing to strategic decision-making. Review and act upon recommendations for improvements brought forth by providers to improve quality of care and provider satisfaction. Serves as a liaison to the accounting department, General Counsel and hospitals on any medical staff issues. Act as ambassador in our local communities, building relationships with other healthcare providers, social/ community organizations, and marketing partners. Collaborate with Quality and Outcomes team to ensure compliance with quality reporting requirements (e.g. MIPS) and to identify opportunities for improvement. Perform other duties as assigned.