Area Operations Manager - Macon, GA

Position Summary

The Area Operations Manager is responsible for the overall operational, financial, and service performance of the assigned area. This role provides day-to-day leadership to the area team while maintaining oversight of client services, staffing, billing, compliance, quality, and growth.

The Area Operations Manager works closely with Operations, Nursing, Billing, Sales, Quality/Compliance, Human Resources, and other support teams to address barriers, maintain service delivery, and achieve established area performance goals.

Key Responsibilities

Area Operations & Service Delivery

• Oversee day-to-day area operations, including staffing, client needs, service delivery, and operational concerns.
• Maintain visibility into active clients, new admissions, discharges, underserved clients, and billable clients not currently receiving services.
• Identify barriers preventing services from being delivered and ensure appropriate follow-up and escalation.
• Monitor Care Relationship Manager caseloads and area staffing needs to support appropriate coverage.
• Ensure required client and caregiver operational processes are completed timely.

Financial & Billing Management

• Monitor area revenue, expenses, budget performance, and overall financial results.
• Review expected versus actual revenue and monitor performance by service line.
• Monitor billable hours and area pacing against established financial and growth expectations.
• Review weekly billing issues, including prior authorizations, cost shares, denials, SAFs, and other barriers impacting billing.
• Partner with Billing and operational teams to resolve issues affecting revenue or service delivery.

Growth & Community Relationships

• Identify opportunities to increase census, services, and area revenue.
• Evaluate area performance and service data to identify counties or markets with growth opportunities.
• Partner with Sales to develop and maintain relationships with providers, referral sources, and community partners.
• Support area-level business development initiatives and growth expectations.

Quality, Compliance & Risk

• Partner with Quality/Compliance to educate area staff and ensure established standards and processes are followed.
• Monitor client and caregiver compliance rates and address identified gaps.
• Maintain oversight of incomplete monthly contacts, IDT visits, supervisory visits, and expired reassessments.
• Review incidents and ensure appropriate follow-up and escalation.
• Review complaints, ensure timely resolution, and provide required weekly sign-off.
• Complete I-9 requirements for Traditional caregivers.
• Audit caregiver files before hire and submit files for required audit review.

Staff Leadership & Accountability

• Provide day-to-day direction, support, and accountability to area staff.
• Conduct weekly staff meetings to review area priorities, performance, barriers, and follow-up needs.
• Ensure responsibilities are appropriately assigned and outstanding items are followed through completion.
• Communicate area performance, risks, staffing needs, and operational concerns to leadership.
• Partner with Human Resources and other support departments when employee or operational issues require additional support.

Reporting & Performance Management

• Maintain accurate visibility into area operational and financial performance.
• Review area KPIs routinely and develop action plans for areas falling below expectations.
• Ensure reported data is accurate and outstanding operational issues have clear ownership and follow-up.

Qualifications

• High school diploma or GED required.
• 3+ years of experience in home care, healthcare operations, area operations, or a related service environment.
• 2+ years of leadership or supervisory experience, including responsibility for staff performance and day-to-day operations.
• Experience managing multiple operational priorities, including staffing, client service, compliance, and issue resolution.
• Experience reviewing operational and financial performance data and using results to drive follow-up and improvement.
• Strong communication, organization, problem-solving, and leadership skills.
• Proficiency with Microsoft Office and the ability to learn and effectively use company systems and reporting tools.
• Valid driver's license and reliable transportation, with the ability to travel within the assigned service area as needed.

Preferred Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Management, or a related field.
• Previous management experience in home care, home health, or a Medicaid waiver environment.
• Experience with EDWP, Medicaid waiver programs, prior authorizations, billing processes, and/or caregiver compliance.
• Experience managing an area budget, revenue goals, census growth, or other financial/operational KPIs.
• Experience building relationships with referral sources, providers, and community partners.