Senior Director, DOM AMC Finance

Leadership

• Ensures that the highest standards of integrity, ethics, control, and confidentiality are maintained at all times across all financial and accounting matters under the purview of the DOM.
• Continually and openly communicates with the VP on all matters related to the DOM's fiduciary responsibilities. Provides financial leadership and counsel for the DOM.
• Establishes and enforces finance and accounting policies across the DOM congruent with BWH, BWPO, BWFH, MGH, MGPO, HMS, and MGB guidelines.
• Develops and maintains healthy working relationships with the DOM's division administrators and central team members, ensuring their understanding of and compliance with finance and accounting policies, deadlines, controls, separation of duties, and directives, and providing training as appropriate.
• Provides analytical support, projections, modeling and recommendations to the VP, Chair, division administrators, central team, and others regarding current financial status, budgets/forecast, compensation, and proposed initiatives (e.g., compensation plan redesign, overhead allocations, department charge analysis).
• Reviews and approves selected transactions and requests for spending (e.g., Advanced Authorizations, expense reports).
• Measures operational performance of the DOM, identify opportunities, assists in the implementation of any enhancements, and is responsible for internal control processes.
• Works closely with the VP on the development of DOM policies, operating and administrative programs, and strategic plans.
• Provides primary support to the Division Administrators in the development of consistent clinical and research financial reporting for the divisions. Meet with administrators as needed to review and monitor reports.
• Leads monthly finance meetings.

Budget

• Designs and implements a budget process that leverages the technology (e.g., Workday and Strata) and resources (e.g., Revenue Cycle Operations) available to the DOM for an accurate and efficient budget.
• Responsible for the timely and accurate preparation of annual financial plan and reforecasts for the DOM.
• Ensures that the DOM's budgets are developed, reviewed, approved, and submitted consistent with DOM, MGB, and HMS standards.
• Meets with the VP and DOM Chair to review annual budget pre- and post-submission. Leads monthly and/or quarterly update meetings as needed.
• Oversees budget variance and expense management issues; works with Division Administrators on strategies for cost containment as necessary.
• Represents the DOM in budget reviews with BWH/MGH President, COO, CFO, DOM Chair, and others as necessary.

Accounting and Financial Operations

• Monitors all physician organization, hospital, HMS, sundry funds, and endowments with the DOM.
• Ensures accurate reporting of profit and loss statements for operational accounts, balance sheets, reforecasts, and cash flows for the DOM.
• Coordinates with Accounts Payable, Research Finance, Payroll, and other departments as needed for resolution of errors or identification of charges.
• Responsible for working with Division Administrators and physicians to prevent, identify and resolve projected overruns and for resolving any deficits in a timely manner for research and clinical funds.
• Accountable for comprehensive monthly accounting of hospital support to the DOM, including via direct and indirect support. Oversees account reconciliation process and ensures appropriate adjustments, inter-company settlements and follow-up are performed on a timely basis.
• Provides oversight of the DOM non-patient contractual arrangements, which requires coordination with the central billing offices related to generation of invoices, collection of outstanding receivables, payment posting of receipts, and monthly reporting.
• Manages professorship endowments through Harvard Medical School.
• Assists in establishing and closing out of sundry funds.
• Manages existing sundry funds, endowments, and advises on combination and or elimination of sundry funds.
• Reconciles all chief/faculty packages in conjunction with the Division Administrators on a regular basis and shares updates with relevant stakeholders.
• Works with VP on capital requests, purchases, and assignment of expenditures.
• Coordinates the DOM's participation in audits as appropriate or as requested.
• Develops executive summaries for DOM leaders for presentation by VP, DOM senior leaders, or others.
• Responsible for administration of professional compensation in accordance with the DOM's multi-tiered plan as well as HMS, AMC, and MGB guidelines. Analyzes and administers exceptions as required.
• Conceptualizes and performs a variety of financial analyses (e.g. for global/fixed fee developments, physician recruitment, physician compensation plan, business/program development, projecting budget surpluses/deficits, etc.). Prepares and presents various cost analyses and budget justifications.
• Monitors accounting procedures and internal controls and creates systematic processes for auditing.
• Monitors cash requirements to meet cash targets. Leads DOM's interactions with MGB treasury and financial institutions.
• Explores opportunity for increased integration with Research Management regarding financial reporting and oversight.

Revenue Cycle

• Serves as the primary liaison with the MGB Revenue Cycle Operations Office (RCO), entailing the following:
  • Billing and collections
  • Coding
  • Audit and compliance
  • Rejection analysis
  • Manual charge capture
  • New business set-up
  • Clinic/provider communication and training
  • Patient SBO escalation
• Reviews, designs, and implements processes surrounding billing/coding to ensure that clinical revenue cycle is effective and properly utilized.

• Meets on a regular basis with RCO to ensure performance measures and goals are met in accordance with Department expectations. Establishes an excellent working relationship with RCO leadership to ensure smooth collaboration with the office and the DOM.
• Stays abreast of the market with respect to practice management, accounts receivable management, and various regulatory changes and policies that impact billing and collection activities.

System Engagement

• In alignment with MGB and its associated entities, provides leadership as DOM develops, supports, and manages coordinated programmatic initiatives for care model development, care delivery improvement, cost reduction, administrative alignment, and network and business development.
• As a part of MGB initiatives, leads standardization efforts aimed at cost savings, efficiency and best practices.
• Oversees financial integration efforts across the two AMCs and collaborates with the Institutes of Heart and Vascular, Neurosciences, and Cancer to disentangle relevant DOM finances that will transition to those organizations.

Human Resources Management

• Management Actions
  • Coordinates with Human Resources for the interviewing, hiring, personnel transactions (e.g., hiring, salaries, promotions, job descriptions) and implementation of institutional corrective action policy for direct reports.
  • Using Workday, initiates, approves, and coordinates with Human Resources for approval of human resources changes (e.g., salary adjustments, salary distributions, training records) for staff who reside under the VP's tree (or delegates said work). This portfolio includes nearly 7,500 employees plus >1,000 contingent workers.
  • Prepares performance reviews on direct reports.
  • Takes corrective and disciplinary action, up to and including termination, as necessary to maintain the highest level of staff productivity and effectiveness.
  • Reviews workload issues to ensure appropriate staffing.
• Oversight
  • Provides direct supervision to and is responsible for the conduct, operations, and results of direct reports and subordinate staff.
  • Develops and implements change management programs including efficiency and resource utilization projects.
  • In times of transition, supports areas that require interim leadership support.
  • Actively considers opportunities to grow the abilities, skills, and support of employees through professional development, enhanced communication vehicles, employee-focused initiatives, and otherwise.
• Culture/Equity
  • Reviews, supports, and ensures salary and wage equity for staff.
  • Creates a supportive, educational, and development-focused environment for all staff.
  • Ensures the supports and maintenance of a diverse, inclusive, and professional environment for all staff.

Other

• Oversees the DOM's involvement and responsibilities with respect to conversions and upgrades of automated financial systems as required.
• Works with AMC CFO and other senior leaders within MGB to coordinate information requests, problem identification, and problem resolution, to help the DOM optimize its effectiveness as a department.
• Oversees general administrative matters within the finance scope of influence.
• Develops letters, presentations, announcements, and other communications; all documents must be of the highest caliber of refinement and professionalism.
• Serves as a stand-in for the VP in relevant meetings when VP is not available; serves on committees as needed or assigned by the VP.
• Proactively develops and maintains technical knowledge in specialized areas, remaining up to date on current trends and best practices; leverages expertise and resources to produce solutions that enhance performance.
• Serves as a representative of the organization if/as requested.
• Leads or participates in special projects and performs other related tasks as requested or required.

• 7-10 years of experience in healthcare, preferably in an academic medical center environment, with a combination of finance, accounting, and/or operations management experience required.
• CPA, Master's degree in finance, business, public or health management, or equivalent work experience required.
• Mastery of budgetary and accounting principles/practices required, including the ability to prepare, interpret, and analyze financial information.
• Experience including budget, financial analysis, and/or reimbursement, preferably in a physician practice or managed care environment, required.
• Significant management experience required with a demonstrated track record of successfully leading teams.
• Experience working in a highly matrixed organization / environment strongly preferred.

• Leadership: Excellent interpersonal skills and a high degree of social facility in obtaining cooperation and support from a broad range of people are required. A demonstrated ability to interact with all members of the organization in ways that enhance understanding, respect, cooperation, and problem solving is essential. Possess a leadership style that is open and transparent and a strong capacity to build strong relationships. Manages conflict and achieves resolution effectively.
• Results orientation: Results-driven approach with experience/ability to achieve results in a metrics based analytical environment. The ability to work independently and accurately and concisely disseminate information in both written and verbal formats is required. The ability to independently resolve quickly most problems encountered is essential.
• Organizational Skills: Outstanding organizational skills are necessary to manage many competing timetables and responsibilities and deadline pressures. The ability to delegate, effectively supervise, and plan for the timely and successful completion of short- and long-term objectives is essential. The responsibilities of this position require detailed, concentrated effort and constant re-establishment of priorities as well as complex and sensitive decision-making. Flexibility to work independently and to handle multiple tasks with project deadlines. A tenacious, can-do personality that works to correct mistakes and get things done as efficiently as possible, often utilizing resources across services.
• Communicator/Facilitator: Interpersonal, presentation, and organizational skills and professional demeanor. Excellent verbal and written communication skills are necessary to communicate effectively with a large and diverse constituency. A good command of English language, including medical and scientific terminology, is critical.
• Innovation: Creativity in exploring and adapting new "measure to improve" and decision support approaches. Proven ability to develop and implement programs.
• Confidence in complexity and ambiguity: Understand and execute effectively amongst the complexities of an academic medical environment, and the broader enterprise. The ability to work collaboratively with chairs, chiefs, senior executives, physicians, service line administrators, operations management, and other employees in a complex matrix organization.
• Judgement: Demonstrated judgement in managing sensitive issues and when to escalate problems.
• Team: Takes personal responsibility in developing a team and is passionate about a happy, highly functioning team with the most acceptable level of talent and performance for the responsibilities of the portfolio.
• Technology: Superior competency in the latest digital capability to support financial support tools and environments.
• Mass General Brigham values: Embraces values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Workplace Culture, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.

• Finance and Accounting Manager
• Financial analysts (indirect management)

• Attends meetings in and out of hospitals and clinics. May require travel to off-campus locations.
• Is available for early and late meetings and flexible to meet frequent deadlines. Some evening and weekend work will be necessary.

• Accountable for the budget performance of all accounts within the purview of the position.
• Responsible for managing an effective, efficient team of resources, with stewardship.
• Works within legal, regulatory, compliance, accreditation and ethical practice standards relevant to the position and as established by BWH/BWFH/BWPO/MGH/MGPO/MGB.
• Complies with appropriate BWH, BWFH, BWPO, MGH, MGPO, and MGB policies and procedures.
• Brings potential matters of non-compliance to the attention of the supervisor or other appropriate staff.