Senior Director, AMC Medical Department Operations

Planning

• Provides strategic leadership and counsel for the portfolio; leads the capture, analysis, interpretation, and utilization of financial, operational, clinical, research, and educational data used for decision-making.
• Works closely with the SVP on the development of policies and financial and administrative programs consonant with the AMC's strategic direction; facilitates the formulation of multi-year plans to support growth and service mix enhancements across the clinical, research, and educational missions.
• Devises strategies for effective use of clinical, financial, and operational benchmarking data for analytic, goal setting, and improvement activities. Works with management staff and representatives from other areas to evaluate, initiate, and implement systems and procedures and revises as necessary to improve and maximize efficiency.
• Continuously assesses and improves the efficiency of systems and processes, and overall expense management.
• Supports SVP in recruitment of high-profile leadership positions. Provides feedback on commitment packages, negotiates offer letters, and communicates with portfolio leaders.
• In conjunction with the SVP, leads the management and resolution of circumstantial issues that arise within the portfolio. Toward this goal, engages a broad array of resources, reviews, and individuals as needed.
• Supports leadership meetings as needed and presents work pertaining to strategic planning, financial analysis, and business planning; develops and presents executive level analyses on key portfolio programs and planning activities.
• Facilitates and manages the requests made of the SVP by various stakeholders for information, accommodation, or support.
• Proactively assesses and makes recommendations for opportunistic development or risk hedging in the portfolio. In line with this, develops and implements processes to support and measure the success of short- and long-term revenue diversification and enhancement initiatives.
• Keeps current regarding trends and developments in the health care field.

Financial Management

• Leadership
  • Oversees the portfolio's Finance Office, inclusive of all accounting operations, faculty compensation processing, payroll, accounts payable, accounts receivable, and the monthly close. Represents >$1.4B in hospital and physician organization operating accounts and >$600M in research total direct costs annually across all entities.
  • Supervises the activities of subordinates who are responsible for being familiar with and approving all expenditures, assigning cost centers, monitoring compliance with budgets, and identifying and investigating potential problem areas and proposing solutions.
  • Provides leadership on behalf of the SVP in supporting and guiding the portfolio's capital investments and financial statement review.
  • Reviews all requests for hospital support and makes recommendations to the SVP.
  • Leads the portfolio's participation in audits as appropriate or as requested.
  • Oversees the portfolio's relationship with the Centralized Professional Billing Office (CPBO), ensuring impactful, actionable, and accurate delivery of collections, charge analysis, adjudication, and adjustment data to the departments and service areas.
  • Establishes and enforces finance and accounting policies across the portfolio congruent with AMC, HMS, and MGB guidelines.
  • Continually and openly communicates with the SVP on any and all matters related to the portfolio's fiduciary responsibilities. Provides financial leadership and counsel for the portfolio.
  • 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 SVP.
• Budgeting and Capital Management
  • Oversees the annual budget process for the portfolio. Ensure that the portfolio's budgets are developed, reviewed, approved, and submitted in a timely and accurate manner and consistent with AMC and MGB standards.
  • Oversees and facilitates all portfolio program support within and between the AMCs.
  • Supports the SVP in planning and space allocation for all current and future applicable services assets across the AMCs.
  • Reviews capital requests; represents the portfolio on capital committees to advocate for investment funds.
  • Approves all relevant capital purchases and tracks ongoing expenditures.
• Fiscal Management
  • Responsible for oversight of the cost center fiscal management of all areas of responsibility.
  • Monitors all research, sundry, HMS, BWPO, BWH, MGH, and MGPO funds as appropriate. Oversees these activities where appropriate.
  • Facilitates effective cost containment practices through monitoring of volume trends, proactive management of capacity (physical and human resource), supplies, service contracts, and professional services agreements.
  • Oversees expense management issues; performs comparative analyses; develops and implements strategies for cost containment.

• Analysis & Reporting
  • Examines, analyzes, and interprets financial reports for the purpose of giving advice, preparing statements and projections, and ultimately managing resources.
  • In partnership with the portfolio's administrative leaders, prepares analyses and forecasting for introduction of new programs/services and service line centers.
  • Standardizes approaches to analysis, business planning, and ROI valuations across the portfolio, and develops rigorous processes for testing assumptions, estimating impacts, and enumerating investment requirements.
  • In collaboration with other SVPs and the COOs, designs, compiles, and issues monthly executive dashboards - capturing summary financial, operational, and administrative information on all portfolio lines of business and accounts; reviews and interprets dashboards with SVP on a monthly basis.

Faculty Compensation

• In collaboration with MGB HR and Compensation, oversees the development, maintenance, and distribution of all compensation plans within the portfolio. This represents compensation for >2,100 faculty members across the AMCs.
• Reviews and provides feedback on each area's compensation plan to ensure compliance with the AMC and MGB frameworks and generally accepted compensation principles.
• Sets standards for all faculty offer letters and establishes processes to ensure standards are achieved in a consistent manner.
• Audits selected compensation transactions for employees.

Contracts and Compliance

• Manages the team that provides contract development services within the clinical and administrative areas of the portfolio, working in collaboration with the MGB Office of General Counsel, Department and Division administrative leadership, and the administrative leaders of Finance, Research Administration, and Faculty Affairs.

• In consultation with department leadership and MGB Network Development, support the portfolio in identifying and pursuing opportunities; organizes and drives responses to all inquiries and RFPs.
• In conjunction with the portfolio leaders, develops subject matter briefs, relationship proposals, and other materials requiring the use of business intelligence and proprietary information of the AMCs and MGB.

• Reviews salary and wage issues as requested by the SVP.
• Develops, implements, oversees and approves policies, procedures and systems and revises as necessary to maximize efficiency.
• Responsible for ensuring compliance with regulatory bodies and making managers aware of policy and procedure changes.
• Monitors annual compliance activities (e.g., vaccination reporting, HealthStream, etc.) for the portfolio.

System Engagement

• In alignment with MGB and its associated entities, provide leadership as areas within the portfolio develop, support, and manage coordinated programmatic initiatives for care model development, care delivery improvement, cost reduction, administrative alignment, and network and business development.
• With counterparts across MGB, assesses the market's need for clinical services. Monitors and evaluates the adequacy of planned and existing services and ensures the development of programs and services to respond to the market.
• As a part of MGB initiatives, leads standardization efforts aimed at cost savings, efficiency and best practices.

Human Resources Management

• Management Actions
  • Coordinates with Human Resources for the interviewing, hiring, personnel transactions (hiring, salaries, promotions, job descriptions, etc.) and implementation of institutional corrective action policy for direct reports.
  • Manages the portfolio's Workday structure and ensures accuracy of reporting.
  • Using Workday, initiates, approves, and coordinates with Human Resources for approval of human resources changes (i.e. salary adjustments, salary distributions, training records, etc.) for staff who reside under the SVP's tree (or delegates said work). This portfolio includes more than 8,300 employees and a significant number of 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 support and maintenance of a diverse, inclusive, and professional environment for all staff.

Other

• Oversees general administrative matters.
• 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 SVP in relevant meetings when SVP is not available; serves on committees as needed or assigned by the SVP.
• Leads or participate in special projects and perform other related tasks as requested or required.
• Serves as a representative of the organization if/as requested.

• 8+ years of experience as a leader within an academic medical center.
• Demonstrated track record of successfully leading teams.
• Experience working in a highly matrixed organization / environment strongly preferred.
• Bachelor's degree required. Master's degree in related field strongly preferred.
• Advanced proficiency in Excel, PowerPoint, and Word is required. Previous experience working in Workday, Strata, IPORT, Insight, and Vizient and/or the ability to learn these systems is preferred.
• MGB experience 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.
• 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.
• Business acumen: Budget management, data and analytics market knowledge, knowledge and analytical skills to support health care delivery and hospital operations, ability to understand and integrate system budget challenges into proposed annual budgets.
• 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, including the Chairs, senior departmental leaders, hospital and PO leaders and administrative staff. A good command of English language, including medical and scientific terminology, is critical.
• Program Implementation: Proven ability to develop and implement programs.
• Project Management: Proven ability to successfully manage highly complex projects.
• Innovation: Creativity in exploring and adapting new "measure to improve" and decision support approaches.
• Confidence in complexity and ambiguity: Understand and executes 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.
• Interpersonal: Possess a leadership style that is open and transparent and a strong capacity to build strong relationships. Manages conflict and achieves resolution effectively.
• Time management: Exceptional organizational skills and ability to prioritize effectively.
• Technology: Competency in the latest digital capability to support decision 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: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.

The AMC Medical Departments portfolio team structure is evolving, but it is likely that the Senior Director will directly supervise the following positions:

• Senior Agreement Associate
• Senior Communication Specialist
• Project Managers and Analysts who service the portfolio
• Finance Directors/Managers representing the various areas of the portfolio (likely as Indirect Reports)

• 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.