Description
General Summary of Position
Conducts, plans, and coordinates data management studies, financial analysis, and budgetary management for the service line to help management improve outcomes, quality and cost-effectiveness of care. Designs and manages performance improvement data systems and procedures in collaboration with management to facilitate strategic business planning, financial planning, program development, marketing, and regulatory compliance to ensure delivery of safe, cost-effective, and high-quality patient care. Performs clinical/financial/regulatory/marketing data analysis and trends to address programmatic and planning issues relative to service line operations across facilities. Collaborates with leadership and management to identify opportunities for quality improvement, cost reductions, and streamlining of processes. Provides leadership and support to departmental staff involved in the collection of administrative, financial, and clinical data to ensure the successful implementation of new systems, programs, and initiatives. Facilitates and provides analytical guidance to external multidisciplinary taskforces, committees, and councils.
Primary Duties and Responsibilities
Develops and contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Ensures compliance with hospital/facility policies and procedures and governmental/accreditation regulations.Conducts reviews of Hospital and Departmental policies and procedures, making/recommending changes as necessary/appropriate for assigned cost centers to achieve their goals/performance objectives/expectations. Serves as a member on departmental and hospital committees as appointed.Develops standards, procedures and processes to measure and ensure compliance with state and national regulatory requirements relating to the service line and individual physician credentialing. Develops, manages and standardizes processes for outcome/performance improvement data collection and competencies tracking, ensuring that all agencies have appropriate updated licensure and insurance plan information, and that all medical staff credentialing requirements related to Ongoing and Focused Professional Practice Evaluation (OPPE/FPPE) are met by the physicians.Maintains appropriate communications within and between various functional units. Serves as liaison to external groups. Ensures responsive patient services and relations.Maintains current knowledge of data management systems, healthcare information technology systems, clinical and financial data repositories and warehouses, regulatory changes, technical and business developments and communicates relevant information to various stakeholders.Monitors performance of outsource billing agents and works with hospital Finance and outsourced billing agents regarding assigned departments' billing and collections to maximize revenue for the various departments/Hospital.Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.Performs other duties as assigned.Prepares and/or directs preparation of data management and administrative policies and procedures for areas of responsibility.Prepares financial analyses and participates in negotiations for supply and equipment acquisition, and maintenance contracts in conjunction with the Vice President, Medical Directors and Purchasing.Provides data analysis for strategic planning and coordinates development and implementation of business and marketing plans for areas of responsibility. Manages strategic business planning. Collects and evaluates data to identify emerging trends in client/customer specific clinical and financial data. Coordinates physician recruitment and conducting of department orientation programs to orient new physicians and residents with respect to the quality improvement and related programs and goals for service line.Responsible for fiscal planning, results and control directly and through subordinate administrative personnel. Utilizes financial data systems to analyze, determine and submit revenue, staffing, operating and capital budgets. Ensures that fiscal targets are realized. Formulates and justifies all budget requests and monitors compliance and performance. Analyzes and reports on variances and develops corrective action plans to ensure unfavorable variances are improved. Ensures delivery of cost-effective care. Participates in revenue enhancement activities.Supervises administrative staff of the service line. Interviews, hires, and evaluates performance, and when necessary, disciplines and discharges staff. Develops performance evaluation standards and objectives. Monitors staff productivity data to evaluate staff performance on an ongoing basis. Ensures complete and objective appraisal of subordinate performance.Works collaboratively with others to organize, initiate, and coordinate continuous quality and performance improvement activities within areas of responsibility.Participates in multidisciplinary quality and service improvement teams.
Minimum Qualifications
Education
- Master's degree in Business Administration (MBA), Health Services Administration (MHA), Public Health (MPH) preferred or directly related discipline required or
- Bachelor's degree relevant work experience may be substituted for the master's degree required
Experience
- 3-4 years Progressively more responsible job related experience which includes experience in hospital administration or management of a large business operation required
Licenses and Certifications
- No special certification, registration or licensure required
Knowledge, Skills, and Abilities
- Job requires a high level of problem-solving due to the complexity of the situations encountered.
- Work assignments are generally received in the form of broad goals for area of responsibility and require considerable judgment regarding the interpretation and analysis of data, policies, development of procedures, and selection of appropriate courses of action.
This position has a hiring range of $80,995 - $152,027
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