Purpose:This individual is responsible for strategic decision-making, policy development, and policy implementation for the Office of Medical Education . The Director, Operations will work collaboratively with the DIOs, Program Directors and Program Coordinators physicians, and manage to develop and implement strategic plans focused on the growth and development of clinical (residency and fellowship program related) and academic programs. Accountable for the operation's performance (service, quality, and financial) of the business unit. Ensure compliance with all state, federal and regulatory agencies. Create and manage the operating and capital budgets.Responsibilities:
Manage the human resources functions for the BU including recruitment, performance evaluations, and corrective action regarding staff within the BU which may include, but not limited to, PSD, School of Medicine and hospital. Mentor office managers and staff.
Responsible for the billing processes ensuring the business unit (BU) professional fees are entered into the MEDHUB and PEOPLESOFT systems within established timeframes. Serve as a BU resource in developing strategies to maximize reimbursement and disseminate regulatory information pertaining to changes in CME-ACGME reimbursement and/or coding while ensuring regulatory compliance.
Ensure BU is in compliance with UPMC policies and procedures and with the requirements of any applicable regulatory agencies or accrediting bodies (i.e. ACGME, JCAHO, PA Department of Health, Medicaid).
Implement, monitor and evaluate all quality initiatives in conjunction with the Quality and Safety Committee Co-Chairs to ensure positive outcomes.
Serve on all committees as assigned. Provide leadership, oversight and direction for assigned special project activities.
Create and implement business and program development plans that support and advance the BU and hospital strategic initiatives. Assist DIOs and coach staff to establish and achieve programmatic goals.
Work closely with Clinical, Administration and Information Services staff in identifying opportunities for improving cost and quality of care through in-depth process and cost of care analysis, forming recommendations to drive significant operational changes.
Create a culture of service excellence focused on defining, understanding and consistently satisfying the requirements of both internal and external customers.
Develop operating and capital budgets for BU may include, but not limited to, PSD, School of Medicine and hospital. Ensure that BU meets budget goals. Assist with the supervision and oversight of the BU budgets (i.e., clinical practice plan, hospital, School of Medicine, and research). Assist the DIO and Sr VP by maintaining financial records/reports used to monitor and analyze performance against goals.
Oversee all contracts and lease agreements for BU. Provide direction and support to the BU management staff for purchasing Work with Facilities and Materials Management and appropriate vendors to ensure that BU is with cost-effective and high quality products and supplies. May act as liaison to outside vendors.
Assist managers and program directors to develop and implement action plans to improve service levels and exceed customer expectations.
Supervise business analyst, project manager and charge entry staff (where applicable). Work with staff to improve process flow within the BU and solve problems and identify resources related to insurance coverage and reimbursement issues for all BU community based BU.
Assist in establishing and implementing policy related to BU including, but not limited to, professional licensure, registration and/or certification; risk management; clinical operations and clinical compliance; and staff and patient safety. Assist in meeting in educational requirement of staff.
Qualifications:
Associate's Degree + 7 years experience
OR- Bachelor's Degree in Health Care Administration, Business Administration, Finance, Accounting or related field / 5 years of experience
OR - Bachelor's Degree in Health Care Administration, Business Administration, Finance, Accounting or related field / FMR Program Graduate / 3 years of experience
OR - Master's Degree in Health Care Administration, Business Administration, Finance, Accounting or related field / 3 years of experience
OR - Master's Degree in Health Care Administration, Business Administration, Finance, Accounting or related field / Fellowship Program Graduate / 3 years of experience
Advanced knowledge of applicable federal, state, and local laws as they pertain to physician BU management, preferred. Licensure, Certifications, and Clearances:
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UPMC is an Equal Opportunity Employer/Disability/Veteran
