This position manages and leads the financial, human resources, marketing, strategic planning, business development and administrative activities of the Department of Medicine's Division of Nephrology and the joint venture business between Johns Hopkins Hospital and Fresenius Medical Care (Fresenius). This position partners with the Division Director to define and implement the vision for the division, works with faculty and staff to develop and implement new programs, and ensures policies and procedures are followed. The position reports directly to the Administrator for Department of Medicine and Division Director to ensure the smooth and efficient functioning of the division. The position also maintains a direct reporting relationship Clinical Administrator in the Department of Medicine and indirect reporting relationship to the Director of Finance to ensure the efficient functioning and overall performance of the health system's outpatient dialysis business and acute dialysis contract. This position encompasses the management of finances; i.e., grant/contract administration, clinical practice, faculty/staff human resources issues, strategic visioning and overall fiscal performance of the Department. This position spans the Nephrology faculty at The Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center as well as the partnerships with aligned community practices.
Specific duties & responsibilities:
In collaboration with the Division Director/Chief, provide advice and counsel to departmental faculty and staff in order to make the most effective use of the department's physical, human and financial resources.
Direct the day-to-day administrative, personnel and financial operations of the department. Oversees all departmental staff and JHMBC staff dedicated to nephrology operations, including administrative, financial, academic, research and related support personnel.
Serve as JHH representative on the Fresenius JV board with duties including but not limited to:
Attending regularly scheduled board meetings
Providing analysis and reporting to Hopkins central finance and tax offices, as required
Manage, review and analyze the performance of the Division on a monthly basis, including All Funds, clinical practice, productivity, gifts, endowments, general funds and research operations.
Perform monthly cost reconciliation of the JHHS hospitals as defined by the Fresenius contract, including a review of whether transactions were reasonable and allocable.
Manage, review and analyze the performance of Fresenius on a monthly basis, including billing and related expenses.
Identify opportunities to optimize professional billing in dialysis centers including but not limited to:
IT interface between Fresenius and Epic software
Reconciliation of census to assure timely billing for all patients
Opportunities to capture market and enhance referral patterns
Financial clearance support to Fresenius for new patients
Monitor monthly financial statements for Fresenius JV and provide guidance for corrective actions to improve profitability.
Include operational indicators such as monthly patient attrition and new patient capture
Include monthly market opportunities based on geographic location of all JHH and JHBMC nephrology patients
Collaborate closely with the Financial Analysis Unit to create regular reports and financial forecasting for the business operations and financial performance of Fresenius for review by the Dean and other JHM senior executives.
Develop fiscal year annual operating budget for submission to the Department of Medicine. Measure performance monthly and develop/implement performance improvement plans as needed.
Contribute to the fiscal year annual operating budget for joint venture business including volume budget and projections.
Lead or plan an important role in contract negotiation and development for dialysis services for all Johns Hopkins entities.
Serve as the primary point of contact for Nephrology Investments to the JHU finance and tax offices.
Create and maintain a JHM wide dialysis dashboard to monitor volumes, financial performance and adherence to important regulatory metrics.
Meet monthly with the Fresenius regional market development team to troubleshoot operational issues in each of the dialysis centers in the JV to maximize efficiency.
Schedule and staff a quarterly meeting with each hospital's CFO and DON as well as Fresenius representation to review performance and metrics focused on quality, patient outcomes, creating efficiencies, reducing re-admission, reducing length of stay and reducing overall expenses.
Manage the clinical practices of the Division of Nephrology to ensure the highest levels of quality, access, efficiency and service. This includes appropriate revenue cycle, charge capture, communication with billing production unit, exploration of information technology for charge capture, physician billing compliance. Develop metrics in conjunction with Division Director/Chief to monitor and improve performance.
Partner with faculty leadership to develop new program business plans. Partner with hospital and other departments in development of financials, implementation and operations oversight
Maintain up to date training for dialysis billing and operations in compliance with federal regulations.
Serve as a liaison to health care agencies and insurance companies in a manner consistent with the University's policies and goals. Address concerns that agencies and companies may have with Departmental Administrator.
Address patient complaints and ensure prompt resolution of their concerns.
Plan, develop, and monitor the grants and contracts of the Division in consultation with Principal Investigators. Oversee sponsored research pre and post award processes. Oversee the expenditure of funds in assigned areas, including primary funds, gifts, grants, and contracts, ensuring that funds are expended according to the organization's stipulations.
Confer with appropriate university accounting offices to ensure that required fiscal procedures are followed. Provide procedural direction relating to budgets and serve as liaison between the Business Offices of the JHU and private industry. Will correct errors, and inform faculty members of any problems or discrepancies. Close out all terminated accounts, reconcile ledgers, and ensure account balances are zero.
Implement financial controls, provides fiscal management over administrative, academic, sponsored research and general funds activities, and strategically plans for the future. Pro-actively establishes processes, metrics and procedures in administrative and academic areas to insure compliance with government, hospital, university and school policies. Acts as a resource for faculty and staff in sponsored accounting and reporting procedures.
Participate in strategic planning and program planning for the Division.
Serve as the primary administrative contact for JHM hospitals within the community division for issues related to IP dialysis operations.
Ensure that division payroll is completed in a timely and accurate manner. Stay apprised of weekly and semi-monthly payroll deadlines and ensure that forms for new hires, termination, and salary and/or budget changes for current employees are processed. Keep apprised of annual review dates. Inform immediate supervisor and provide him/her with Performance Appraisal forms and salary increase options as they relate to the fiscal budget.
Continually monitor and advise faculty and staff regarding administrative and academic activity, implications of policy changes and information systems strategies. Plan technology infrastructure to ensure efficiency across administrative, academic, and clinical operations.
Encourage team environments within the department to improve skills and communications. Promotes a culture of growth and development centered on achieving optimal service, both internally and externally.
Work with the Office of Human Resources to establish and outline growth opportunities within the department to provide career paths for employees, establish a positive working environment and minimize staff turnover. Directs activities to improve staff performance, develop the organization and manage change.
Ensure Departmental compliance with all relevant JHU, hospital and Departmental policies. Including Effort Reporting, E210 Time and Attendance System, Joint Commission, Space compliance.
Internal: Department of Medicine Administration, Dean's Office, JHHS Finance, Research Administration, JHU Tax Office, Business Office, Registrar's Office, Marketing and Communications, Research Accounting, Equipment and Space Accounting, General Accounting, Payroll, Accounts Payable, Purchasing, Information Systems. Various other departments and divisions in the School of Medicine and JHM.
External: Patients, pharmaceutical companies, insurance companies, external affiliated hospitals, private and government agencies granting research funds, Fresenius JV board, and various vendors and service providers (e.g., supply companies, professional medical organizations and societies, contractors).
Minimum qualifications (mandatory):
Bachelor's degree in finance, public health or healthcare field required. Master's degree strongly preferred.
Seven years of experience in financial and administrative positions, in an academic or medical setting preferred. Practice management experience desired. Additional education may substitute for some experience.
Previous experience in dialysis administration preferred.
Special knowledge, skills, and abilities:
Knowledge of principles and procedures for personnel recruitment, selection, training, Knowledge of finance, accounting and budgeting theory and practices. Thorough knowledge and understanding of the Johns Hopkins University accounting system and related fiscal offices preferred. Specific knowledge of Medicine preferred.
Ability to make independent judgements and to act on decisions on a daily basis. Ability to work for long periods of time without direction.
Ability to prioritize own work and work of staff as needed. Ability to work with flexibility on several tasks simultaneously and to meet various concurrent deadlines.
Very strong organizational skills, analytical and problem solving abilities, and attention to detail.
Ability to guide, oversee or coordinate the work of others.
Ability to maintain confidentiality.
Strong interpersonal and communication skills, both oral and written. Ability to effectively interact with all levels of University and Hospital employees, as well as outside contacts.
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
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