Company :

Job Description : 

GENERAL OVERVIEW:

This leadership role will play a pivotal role in supporting and enabling the financial success of multiple AHN institutes. The position requires strong leadership skills and a comprehensive financial and strategic understanding to manage a finance unit that collaborates and partners effectively with AHN's other finance departments, institute and physician leaders, hospital-related teams, and AHN leadership. This role will play a critical role in fostering a culture of success by guiding the unit's development and ensuring alignment with AHN's cross-functional teams. Additionally, the director will conduct strategic evaluations and support physician contracting requirements to ensure the financial viability of new programs, physician hires, and market expansion initiatives.

ESSENTIAL RESPONSIBILITIES

• Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.  Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.20%

• Oversee the creation of comprehensive performance reports for leadership, including weekly and monthly service line P&L updates, monthly operating reviews for AHN leadership, and ad hoc analyses.20%

• Effectively communicate findings and recommendations to key stakeholders. Coordinate and allocate resources with the unit's respective institutes to ensure alignment between hospitals, the physician organization, and corporate departments.10%

• Support the development of operating and capital budgets, along with institute growth and strategic plans including oversight of institute labor management practices in collaboration with AHN's workforce management team. Facilitate the financial review for new business opportunities, capital requests, market share analytics, and strategic planning.10%

• Conduct strategic evaluations, including real estate reviews, managed care contracting opportunities, operating expense reductions, and evaluation and measurement of value-based programming in coordination with analytics partners.10%

• Support physician contracting requirements, including economic modeling, physician contract proposals, annual compensation program reviews, and compensation redesign efforts. Develop persuasive business cases and strategic proposals for new programs, physician hires, market expansion, and capital investments.10%

• Develop and maintain a robust interaction model with the revenue cycle team. Review key metrics and develop action plans for improvement areas within each institute, including, but not limited to, driving improvements in slot utilization, productivity enhancements, and operational efficiencies.10%

• Lead the unit’s education and professional development efforts to foster skillsets required for AHN’s future success10%

• Other duties as assigned or requested. 

QUALIFICATIONS:

Required

• Bachelor’s degree in Finance or business related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

• 7 years of experience in Finance or related experience

• 5 years of experience in Management or leadership role

Substitutions

• 6 years of related and progressive experience in lieu of Bachelor's degree

Preferred

• Master's degree in Finance or business related field

• Certified Public Accountant (CPA) OR Certified Management Accountant (CMA) OR Healthcare Financial Management Association (HFMA)

SKILLS:

• Advanced Excel

• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

• Understanding of key healthcare regulatory and compliance requirements

• Benchmarking processes and sources of information.

• Physician contracting processes, techniques and requirements.

• Management and Financial Accounting concepts related to healthcare: gross revenue, net revenue, accrual accounting, FTE & productivity; income statement, cashflow, balance-sheet, performance reporting and professional practice revenue cycle methods. Need to be able to learn PEARs & ARTS (AS&T).

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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