Website Brigham and Women's Hospital
Brigham Health is a global leader, devoted to maintaining and restoring health for people everywhere. Brigham Health is composed of Brigham and Women’s Hospital (BWH), Brigham and Women’s Faulkner Hospital (BWFH), and Brigham and Women’s Physicians Organization (BWPO).
Brigham Health is an academic medical center with a firm commitment to its tripartite mission. From the clinical standpoint, BH serves patients from New England, throughout the United States, and from 120 countries around the world. These clinical services are supported at 2 hospitals and 150 outpatient practices, by more than 1,200 physicians. From the research standpoint, Brigham Health conducts the second largest hospital-based research program in the world, with an annual research budget of more than $630 million. And from the education standpoint, Brigham Health is a training ground for physicians, nurses, and allied health professionals. We have 1,100 trainees in over 140 of the most sought after training programs in the world, and also host Harvard Medical School students in rotations throughout our programs.
Brigham Health is an internationally recognized leader in transplantation services, providing advanced care for a wide spectrum of organ and tissue transplants, including kidney, pancreas, lung, heart, face, hand, and bone marrow. Many transplant milestones have taken place here, including the world’s first successful human organ transplant, a kidney transplanted in 1954. Since this groundbreaking start, our transplant programs have continued to build upon this innovative spirit, and currently perform ~150 transplants each year.
Under the oversight of the Transplant Service Line Executive Committee, the Executive Director functions as the senior administrative leadership resource for the Transplant Service Line (TSL). This position is accountable for:
- Directly overseeing Transplant Administration (TA)
- Initiating new and expanding existing organ-based Transplant Centers
- Monitoring, supporting, coordinating, and integrating, as appropriate, the organ-based Transplant Centers
The Executive Director reports to the Senior Vice President of Clinical Service (a Co-Chair of the Transplant Service Line Executive Committee). Due to the senior level of this position, the Executive Director also regularly communicates with, prepares materials for, receives direction from, and provides counsel to the Chairs of the Departments of Medicine and Surgery, the Chief Strategy Officer, the Chief Medical Officer, the Associate Chief Nurse Officer – Ambulatory, and other senior leaders of other departments and the system. The scope of this senior management role spans Brigham Health.
- In partnership with the TSL Executive Committee, determines the overall vision, mission, direction, goals, and objectives of the TSL. Directs the strategic planning process, establishes and achieves long range goals, and ensures the implementation of strategic business plans that are aligned with the hospital’s vision, strategic plans, and goals.
- Assesses the market’s need for transplant and transplant-related services, and evaluates and advances the design of the organ-based transplant centers, consistent with the strategic business plans and the growth and market objectives of the service line. Works with departmental and hospital leadership to prepare the necessary business plans and documentation. Manages the implementation.
- Identifies, evaluates, and recommends new business ventures, affiliations, and partnerships consistent with the strategic business plans and the growth and market objectives of the TSL, BH, and Partners Healthcare System (PHS). Works with institutional leadership and the PHS Office of General Counsel to prepare the necessary business plans and documentation. Manages the renewal of any such arrangements.
- Leads the service line and associated center(s) development and supports functional operations and programmatic initiatives for care model development, care delivery improvement, and cost reduction, working closely with department and division leadership. Serves as a central coordinating force for service line activities.
- Monitors and reports on the status of how service line practices and organ-based centers align with goals established by service line leadership.
- Where appropriate, ensures that the organ-based centers are working in an integrated fashion.
- As appropriate, develops and implements policies and procedures consonant with the hospital’s policies in the area of clinical practice management. Interacts extensively with the SVP and Chairs to assess administrative and financial needs of the TSL and to revise policies and procedures to meet changing needs of the TSL.
- Evaluates, initiates, and implements various TSL systems and procedures, and revises as necessary to maximize efficiency.
- Works with management staff and representatives from other departments to evaluate, initiate, and implement systems and procedures and revises as necessary to improve and maximize efficiency.
- Establishes and maintains clear and precise communications with all key stakeholders of the service line. Communicates openly and collaboratively with other administrators and hospital leaders.
- Ensures healthy and collaborative administrative relationships within the TSL, along with the academic departments, the hospital, and PHS.
- Maintains an in-depth knowledge of the changing health care environment and a thorough understanding of the clinical reimbursement and managed care issues specific to the transplant services.
- Maintains the solvency of all funds within TA and any funds centrally held by the TSL.
- Examines, analyzes, and interprets financial reports for the purpose of giving advice, preparing statements and projections, and ultimately managing resources.
- 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.
- Prepares monthly TA and TSL financial performance executive reports for review with the SVP.
- Develops and monitors annual operating and capital budgets; organizes the annual budget submission process in collaboration BWH and BWPO budget offices.
- Identifies opportunities to optimize clinical reimbursement and works with departmental leadership to execute change.
- Approves all TSL capital purchases and tracks ongoing expenditures.
- Monitors all sundry and BWH funds within TA and any centrally held by the TSL. Oversees these activities where appropriate.
- Reconciles monthly fund statements.
- Coordinates with Accounts Payable, Payroll, and other departments as needed for resolution of errors or identification of charges.
- Develops monthly status reports of funds.
- Assigns expenditures to funds as necessary.
- As needed, develops and tracks TSL-related commitments and recruitment and/or retention packages.
- Oversees and approves financial transactional activities (payroll, advanced authorizations, travel requests, EDCs, journal entries, check requests, etc.).
- As appropriate, reviews new hire letters for TSL faculty and recommends for signature by the SVP.
- Conceptualizes and performs a variety of financial analyses (physician recruitment, business/program development, etc.).
- Oversees expense management issues; performs comparative analyses; develops and implements strategies for cost containment.
- Understands government reimbursement for transplant, including Medicare cost reporting and managed care specialty contracting. Ably monitor and support ongoing contract efforts to appropriately report on cost and maximize revenue.
- Administrative Management
- Maintains adequate staffing, space and facilities, coordination of purchasing, maintenance and renovation activities for relevant operational areas.
- Oversee transplant administration – the centralized team that supports the cross-program efforts:
- Administrative Coordination: Clinic support services; documentation management; administrative support.
- Data Analysis: Database management; performance reporting; compliance assessments.
- Financial Coordination: Patient insurance management; patient financial review, assessment, and support; financial verifications; revenue cycle management.
- Clinical Management
- Works closely with administrative and medical staff to assist in the development, implementation and administration of policies, procedures and projects to meet the agreed upon goals and objectives for the TSL.
- Determines and recommends necessary space, equipment, supplies and support systems to ensure effective functioning of the TSL.
- Supports the advancement of the service line’s quality and service experience goals.
- Continuously assesses and improves the efficiency of systems and processes.
- Consistency of Service
- Reviews the ongoing management of the centers’ multidisciplinary offerings, discusses and resolves any cross-service administrative problems that arise, and directs the planning of improvements in existing multidisciplinary services.
- Where reasonable and appropriate, ensure maximal consistency of administration across the organ-based centers.
- Supports and guides common areas of interest across services (eg information technology, documentation standards, etc.).
- Provide business application ownership on behalf of BH for the PHS Epic Phoenix module.
- Compliance & Quality
- Ensures transplant administration adherence to various regulatory agencies (eg, CMS, UNOS, etc.).
- Ensures clinical practices are in compliance with various regulatory and accreditation agencies (eg, DPH, TJC, etc.).
- Provide oversight of the BH TSL QAPI Program, integrating quality, utilization, and risk management in the delivery of transplant health care services. Oversees quality improvement activities for TSL, encouraging participation of all levels of staff.
- Interface with government, regulatory, national and community committees and boards on behalf of BH.
- Ensure TSL compliance with national contracts, certifying bodies, and nationally accepted standards, policies, procedures, and requirements
Outreach & Development
- Work closely with regional stakeholders, including the New England Organ Bank, to ensure effective coordination and strength of relationship.
- Oversee all TSL network arrangements from idea conception, through to financial modeling, contract establishment, and ongoing review.
- Develop new business opportunities between outside providers and BH by organizing and driving complex, multi-disciplinary and multi-institutional initiatives designed to achieve strategic and operational objectives of the TSL.
- In consultation with TSL leadership, divisional leadership, and the VP of Network Development, identify and pursue opportunities and organize and drive responses to all inquiries and RFPs.
- In conjunction with the academic departments, develop subject matter briefs, relationship proposals and other materials requiring the use of business intelligence and proprietary information of BH and PHS.
- Responsible for successful execution of initial relationships and agreements, operational transitions and hand-offs to appropriate clinical and administrative leaders, and monitoring ongoing relationship management.
- Serve as the TSL lead for all legal negotiations and contract development work within the clinical areas of TSL, working in collaboration with the PHS Office of General Counsel, the BH VP of Network Development, the BH Director of Network and Managed Care Contracting, and departmental administration.
- Ensure proper liaison between the external entity and BH/TSL, in collaboration with the participating department/division clinical and administrative staff; also ensure TSL representation for all meetings with executives and principals of the outside hospitals.
- Communicate and coordinate network development activities with the BH physician and hospital liaisons and ensure their participation in any effort that directly affects their particular area(s) of support.
- Work with the Marketing Office to develop and maintain an ongoing marketing plan to promote TSL efforts.
Human Resources Management
- Supervises/mentors all TSL medical/surgical directors, TSL nurse directors, TA administrative managers/staff, and TSL ancillary clinical staff, directly or jointly with physician/nursing leadership.
- Coordinates with Human Resources for the interviewing, hiring, personnel transactions (hiring, salaries, promotions, job descriptions, etc.) and implementing of institutional corrective action policy.
- Creates a supportive, educational, and development-focused environment for all staff.
- Reviews workload issues and compares against UNOS benchmarks to ensure and advocate for appropriate staffing.
- Reviews, supports, and ensures salary and wage equity for TSL/TA managers and staff; ensures that all performance evaluations are performed in a timely manner and in compliance.
- Ensures the support and maintenance of a diverse, inclusive, and professional environment.
- In conjunction with Human Resources leadership, serves as a resource for TA issues related to professional and non-professional staff benefits.
- Using PeopleSoft Manager Self Service, initiates, approves and coordinates with Human Resources for approval of human resources changes (i.e. salary adjustments, salary distributions, training records, etc.).
- Prepares performance reviews on direct reports. Takes corrective and disciplinary action as necessary to maintain the highest level of staff productivity and effectiveness. Terminate employees as necessary.
- Develop letters, presentations, announcements, and other communications for the SVP and Chairs; all documents must be of the highest caliber of refinement and professionalism.
- Consistently meets all deadlines for deliverables or activities as established by service line leadership – and thus departmental and hospital leadership.
- Serves on service line, center, departmental and/or hospital committees as assigned.
- Lead or participate in special projects and perform other related tasks as requested or required.
- At least 8-10 years administrative/management experience in an academic medical center setting required.
- Progressive experience in transplant administration and multi-organ programs required.
- Business/strategic planning and financial management/analysis experience required.
- Master’s degree in related field required; MBA, MHA, or MSA strongly preferred.
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