Vice President, Department of Surgery

Site: Mass General Brigham Incorporated

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Job Summary

GENERAL SUMMARY/OVERVIEW STATEMENT:

As a not-for-profit organization Mass General Brigham (MGB) is committed to supporting patient care research teaching and service to the community by leading innovation across our by Brigham and Womens Hospital and Massachusetts General Hospital MGB supports a complete continuum of care including two academic medical centers community and specialty hospitals a managed care organization a physician network community health centers home care and other health-related entities.

The Vice President of Surgery (VP) is the lead department administrator for the Department of Surgery (DOS) for Mass General Brighams Academic Surgical Centers (AMCs): Brigham and Womens Hospital (BWH) Brigham and Womens Faulkner Hospital (BWFH) Brigham and Womens ambulatory sites and Brigham and Womens Physicians Organization (BWPO) Mass General Hospital (MGH) Mass General ambulatory sites and the Mass General Physicians Organization (MGPO).

The Vice President will serve as one of the principal architects of a unified Department of Surgery across the AMCs. In doing so the Vice President will work with the Chair and SVP to develop and execute upon a multi-year plan to horizontally integrate most activities and structures that are presently distinct across the two premier departments of medicine. This will require not only strategic acumen and interpersonal sensitivity during a time of significant change but also the development of a strong integrated administrative leadership team that can simultaneously support ongoing integration efforts and the day-to-day operations of a large department with broadly distributed people ensuring the continued successful day-to-day functioning of the clinical education research and community-serving activities.

Reporting jointly to the SVP and to the Chair of DOS the VP is ultimately accountable for the overall administrative and strategic leadership operating results and cost center financial performance of the applicable areas and serves as an institutional leader across both the physicians organizations and the central leadership team within the DOS report directly to the VP and division administrators within the DOS report jointly to the VP and his/her division Vice President partners closely with leaders within the Department and its divisions as well as leaders across MGH BWH/BWFH MGPO BWPO and MGB.

The Vice President will have accountability for managing the resources of the DOS to meet the AMC-wide expectations of performance MGB integration and to the senior level of this position the VP also regularly communicates with prepares materials for receives direction from and provides counsel to the Chief Operating Officer and other executive scope of this senior management role spans the AMC entities.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Leadership

• In partnership with the Chair and the SVP determines the overall vision mission direction goals and objectives of the department and the hospitals applicable medical the strategic planning process establishes and achieves long range goals and ensures the implementation of strategic business plans that are aligned with the hospitals vision strategic plans and VP will have specific responsibility for work required over the next several years to accomplish the goal of integrating the DOS including but not limited to work in the areas of analytics communication human resources finance operations and compensation.
• Identifies evaluates and recommends new business ventures affiliations and partnerships consistent with the strategic business plans and the growth and market objectives of the department the hospitals and the MGB system. Works with departmental and hospital leadership and the Office of General Counsel to prepare the necessary business plans and documentation. Manages the renewal of any such arrangements.
• Ensures healthy and collaborative administrative relationships within the department the hospitals and MGB Vice President acts in the best interest of the AMC-wide and MGB system outcomes above and beyond individual interests of the department hospitals divisions etc.
• Develops and implements policies and procedures consonant with the hospitals policies in the areas of clinical practice management research management and teaching/training. Interacts extensively with the Chair and the SVP to assess administrative and financial needs and to revise policies and procedures to meet changing needs.
• Evaluates initiates and implements various systems and procedures and revises as necessary to maximize efficiency.
• Serves as a resource for resolution of administrative questions issues and problems.
• 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.
• Continuously assesses and improves the efficiency of systems and processes and overall expense management.
• Works with hospital leadership to evaluate and monitor performance of the AMCs to support the delivery of services and the operational goals of cost containment quality enhancement developing a culture of safety and patient experience.
• Develops effective clear and precise methods of communicating with the Chair the SVP and with hospital and physician leaders clinical faculty and staff on a regular basis.
• Keep current regarding trends and developments in the health care field particularly when they pertain to strategic planning analytic and decision support tools financial trends evolving technologies and programs.
• Serve as a representative of the organization if/as requested.

Clinical Management

• Under the direction of the Chair and SVP and in partnership with hospital clinical leadership and the DOS vice chairs of clinical operations oversees or partners with hospital in the overall leadership of the departments ambulatory specialty clinics inpatient services and surgical/procedural services.
• Reviews the ongoing management of applicable surgical services discusses and resolves any administrative problems that arise and directs the planning of improvements in existing clinical services.
• In collaboration with interdisciplinary hospital physician and nursing leaders oversees and/or supports the development and implementation of process improvement initiatives aimed at improving patient safety and compliance across the continuum of care.

Capacity

• Analyzes data to understand the drivers of capacity; uses formulas and modeling to impact more efficient patient throughput.
• Optimizes value by encouraging use of data to drive decisions depersonalizing processes and allowing clinical and administrative staff to actively engage in process improvement activities that reduce cost and improve revenue.
• Supports implementation of process improvement pilots where the goal is effective management of patient capacity.
• Coordinates with clinical leaders to implement standards to ensure the effective coordination of optimal patient placement.
• In conjunction with the BWPO MGPO BWH/BWFH and MGH and in coordination with the Central Professional Billing Office (CPBO) oversees applicable billing services:
• Ensures that front-end procedures are coordinated and all services provided are monitored and tracked to ensure capture and timely submission for all services provided.
• Oversee activities of billing services to ensure timely/maximized collections.
• Works with MGB Compliance to ensure billing compliance.
• Reviews billing analyses and reporting; prepares financial projections and monitors performance relative to projections.
• Coordinates with billing services to develop billing policies and procedures.
• Serves as principal liaison for relevant services to BWH/BWFH/BWPO/MGH/MGPO and MGB Compliance Office.
• Participates in BWH/BWFH/BWPO/MGH/MGPO compliance initiatives.
• Develops and monitors departmental indicators set forth to meet quality goals.
• Participates in reviews results of and takes appropriate action on audits to ensure compliance with internal standards as well as state and federal guidelines.
• Reviews safety reports.
• In collaboration with the Chair and SVP and other leadership leads the evaluation development and implementation of strategies for the growth management and integration of clinical services throughout DOS and across department hospital system and network service settings.
• Assures compliance with BWH MGH MGB TJC OSHA DPH and all state and federal regulations.
• Partners with the appropriate compliance offices for audits as needed and/or directed.
• Partners with clinical and administrative leaders to identify prioritize implement and monitor progress of information system enhancements and upgrades as well as new system introductions.

Research Management

• Under the direction of the Chair and SVP and in partnership with hospital and departmental research leadership and the DOS research vice chair oversees the DOS Administrative Director for Research who is responsible for research administration infrastructure including management responsibility for research administrators
• Maintains an inventory of all research activities being conducted throughout the department.
• Oversees development and monitoring of research project budgets in collaboration with divisional research administrators and principal investigators.
• Oversees deficit resolution process for the DOS and the DOS divisions.
• Ensures that divisional research administrators and investigators are conversant with institutional research policies and procedures including appropriate application for and maintenance of necessary IRB or IACUC approvals protection of intellectual property and compliance with MGB and HMS policies on Conflict of Interest.
• Ensures that changes in research policies and procedures are appropriately communicated to divisional administrators staff and principal investigators.
• Works with division chiefs and principal investigators to identify and support development of appropriate areas of research including assistance with related recruitments and acquisition of required resources.
• Works collaboratively with Research Management and Compliance as necessary to ensure the appropriate fiduciary and regulatory responsibility of the research enterprise for the DOS.

Education Management

• Under the direction of the Chair and SVP and in partnership with hospital and departmental education leadership and the DOS education vice chair directs the administration of the departments residency programs sub-specialty fellowship programs Harvard Surgical School education programs and continuing medical education programs.
• Ensures compliance with the requirements for accreditation by the ACGME/Residency Review required data in an ongoing fashion and anticipates and prepares the necessary documents and records for periodic reviews.
• Oversees financial management of training program including implementing and ensuring compliance with professional billing activities as applicable.
• Participates in design and implementation of changes to the training programs.
• Monitors and updates training affiliation agreements with outside institutions; maintains and fosters relationships with those institutions where our trainees rotate and those institutions whose trainees rotate to BWH and MGH.
• Extends teaching mission to all levels of staff and encourages continuing education for both employees and self.
• Works collaboratively with the GME Office and Compliance as necessary to ensure the appropriate fiduciary and regulatory responsibility of the education enterprise for the DOS.

Organizational Administration

• Oversees the DOSs Faculty Affairs Office ensuring the highest performance of the units processing of all faculty/fellow appointments and related activities.
• Oversees DOS credentialing for BWH/BWFH/MGH and HMS.
• Supervises/mentors DOS credentialing staff.
• Ensures that appropriate OPPE/FPPE process occurs within DOS divisions.
• Ensures efficiency of DOS internal HMS promotions process.
• Ensures that annual COI processes for BWH MGH and HMS are timely and complete.
• Serves on search committees for DOS division chief and other high profile DOS searches.
• Staffs organizes and sets agenda and maintains minutes for monthly DOS division chiefs meetings; conducts monthly DOS division administrators meetings.
• Coordinates all DOS space planning space allocation renovation etc.; ensures facilities compliance with Joint Commission OSHA DPH and BWH/BWFH/MGH space changes on behalf of the hospital.
• Coordinates the development preparation and distribution of DOS publications and communications; manages the development of the DOSs annual report; coordinates the DOSs quinquennial HMS clinical department review.
• Serves as the principal DOS liaison to other MGB and BWH hospital departments and services such as: Patient Care Services; Network Development; Marketing; Office of General Counsel; Development; Communications; Research Management; Research Ventures & Licensing; etc.

Capital Management

• In collaboration with and responsibility to the SVP oversees all physical space that is part of the portfolio.
• Takes a leadership role in planning and space allocation for all current and future medical services assets across the Brigham entities.
• Oversees vendor relationships as applicable.
• Partners with the SVP for all capital planning relative to DOS and applicable medical services.

Financial Management

• Maintains the solvency of all funds under the VPs purview.
• 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.
• Partners with all required constituents to prepare annual budgets for the physicians organization(s) and the hospital(s) in the prescribed format for the responsible areas and on behalf of service line and justifies budget requests to the Chair and/or SVP and on behalf of service line advancements.
• Responsible for the cost center fiscal management of all areas of responsibility.
• Establishes and achieves financial goals and measures monitors and ensures the on-going financial performance.
• Facilitates effective cost containment practices through monitoring of volume trends proactive management of capacity (physical and human resource) supplies service contracts and professional services agreements.
• Oversees expense management issues; performs comparative analyses; develops and implements strategies for cost containment.
• Participates in the development and monitoring of physician compensation plans for divisions within the DOS with a focus on productivity.
• Prepares monthly financial performance executive reports for review with the Chair and executive dashboard reports for review with the SVP and service line leaders as appropriate.
• Examines analyzes and interprets financial reports for the purpose of giving advice preparing statements and projections and ultimately managing resources.
• In partnership with the SVP and the Chair prepares analyses and forecasting for introduction of new programs/services and service line and tracks recruitment and/or retention packages for high-profile hires.
• Understands and meets all financial reporting requirements in the prescribed format per the direction of the SVP the Chair and the applicable budget office.
• Oversees and ensures completion of physician TEFRA (Tax Equity and Fiscal Responsibility Act of 1983) time reporting.
• Approves all relevant capital purchases and tracks ongoing expenditures.
• Monitors all research sundry HMS BWPO and BWH funds as these activities where appropriate.
• Reconciles monthly fund statements.
• Coordinates with Accounts Payable Research Finance Payroll and other departments as needed for resolution of errors or identification of charges.
• Assigns expenditures to funds as necessary.
• Supervises the activities of subordinates who are responsible for being familiar with and approving all revenue/expense transactions assigning cost centers monitoring compliance with budgets and identifying and investigating potential problem areas and proposing solutions.
• Ensures that the highest standards of integrity ethics control and confidentiality are maintained at all times across all financial and accounting matters under the purview of the VP.

Integration

• Under the direction of the Chair Executive Vice Chair and SVP responsible for integrating the BWH and MGH Departments of Surgery into a single seamless includes the integration of all divisions institutes programs and central management structures within the departments.
• Provides support for the development of Institutes (e.g. Cancer Heart and Vascular) and Service Lines (e.g. Transplant Weight Management) across MGB.
• Within the AMCs advances coordination of select back-office services across multiple departments in an effort to ensure efficient and consistent operations.
• In alignment with other MGB entities develop support and manage coordinated programmatic initiatives for care model development care delivery improvement cost reduction administrative alignment and network and business development.
• With counterparts across MGB assesses the markets need for clinical services. Monitors and evaluates the adequacy of planned and existing services and ensures the development of programs and services to respond to the market.
• Supports service line development applicable to medical services advancing the overall vision direction goals and objectives of all service lines across MGB
• In coordination with the leadership of the service line review the ongoing management of multidisciplinary clinical products and centers discuss and resolve any cross-service administrative problems that arise and direct the planning of development and improvements in existing multidisciplinary clinical services:
• Identify evaluate and advance the design of service line centers of care consistent with the strategic business plans and the growth and market objectives of the service line.
• Lead the service line and associated center(s) development and supports functional operations; serve as a central coordinating force for service line activities.
• Ensure that the disciplines are working in a clinically integrated fashion as designed.
• Establish effective systems to analyze and report on financial flows and ensure holistic and multidisciplinary fiscal management.
• Ensure business plans have the data analytics and layouts that ensure successful approval and execution.
• Support the advancement of service lines quality and service experience goals.

Human Resources Management

• Supervises/mentors at least 15 individuals directly or jointly with the DOS division chiefs/vice chairs
• Reviews all new hire letters for DOS faculty and recommends for signature by the Chair.
• Coordinates with Human Resources for the interviewing hiring personnel transactions (hiring salaries promotions job descriptions etc.) and implementation of institutional corrective action policy for staff.
• In conjunction with Human Resources leadership serves as a primary resource for issues related to professional and non-professional staff benefits.
• Using Workday initiates approves and coordinates with Human Resources for approval of human resources changes (i.e. salary adjustments salary distributions training records etc.) for staff who reside under the VPs purview (or delegates said work).
• Prepares performance reviews on direct reports.
• Takes corrective and disciplinary action up to and including termination as necessary to maintain the highest level of staff productivity and effectiveness.
• Reviews workload issues to ensure appropriate staffing.
• Provides direct supervision to and is responsible for the conduct operations and results of the professional and non-professional staff.
• Develops and implements change management programs including efficiency and resource utilization projects.
• In times of transition supports areas that require interim leadership support.
• Actively considers opportunities to grow the abilities skills and support of employees through professional development enhanced communication vehicles employee-focused initiatives and otherwise
• Reviews supports and ensures salary and wage equity for staff.
• Creates a supportive educational and development-focused environment for all staff.
• Ensures the support and maintenance of a diverse inclusive and professional environment for all staff.
• Reviews salary and wage issues; works with Chair and SVP to develop and implement compensation plans.
• Develops implements oversees and approves departmental policies procedures and systems and revises as necessary to maximize efficiency.
• Responsible for ensuring compliance with regulatory bodies and making managers aware of policy and procedure changes.

Other

• Oversees general administrative matters.
• Develops letters presentations announcements and other communications; all documents must be of the highest caliber of refinement and professionalism.
• Serves as a stand-in for the SVP in relevant meetings when the SVP is not available; serves on committees as needed or assigned by the SVP.
• Leads or participates in special projects and performs other related tasks as requested or required.

MINIMUM JOB QUALIFICATIONS:

• 10 years of experience as a leader within an academic medical center.
• Demonstrated track record of successfully leading teams.
• Experience working in a highly matrixed organization / environment preferred; healthcare industry experience strongly preferred; Mass General Brigham experience preferred.
• Masters degree required.

KNOWLEDGE SKILLS AND ABILITIES REQUIRED:

• Leadership:Truly outstanding interpersonal skills and a high degree of social facility in obtaining cooperation and support from a broad range of people are required.A demonstrated ability to interact with all members of the organization in ways that enhance understanding respect cooperation and problem solving is essential.
• Results orientation:Results-driven approach with experience/ability to achieve results in a metrics based analytical ability to work independently and accurately and concisely disseminate information in both written and verbal formats is ability to independently resolve quickly most problems encountered is essential.
• Organizational Skills:Outstanding organizational skills are necessary to manage many competing timetables and responsibilities and deadline ability to delegate effectively supervise and plan for the timely and successful completion of short- and long-term objectives is responsibilities of this position require detailed concentrated effort and constant re-establishment of priorities as well as complex and sensitive decision-making.
• Collaboration: Able to work effectively within a matrixed based organizational structure
• Business acumen: Budget management data and analytics market knowledge knowledge and analytical skills to support health care delivery and hospital operations ability to understand and integrate system budget challenges into proposed annual budgets
• Initiative: A self-starter who can develop roadmaps frameworks and plans in an area with minimal precedent.A successful track record of front-line management and the ability to provide support direction and development counsel to staff is required.
• Communicator/Facilitator:Interpersonal presentation and organizational skills and professional demeanor; Demonstrated sensitivity discretion and judgment regarding confidential matters are essential. Excellent verbal and written communication skills are necessary to communicate effectively with a large and diverse constituency including the DOS Chair senior DOS leaders hospital and BWPO leaders and administrative staff research faculty at all levels research trainees and staff representatives of other BWH offices collaborating institution officials granting agencies (NIH industry and foundations) potential donors representatives and vendors. A good command of English language including medical and scientific terminology is critical.
• Program Implementation: Proven ability to develop and implement programs
• Project Management: Proven ability to successfully manage highly complex projects
• Innovation: Creativity in exploring and adapting new measure to improve and decision support approaches
• Confidence in complexity and ambiguity: Understand and executes effectively amongst the complexities of an academic medical environment and the broader ability to work collaboratively with chairs chiefs senior executives physicians service line administrators operations management and other employees in a complex matrix organization.
• Judgement: Demonstrated judgement in managing sensitive issues and knowledge of when to escalate problems
• Team:Takes personal responsibility in development a team and is passionate about a happy highly functioning team with the most acceptable level of talent and performance for the responsibilities of the department
• Interpersonal: Excellent interpersonal oral communication skills. Possess a leadership style that is open and transparent and an exceptional capacity to build strong conflict and achieves resolution effectively
• Time management: Exceptional organizational skills and ability to prioritize effectively. Flexibility to work independently and to handle multiple tasks with project deadlines. A tenacious can-do personality that works to correct mistakes and get things done as efficiently as possible often utilizing resources across services.
• Technology:Competency in the latest digital capability to support decision support tools and environments (e.g. command center)
• Mass General Brigham values: Embraces values to govern decisions actions and behaviors. These values guide how we get our work done: Patients Affordability Accountability & Service Commitment Decisiveness Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion Integrity & Respect Learning Continuous Improvement & Personal Growth Teamwork & Collaboration

DIRECT REPORTS:

The DOS Central Leadership Team structure is evolving but is likely to include senior leaders in each of the following areas of direct supervision:

• Communications
• Network Strategy
• Faculty Affairs
• Clinical Operations (Perioperative)
• Clinical Operations (Inpatient & Ambulatory)
• Education Administration
• Research Administration
• Jointly supervisingPR2:
• DOS Division Administrators for 10 clinical divisions with their respective Division Chiefs
• Other operational leaders as defined by SVP

WORKING CONDITIONS:

• Work in an office setting or remotely from home depending on project work that may require in person attendance or face-to-face interaction.
• The Vice President will be expected to split time between the AMCs and their associated sites.
• Attends meetings in and out of hospitals and require travel to off-campus locations.
• Is available for early and late meetings and flexible to meet frequent evening and weekend work will be necessary.

SYSTEM AND FISCAL RESPONSIBILITIES:

• Accountable for the budget performance of all accounts within the purview of the position.
• Responsible for managing an effective efficient team of resources with stewardship.
• Works within legal regulatory accreditation and ethical practice standards relevant to the position and as established by BWH/BWFH/BWPO/MGH/MGPO/MGB.
• Complies with appropriate BWH BWFH BWPO MGH MGPO and MGB policies and procedures.
• Fulfills any training required by BWH BWFH BWPO MGH MGBPO and MGB as appropriate.
• Brings potential matters of non-compliance to the attention of the supervisor or other appropriate staff.
  

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Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

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