Site: The Brigham and Women's Hospital, Inc.

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 system. Founded by Brigham and Women's 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 DOM is the largest academic department at both BWH and MGH - and will likely be the largest in the country when fully integrated - and supports a balanced portfolio of clinical services, biomedical research, and education. The DOM is a Harvard Medical School (HMS)-affiliated academic department with >1,900 faculty members, ~20 combined divisions plus research institutes, >500 trainees in accredited programs, nearly $695 million in annual total direct research expenditures, and annual operating revenue of >$1.15 billion dollars across both the hospital and physician organizations. Information on each DOM division with clinical, research, and educational components may be found in the supplement.

The Division Administrator (DA) is the lead administrator for the Division, within the Department of Medicine (DOM) for Mass General Brigham's Academic Medical Centers (AMCs): Brigham and Women's Hospital (BWH), Brigham and Women's Faulkner Hospital (BWFH), Brigham and Women's ambulatory sites, and Brigham and Women's Physicians Organization (BWPO), Mass General Hospital (MGH), Mass General ambulatory sites, and the Mass General Physicians Organization (MGPO). The DA reports jointly to the DOM AMC Executive Director (ED) of Research and to the Chief of Genetics.

The DA is accountable for the overall administrative and strategic leadership, operating results, and cost center financial performance of the Division, and may serve as an institutional leader across both the physicians organizations and the hospitals. The DA partners closely with leaders within the DOM and its central team, as well as leaders across BWH/BWFH, BWPO, MGH, MGPO, and MGB.

The DA will have accountability for managing the resources of the Division to meet the AMC-wide expectations of performance, MGB integration, and optimization. Due to the senior level of this position, the DA may also communicate with, prepare materials for, receive direction from, and provide counsel to the Chair, Executive Vice Chair, or Vice President (VP) of the Department of Medicine, the Senior Vice President for AMC Medical Departmental Operations (SVP), and other executive leaders. The scope of this management role spans the AMC entities.

The DA will serve as one of the principal architects of a unified Division across the AMCs. In doing so, the DA will work with the Chief, ED, VP, 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 DOM divisions. This will require not only strategic acumen and interpersonal sensitivity during a time of significant change, but also an integrated administrative leadership team that can simultaneously support ongoing integration efforts and the day-to-day operations of the Division with broadly distributed people, ensuring the continued successful functioning of the clinical, education, research, and community-serving activities.

Qualifications

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Leadership

• In partnership with the Division Chief, determines the overall vision, mission, direction, goals, and objectives of the Division. 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. The DA will have specific responsibility for work required over the next several years to accomplish the goal of integrating the Division, including, but not limited to, work in the areas of analytics, communication, human resources, finances, operations, and compensation.
• Under the direction of the Executive Committee (Chair, Executive Vice Chair, SVP, and VP) and the ED of Research, responsible for integrating the BWH and MGH divisions into a single, seamless entity, including coordinated operations across all domains (e.g., clinical, research, education, administration).
• Identifies, evaluates, and recommends new business ventures, affiliations, and partnerships consistent with the strategic business plans and the growth and market objectives of the division, 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 division, department, the hospitals, and MGB system. The DA acts in the best interest of the AMC-wide and MGB system outcomes, above and beyond individual interests of the division, department, hospitals, etc.
• Develops and implements policies and procedures consistent with the Department's and hospitals' policies in the areas of clinical practice management, research management, and teaching/training. Interacts extensively with the Chief and the ED to assess administrative and financial needs and to revise policies and procedures to meet the changing needs of the Division.
• Continuously assesses and improves the efficiency of systems and processes, and overall expense management.
• Works with departmental leadership to evaluate and monitor performance of the Division 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 Chief, ED, faculty, and staff on a regular basis. Communicates openly and collaboratively with other division administrators and hospital leaders.
• Keeps current regarding trends and developments in the health care field, particularly when they pertain to divisional activities.
• Serves as a critical member of the Department's administrative team.

Clinical Management

Currently, the Genetics Division is a research-only division. The BWH clinical adult Genetics program operates through the Division of General Medicine. However, as the DOM moves through Integration, clinical activity may return to the division, and the following job requirements would apply:

• Maintains an in-depth knowledge of the changing health care environment and assesses the market's need for clinical services. Monitors and evaluates the adequacy of the Division's existing services and
• ensures the development of programs and services to respond to the market. Develops, supports and manages programmatic initiatives for care improvement, cost reduction, and network development.
• Under the leadership of the Division Chief, departmental administration, and hospital leadership, reviews the ongoing management of the Division's clinical services, discusses and resolves any administrative problems that arise, and directs the planning of improvements in existing clinical services.
• In conjunction with the BWPO, MGPO, BWH/BWFH, and MGH, and in coordination with the CBPO, oversees applicable billing services within the Division. Maintains a thorough understanding of clinical reimbursement, managed care, and collection issues specific to the Division. Reviews billing analyses and reporting; prepares financial projections and monitors performance relative to projections. Works with MGB Compliance to ensure billing compliance. Identifies opportunities to optimize clinical reimbursement and implements new policies and procedures as needed. Educates faculty and staff on clinical reimbursement issues as needed.
• Under the direction of the Department's Vice Chair of Quality and Quality Director, assists with the Division's clinical quality program and achievement of quality goals.
• Assures compliance with BWH, BWFH, MGH, TJC, OSHA, DPH, and state and federal regulations. Leads the Division's involvement in compliance audits as directed.
• Identifies the need for, assesses parameters, performs financial analyses, and participates with the Department in negotiating contracts for the delivery of clinical services by division physicians. Assesses the agreements on an on-going basis to ensure that they are financially viable and comply with current regulatory requirements.
• Under the direction of the Chief and ED, and in partnership with hospital clinical leadership and the DOM clinical directors, vice chairs, and council, oversees, or partners with the hospital in the overall leadership of, the division's ambulatory specialty clinics, inpatient services, and procedural services.
• Reviews the ongoing management of applicable medical 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.
• Takes ownership of capacity issues where applicable, including analyzing data and coordinating with clinical leaders to implement standards to ensure effective patient consults and coordination of optimal patient care.

Research Administration Management

• Monitors the ongoing process of grant development, submission, review and notification; discusses and resolves administrative problems that arise; directs the administrative planning for potential new sources of income; serves as a resource to Division faculty in securing research support.
• Reviews and analyzes funding proposals. Approves proposals for divisional, departmental and institutional review. May be asked to prepare detailed budgets and justifications for grant applications. Works closely with principal investigators, project directors and project coordinators to identify all potential costs associated with a proposal. Supervises the assembly of NIH grant applications.
• Responsible for supervising the maintenance of appropriate support data for all division faculty. Oversees preparation of support pages as part of the NIH grant application process. Certifies quarterly time-and-effort reports.
• Serves as liaison to accounts payable, payroll, purchasing, and other hospital departments. Represents needs of research studies and works to ensure that these needs are met. Works with outside vendors to obtain products and services necessary to the operation of the research group. Interacts extensively with DOM and MGB research administration to ensure compliance with all hospital, government, and funding agency policies.
• Responsible for ensuring compliance with all hospital and government regulations for research involving human subjects and animals. Monitors status of institutional review board (IRB) and animal assurance committee (AAC) approval for pending and ongoing studies, and works with investigators to submit new applications, annual reviews, and notification of changes to study design and methods. Supervises faculty and project coordinators in completion of IRB and Animal Assurance Committee applications and renewals.
• Maintains an inventory of all research activities being conducted within the Division, as well as the space assigned to the Division and its usage.
• Ensures that all divisional research funds are solvent and addresses deficits as soon as they arise. Education Management
• Under the direction of the Chief and ED, and in partnership with hospital and departmental education leadership, and the DOM education vice chair and council, administers the Division's training and educational program(s) and continuing medical education programs, as applicable, including participation in the selection process, coordinating appointments, establishing salary policies, resolving salary and benefit issues, and complying with hospital, HMS, and NIH requirements. Trainees in the Divison include postdocs, clinical fellows, medical students, PhD and Masters students, undergraduate and high school students. The DA should become familiar with the unique needs and policies related to each of these cohorts.
• Monitors and updates training affiliation agreements between the Division and 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.

Financial Management

• Establishes and achieves financial goals and measures, monitors financial performance, and ensures the ongoing financial performance of the Division.
• Understands and meets all Department financial reporting requirements in the prescribed format, per the direction of the ED, VP, and the DOM finance office.
• Prepares annual Department and Hospital budgets in the formats prescribed by each entity. Presents and justifies budget requests to the Division Chief, ED, and Director of Finance.
• Responsible for maintaining solvency of all funds within the control of the Division. Examines, analyzes and interprets financial reports for the purpose of giving advice, preparing statements and projections, and ultimately managing resources.
• 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.
• Develops and monitors a comprehensive research financial budget for the Division Chief for both short-term and long-term planning purp