Assistant Vice President, Hospital Financial Operations

Job Summary

The Assistant Vice President (AVP) of Finance & Hospital Operations functions as an on-site financial resource focusing on the fiscal responsibilities of the entity including, revenue growth and bottom line performance from the Hospital perspective. Coordinates with the on-site managers and directors in budget development by functioning in a lead capacity while complimenting the WellStar System Accounting and Finance departments, as well as Service Line leaders. Responsible for reviewing monthly cost center performance against budget. Working with cost center management, provide reasonable, rational explanations for variances. Demonstrate an inquisitive nature by analyzing and investigating operational performance on a prospective, rather than reactive, basis. Assist Hospital Administration and department managers with implementing corrective actions for unapproved budget variances. Responsible for reviewing and assisting Corporate Accounting with the monthly closing of the general ledger for the entity.

Other fiscal responsibilities include the analysis and creation of business plans and pro formas for initiatives and endeavors taken by the hospital/entity. Included is the follow-up and review of actual performance to implemented business plans. Capital planning and management of the budgets/plans for capital projects for the hospital/entity will be the responsibility of the AVP Finance and Operations.

Provides leadership and management for operational areas as assigned/designated. Responsible for the successful growth, financial, clinical quality, engagement and customer service performance of the Departments that report to the AVP Finance & Hospital Operations (to be specified by each entity/facility which departments are included but should include no less than 2 operational departments, either direct or matrix responsibility). Maintains positive interactions with employees, medical staff, patients and public. Participates as an active and supportive part of WellStar's Senior Leadership team in developing and implementing System strategic plans and initiatives. Provide financial education programs for facility management staff to ensure understanding and compliance with WellStar's stated budget and financial goals and objectives.

Core Responsibilities and Essential Functions

Budget Development and Adherence

• Development of global statistics
• Assist on-site management in development of reasonable budgets both operating and capital
• Review and assist in development of monthly financial statements and to determine significant variances and means to correct
• Review monthly department budgets for expense management and opportunities for cost reductions

Operations Department(s) Oversight

• Provide leadership to assigned operational department as assigned in addendum
• Oversee Hospital Outpatient Department (HOD) operations as assigned in addendum, including regulatory and compliance leadership, in partnership with System-level resources
• Actively participate in system initiatives for assigned operational areas
• Develop leadership teams appropriate for department needs
• Review monthly department results to ensure consistent progress
• Provide feedback regarding department processes and procedures including maintaining awareness of changing regulatory and compliance requirements
• Develops and implements strategic plans and budgets; monitors performance to expectations
• Maintains expert knowledge of multiple regulatory and reimbursement structures

Facility Strategic Leadership

• Maintains detailed knowledge of Hospital strategies and objectives; identifies opportunities for improvement and ensures Hospital initiatives are consistent with and contributing to System objectives.
• Maintains knowledge of healthcare environment both locally and nationally to identify opportunities and threats; communicates internally as appropriate and incorporates into planning process.
• Actively participates with the Operations Group, and other teams that support Hospital goal achievement.
• Provides communication and feedback to Leadership Team and direct reports.

Revenue Generation and Valuation

• Review denied claims trends for facility and work with Revenue Management to examine ways to reduce
• Ensure adequate reserves for contractual allowances. Analyze percentage variances in net-to-gross by payor. Review bad debt trends.
• Review issues that may impact reimbursement in Managed Care contracts and Governmental Programs (Medicare, Medicaid, etc)

Revenue Capture

• Work with Revenue Management to ensure charge-master accuracy.
• Work with Revenue Management, Patient Access Services, and cost center managers/directors to ensure optimal charge capture (including accuracy of patient type).
• Review daily revenue trends for facility cost centers and investigate significant variances

New Program Development

• Provide financial support to the Directors responsible for Pro Formas for new programs.
• Focus on multi-departmental implications of new programs.
• Support CON development by acting as a liaison to the Director of Strategic Planning.
• Coordinate and direct new program and business plan development in adherence to policy and procedures.
• Follow-up on actual performance for implemented business plans/ new programs

Reporting and Analysis

• Direct the preparation of reports and the analytics of information as requested by Senior Leadership and others including the coordination of work with Decision Support and other depts/areas as needed (for strategic initiatives, performance improvement opportunities and other needs).
• Lead Financial Planning performance and work teams on initiatives and enhancements to processes and projects.
• Provide direction, training and development opportunities to team members.
• Remain flexible with other duties as assigned.
• Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education

• Bachelors Degree in Accounting, Finance or a related field is required.
• Master's Degree is preferred.

Required Minimum Experience

• Minimum 10 years direct finance experience is required.
• Minimum 5 years in healthcare field is required.
• Minimum 7 years of progressive finance or accounting leadership experience is required.
• Experience in an integrated health system with acute care operations is preferred.

Required Minimum Skills

• Progressive operational leadership exposure to demonstrate awareness of non-clinical department procedures and processes.
• Demonstrated impact on positive cash flow and cost reduction.
• Highly developed leadership and interpersonal skills; regulatory, reimbursement, financial analysis and business planning skills.
• Insert specialize healthcare accounting principles including reimbursements, indigent coverage, managed care contracts, etc.

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