Director, Finance Transplant - Transplant Admin - Full Time 8 Hour Days (Exempt) (Non-Union)

Director, Finance Transplant - Transplant Admin

Location: Keck Medicine of USC, Hospital, Los Angeles, California

The Transplant Finance Officer is responsible for financial operations oversight of the Transplant Institute, including insurance compliance, charges, billing, reimbursement and all applicable policies and procedures established by CMS, UNOS, other regulatory agencies, as well as organ procurement organizations. The Transplant Finance Officer maintains a dual reporting relationship to the Keck Medical Center CFO and the Transplant Institute Associate Administrator. The role involves all finance tasks and activities in accordance with applicable regulatory requirements for CMS cost reporting and collaboration with the Associate Administrator of Government Reimbursement and Reporting and KMC CFO on cost-report related issues to maintain consistent processes and controls. This position serves as the primary liaison with the hospital system revenue cycle and finance departments and maintains relationships that support accurate and complete financial systems for the Transplant business. In conjunction with the Transplant Administrator and Finance Department leadership, responsibilities include budget preparation, expense monitoring, productivity monitoring, payor mix, FTE tracking/utilization, revenue tracking and billing integrity. The role works with Clinical Managers to identify, implement, and track cost-savings opportunities, and seeks operations improvement opportunities, especially with technology to improve efficiency and effectiveness. The Finance Officer leads initiatives related to data analysis, process improvement, and strategic/operational project management, partnering with managers, directors, clinicians, quality leads, and other team members to develop work plans, metrics, and resources to achieve department goals. Creates and implements models for forecasting transplant volume, reimbursement, and resource consumption, promoting sound business judgment throughout the Transplant Institute. In collaboration with the Managed Care Contracting team, the role provides contract oversight and forecasts financial prospects for the Transplant Institute.

Essential Duties:

• Creates annual operating and capital budgets. Develops and distributes comprehensive financial reports on a regular basis. Generates department and service line dashboards and other reporting needs. Ensures all finance-related accounting functions are performed in a timely manner.
• Develops and implements procedures to support successful financial performance of the program. Evaluates, develops, and implements monitoring mechanisms for financial performance, within or outside of Strata. Monitors acquisition billing and ensures charges are appropriately dropped and tracked.
• Works with Government Reimbursement to submit data required for the Medicare Cost Report and ensures compliance with cost report regulations, including monitoring time studies and pre-transplant charge review. This will require training and continued education of transplant staff.
• Manages philanthropic and other funds to ensure appropriate documentation for disbursement.
• Completes Standard Acquisition Charge (SAC) and clinic RVU review on a regular basis and as needed.
• Coordinates with the department's office management team and Controllers Services to ensure day-to-day financial tasks are completed (i.e., processing invoices, invoicing, creating and monitoring purchase orders, etc.).
• Manages transplant institute payer contracts and collaborates with appropriate parties for renewal/termination/initiation including appropriateness of rates for existing or new agreements, as well as single case agreements.
• Creates and submits capital requests. Monitors timely and accurate billing and collection of transplant accounts.
• Ensures timely and coordinated responses to UNOS and payor/network RFI requests.
• Optimizes and monitors the correct registration and maintenance of transplant patient accounts. Ensures compliance with all Medicare Cost Report and Insurance-related regulatory requirements. Coordinates department activities with appropriate internal departments and affiliates.
• Provides effective Level I management/ownership of various cost centers. Coordinates with operational leads to understand the relationship between operations and financials. Develops relationships with finance, budget, and compensation personnel across the Enterprise.
• Develops dashboards to summarize and report on outcomes, volume, engagement, and other metrics. Utilizes data and benchmarks to support goals and objectives. Defines, improves, and monitors productivity standards. Provides support for analytics initiatives to optimize transplant outcomes and performance.
• Partners with leadership to advance improvement initiatives and opportunities. Continually examines ways to improve business relationships with suppliers and the community, and proposes ideas for implementation.
• Collaborates with Transplant Institute Medical Directors and Keck Medical Leadership in the development and implementation of the Solid Organ Transplant strategic plan.
• Provides regular, effective feedback and coaching for staff. Identifies development opportunities to improve performance. Collaborates with IT as needed to manage transplant needs. Supports department-based quality committees as needed.
• Ensures integration with relevant stakeholders from other service lines across Keck Medicines. Identifies resources to mirror trends in patient volumes, expands referral sources, and coordinates staffing support by ancillary departments. Maintains familiarity with the hospital strategic plan and assists in translating elements to the service line level.
• Performs other duties as assigned.

Required Qualifications:

• Bachelor's Degree in Business, Economics, or Commerce, with major/emphasis in Accounting.
• 5 years of professional experience in finance or related health care administration with responsibility for budget management, operations, and staff management, or equivalent.
• Proficiency with Microsoft Office (Excel, Word, PowerPoint).
• Demonstrates ability to utilize effective, appropriate and diplomatic oral and written communication skills.
• Excellent oral and written communication, analytical and collaboration skills. High level of precision and attention to detail. Ability to summarize complex issues into key elements.
• Ability to work efficiently when faced with frequent interruptions.
• Transplant finance and business experience including knowledge of transplant reimbursement and working knowledge of the Medicare Cost Report as it applies to solid organ transplantation.
• Demonstrated project management skills.

Preferred Qualifications:

• Certified Public Accountant (CPA).

Required Licenses/Certifications:

• Fire Life Safety Training (LA City). If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

The annual base salary range for this position is $145,600.00 - $240,240.00. When extending an offer of employment, the University of Southern California considers factors such as the scope and responsibilities of the position, the candidate\'s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.