Associate Administrative Director at the Hospital of the University of Pennsylvania

Responsibilities:

• 
  Technical Services: With Medical Director sets strategic direction of section(s)
  Establishes and implements guidelines for each section to Monitor pre-analytical, analytical and post analytical phases of test systems
  Keeps abreast of technical development in areas of specialization
  Assumes overall responsibility for the formulation and monitoring of a Quality Control/Quality Improvement program
  Ensures enrollment in appropriate Proficiency Testing programs which meet federal, state and accrediting agency requirements
  Assists clinicians and researchers in utilizing lab services in support of special projects and research protocols. Meets with clinical research sponsors/auditors to review lab service support for various clinical trials
  Collates and reviews complaints/incidents involving laboratory services from physicians, nurses, other health care providers and patients. Collaborating with representatives from other departments as necessary to facilitate or initiate changes in operational systems which will improve delivery and quality of patient care and/or improve efficiency
  Function as liaison with Office of General Counsel in resolving issues related to subpoena and/or search warrant requests for lab specimens or patient lab records. Participates in hospital/health system committees as needed to represent lab operations.
  
  Regulatory Compliance: Works with Administrative Director in functioning as liaison to accrediting / regulatory agencies in preparation for inspections, site visits, documentation of compliance, deficiency corrections, status changes and licensing renewals
  Maintains an updated database related to Federal, State and local government agencies and professional accrediting agencies’ regulatory requirements impacting lab operations including: AABB, CMS(Center for Medicare/Medicaid Services), DOH (Appropriate state Dept. of Health), DOH (Bureau of Laboratories), CAP (College of American Pathologists), CLSI (Clinical laboratory Standards Institute), FDA, FACT, TJC (The Joint Commission), OSHA (Occupational Safety and health Act), NRC (Nuclear Regulatory Commission), DEA (Drug Enforcement Agency), DOT (Dept. of Transportation: Shipment of Hazardous Material)
  Ensures that all quality control, instrument records, test records and other documentation are maintained in a manner which complies with all regulatory requirements
  Ensures that review of department operating policies and processes are performed within required time limits
  Monitors and participates in department efforts to maintain a safe working environment through development of safety policies, ongoing surveillance of environment and work practices
  Ensures deficiencies noted are corrected.
  
  Fiscal Management: Works with Administrative Director to coordinate and collate department(s) annual capital, payroll and non-payroll budget projection
  Prepares appropriate justification and/or ROIs for new program or replacement item funding
  Reviews monthly expense reports and variance reports and devises strategies for minimizing expense variances by taking corrective action to resolve unfavorable budget variances
  Establishes guidelines for technical managers to develop and maintain updated database of cost/test for all tests performed in the laboratory section
  Reviews monthly financial reports and monthly workload volume reports to ensure appropriate billing
  Collaborates with management to establish competitive pricing for business development by reviewing competitor pricing and recommending adjustments as needed.
  
  Staff Development: Ensures all staff involved in moderately complex or highly complex testing meet personnel qualification requirements as defined by federal, state and accrediting agency regulations
  Ensures that staff have completed the required annual competencies required to meet regulatory compliance
  Completes annual performance review for all individuals under his/her supervision
  Mentors and provides opportunities for team members to develop existing and new competencies through routine and on-going coaching and feedback
  Guides team in fostering an environment that supports diversity and promotes trust, integrity and high performance
  Ensures completion of UPHS mandatory health screenings, annual training programs and performance evaluations for all employees
  Collaborates with Human Resources in staff recruitment process
  Conducts regular staff meetings to share information, solicit feedback and build productive relationships
  Plans and coordinates continuing education programs designed to maintain and increase the technical skills and knowledge of self and assist staff to reach full potential
  Continuously communicates to staff the importance of patient satisfaction, quality of care, and sound financial performance
  Establishes and implements guidelines to ensure that practices/ actions related to personnel performance management are uniformly applied and consistent with UPHS policies and practices.
  

Credentials:

• LEAN or SSBB (Preferred)
• Certification in Six Sigma and LEAN methodologies

Education or Equivalent Experience:

• Bachelor of Arts or Science (Required) with Equivalent Experience of 5+ years Clinical lab experience •And Additional education and or training in Management or Lab Management , and 5+ years' Experience managing high volume clinical labs while meeting superior customer satisfaction expectations •And Knowledge of, and ability to manage, the general hazards encountered when working with potentially infectious materials, hazardous chemicals, radioisotopes and laboratory equipment