Compensation Disclaimer
Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.
Department: Revenue Cycle Administration
FTE: 0.05
PRN
Shift: Days
Position Summary:
Provide leadership and organization structure for accomplishing realistic, long-term and sustainable improvements and in the design and implementation of initiatives pertaining to new and revised legislation. Work with a broad range of community organizations, stakeholders and government agencies to provide information or support operational and strategic objectives of UNMH. Ensure operations are efficient, effective, and compliant with applicable federal, state, and county regulations. Ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment.
Detailed responsibilities:
* OVERSIGHT – Ensure monitoring and oversight processes are in place to measure, evaluate, and report on operations and activities pertaining to the MDC Health Services Domain; monitors data and key performance indicators to understand variables and implements corrective action when and where appropriate; analyzes data to make fact-based decisions and monitors variances to understand trends
* DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
* GRANTS - Administer or ensure administration of approved grants and contracts in compliance with Hospitals, HSC, and regulatory mandates as applicable
* COMPLIANCE - Review and assess changes in State/Federal regulations, policy, and/or operational circumstances; recommend development and/or modification of the organization's fiscal policies, procedures, systems, and controls relating to financial assistance programs including UNM Care Program and Native American Services
* BUDGET - Support CFO and CNO in the development of budgetary guidelines for behavioral health activities to support budgetary objectives
* STRATEGIC PLANNING - Develop long and short range plans in alignment with the overall strategic plan and evolving healthcare landscape; provides leadership in the design and implementation of new initiatives pertaining to new and revised legislation
* CONSULT - Consult with and advise Administration regarding legislation affecting financial operations
* PROJECTS - Support the CEO for projects including negotiations with Bernalillo County and Indian Health Services on the UNM Hospital Lease and Mill Levy, participation on the All Pueblo Governors Council and IHS quarterly workgroup related to the 1952 contract and other strategic projects
* DEVELOPMENT - Work with Bernalillo County and the City of Albuquerque for development of system of care for Behavioral Health
* LIAISON - Work with a broad range of community organizations and stakeholders including Albuquerque Chamber of Commerce as subject matter expert related to Behavioral Health system issues
* OPERATIONS - Meet with MCO payers on operational issues around payment, authorization, utilization management for both Behavioral Health and Physical Health operations
* FINANCE CONTROL - Direct and participate in the development of finance, accounting and other internal control policies and systems
* FUNDING – Coordinate State and Federal funding sources and ensure proper procedures are in place to ensure maximum reimbursement levels
* LIAISON - Represent UNMH as a Liaison to other areas of State Government as needed to provide information or support operational and strategic objectives of UNMH
* COORDINATE - Work with management in the development of FQHCs and other partnerships for delivery of care
* COORDINATE - Coordinate with internal, external, legal, and other representatives as necessary to implement strategic initiatives of the Health System as directed
Education:
Essential:
* Master's Degree
Education specialization:
Essential:
* Related Discipline
Experience:
Essential:
5 years directly related experience
Nonessential:
No preferred experience
Credentials:
Essential:
* Not Applicable/Not Required
Physical Conditions:
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Working conditions:
Essential:
* No or min hazard, physical risk, office environment
Department: Quality