Director of CHMG Hospital-Based Practices

Concord Hospital Health System•Concord, NH

About The Position

The Director of CHMG Hospital-Based Practices is accountable for operational performance of assigned provider groups, including Adult Hospitalists, Emergency Medicine, Pediatric Hospitalists, and Palliative Care. Reporting to the Chief Administrative Officer or designee, the Director partners with provider leaders through a dyad structure and collaborates with hospital and health system leaders to support patient access, throughput, quality of care, and patient experience. The position leads clinical, operational, financial, and human resources management for assigned practices. It advances efficiency without compromising quality or patient safety; supports system-wide patient flow and standardized workflows; manages performance against operational and financial goals; and ensures compliance with organizational policies and applicable regulatory and third-party requirements. The Director also oversees assigned managers and staff, supports provider recruitment and contracting, and helps sustain a work environment that attracts providers and employees.

Requirements

  • Bachelor’s degree and at least 10 years of related experience, or a master’s degree and at least 5 years of related experience.
  • Experience in nursing, hospital, or practice operations, including schedule management, registration, electronic medical record use, patient flow, billing, and referrals and authorizations.
  • Computer proficiency, including Word, Excel, and in-depth knowledge of electronic medical record and/or billing software applications.
  • Excellent written and oral communication skills.
  • Strong interpersonal skills and ability to handle difficult conversations effectively, listen well, and gain consensus.
  • Experience in planning and execution.
  • Knowledge of negotiations and change management.
  • Excellent critical-thinking and problem-solving skills.
  • Ability to express opinions openly and honestly and provide feedback in a timely and productive manner.
  • Ability to examine and re-engineer operations and procedures.
  • Strong budget, financial, and statistical analysis skills, including ability to interpret information for staff and providers.
  • Flexibility to accommodate changes in workload assignments and react calmly and effectively in stressful situations.
  • Ability to work within the organization’s defined values, mission, and vision.

Nice To Haves

  • Experience with Lean and/or Operational Excellence.

Responsibilities

  • Advance clinical and operational efficiencies without compromising quality or patient safety.
  • Lead strategic planning to improve access, patient flow, and care delivery.
  • Partner with nursing, care management, hospital operations, and provider leaders to support patient flow and throughput across facilities.
  • Lead short- and long-term planning for facilities, physician manpower, and operating and financial performance.
  • Be accountable for assigned CHMG practice operations and staff performance.
  • Partner with providers and administrators to define clinical metrics, monitor performance, and develop action plans to meet goals.
  • Oversee the business and clinical operations of assigned provider groups and specialties in partnership with physician leaders.
  • Identify opportunities to improve processes that support system-wide workflows and standardized operations.
  • Ensure adherence to CHMG and Concord Hospital policies and procedures.
  • Collaborate on hospital-based quality improvement projects to improve flow, care delivery, patient experience, and quality.
  • Address service concerns through conversations, review of performance expectations, and appropriate interventions.
  • Promote patient-centered care and shared ownership of patient outcomes and satisfaction.
  • Support successful implementation and ongoing adoption of the electronic medical record.
  • Ensure compliance with regulatory agencies and third parties, including CMS, DNV, OSHA, ACGME, and insurance companies.
  • Participate in developing operational and capital budgets, the capital approval process, and budget targets.
  • Investigate budget variances and develop mitigation plans; initiate operational improvements.
  • Monitor revenue targets, including visit volumes and Work Relative Value Units, and resolve issues affecting goal attainment.
  • Monitor expenses and take steps to remain within budget.
  • Develop action plans and communicate practice performance to providers and staff monthly.
  • Collaborate with leadership on revenue cycle management and ensure accurate, timely billing functions within the practice.
  • Directly supervise assigned managers and establish clear accountabilities.
  • Conduct subordinate staff evaluations and provide performance feedback throughout the year; submit information to Human Resources in a timely manner.
  • Ensure subordinate staff competency and coordinate training for practice managers in the assigned division.
  • Counsel subordinate staff on disciplinary matters and involve Human Resources appropriately in disciplinary actions and termination processes.
  • Recruit, interview, and hire personnel, including providers, as needed.
  • Participate in provider hiring, termination, and contract negotiations; contribute to benchmark development and analytics for productivity, quality metrics, and compensation; establish staffing ratios.
  • Assist with employment agreements and other practice contracts and present contracts to internal committees for approval as necessary.
  • Coach and mentor CHMG staff at all levels and hold managers accountable for staff development.
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