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  • Miami, Florida, Job Summary Develops, maintains, and enhances mechanisms to track, trend, and report Accreditation and Regulatory Compliance measures and reports. Uses proactive data analytics to advise of potential regulatory risks. Assists and/or leads in the preparation and coordination of efforts related to major accreditations, major certifications, and multiple regulatory agency surveys. Supports the Accreditation and Regulatory Department in maintaining a constant state of readiness for all surveys and continuous process and quality improvement needs in order to meet regulatory compliance. Maintains knowledge of standards, updates to standards, compliance of regulatory requirements through comprehensive analysis, documentation, reporting of data, and summarizing.   Job Specific Duties Analyzes data collected in organization related to survey activities and serves as a resource. Reviews, monitors, and analyzes data. Serves as a resource for interpretation of state, regulatory, accreditation, and disease-specific care certification standards (as applicable) in relation to system wide policies and practices. Promotes a standard and effective approach to ensure the organization is continually ready for all regulatory and/or accreditation surveys. Assists the Accreditation & Regulatory team during all surveys, inspections, and audits. Analyzes Environment of Care data/concerns and other quality/process improvement concerns related to state, federal, and national accreditation surveys. Evaluates corrective action plans as needed to ensure sustainability. Performs routine audits and tracers to assist in determining compliance with accreditation and regulatory requirements. Assists in tracking, trending, reporting issues, and monitoring Accreditation & Regulatory tracker data by accreditation standards. Completes audits and projects as assigned by Accreditation & Regulatory Dept. Actively participates in system wide or department specific preparation for accreditation and regulatory audits and surveys by creating and maintaining compliance roadmaps as assigned. Supports the creation, analysis, maintenance, and reporting of all Corrective Action and Preventive Action (CAPA) and ISO Assurance Audit items for NCHS. Minimum Job Requirements Bachelor's Degree Healthcare or related field 3-5 years Experience in healthcare/hospital, outpatient and urgent care centers, multi-location physician office practice, and/or ambulatory surgery center settings 1-3 years Experience in project management and analysis 2-4 years Experience with at least two Accreditation Surveys (DNV, TJC, AAAHC, etc.), as well as, other regulatory agencies where you served as a lead, scribe, and/or escort Knowledge, Skills, and Abilities Master's Degree preferred. 3-5 years hospital experience preferred. Accreditation & Regulatory experience preferred. Previous experience in quality review, analysis, and reporting, as well as, quality background. Working knowledge of state, federal, and national accreditation standards in a hospital or healthcare related field. Excellent oral and written communication skills. Strong problem solving, organizational, and data management skills. Analytical and statistical abilities. Advanced knowledge of Microsoft Excel and Word; prefer experience with database management and Microsoft Access. Ability to meet constant, competing, and changing deadlines. Attention to detail and time management skills.
  • Waldo / Pen Bay, Maine, Maine Medical Partners, an affiliate of Tufts University School of Medicine, is seeking candidates for a Medical Oncology Leader to join the MaineHealth Cancer Care Network providing not only treatment but supporting MaineHealth's continuing efforts in cancer prevention and education.  Lead the operations of the practice to ensure quality of care, patient safety, patient, provider and employee satisfaction and efficient use of resources.   Address the needs of the clinicians and staff in the center and satellite practices while aligning individual efforts with the mission, vision, values, strategic goals and organizational aims of Maine Medical Partners.  Oversee the practice and associated satellite practices working collaboratively with administrative leadership.  Embrace responsibility for the continued transformation to Patient Centered, convenient care.  Supreme candidates will have excellent communication, decision making and dealing with conflict skills as well as being open and professional Ideal candidates will be a board certified MD/DO with at least two years experience in medical leadership. Additional training in management is a plus but not required.  The MaineHealth Cancer Care Network is a coordinated system of care in which 11 MaineHealth partner hospitals and organizations work together to deliver the highest quality cancer care to patients as close to home as possible.  Many Choose to Spend Their Vacations Where We Call Home... Known for its rocky coastlines, sandy beaches, sparkling lakes and breathtaking mountains, Maine offers much more to those lucky enough to live, work and raise families here.  Come practice in a location that provides unsurpassed natural beauty, safe communities, excellent schools and nearly unlimited four-season outdoor recreation.  For additional information, please contact:  Paul Smallwood 800-467-3737 executivejobs@enterprisemed.com PS-2002-84369
  • Brewer , Maine, The Director of Risk Management will be responsible for providing leadership and executing strategy across Northern Light Health and its affiliates by leading and supporting Risk Management Professionals (RMPs) toward consistent best practices, including: pro-active surveillance, risk assessments, reporting and investigation of actual and potential events, as well as education of employees and medical staff on risk management related topics. S/he will be responsible for the design, utilization and oversight of an identified risk information management system (RIMS) creating and maintaining standards and processes for the electronic documentation and management of events from initial intake through investigation and to closure. S/he will seize opportunities to implement innovative ideas; take initiative to deliver results beyond the status quo; and adapt to changing circumstances by maintaining flexibility.   The Director will support the VP of Risk Management & Patient Safety in prioritizing the ongoing development, implementation, evaluation and coordination of the Northern Light Health Risk Management program with an objective of controlling and minimizing professional and general liability (PL/GL) claims, as well as participating in loss prevention, safety and quality improvement activities. S/he will employ the five principles of a High Reliability Organization (HRO) in their leadership and support a just and safe culture.   Job Functions and Duties:   1) Direct the Northern Light Health Risk Management Program. Assist with recruitment, training, development and evaluation of RMPs. Effectively collaborate with member organization RMPs and third-party administrators (TPA) to complete risk assessments and develop plans for controlling risks identified. Develop and monitor system trends and event triggers of actual or potential adverse events to prompt an investigation, analysis, development of risk mitigation strategies while identifying potential liability or legal action. Develop and conduct presentations for various audiences to demonstrate event trends and risk management program plan, progress, and accomplishments in conjunction with VP of Risk Management. Oversee and assist with efforts to coordinate risk related system policies to ensure consistency and standardization while maintaining each member organizations autonomy when applicable. Contribute to developing systemwide tool and processes to support and educate on event management and investigation for all audiences, including: RMPs, employee safety/human resources, clinical engineering, facilities, inpatient and outpatient managers, frontline staff, and more. Develop and support harm & severity methodologies to allow for risk analysis, prioritization, and risk reduction strategies systemwide. Encourage and supports HRO principles: a. Preoccupation with Failure b. Reluctance to Simplify c. Sensitivity to Operations d. Commitment to Resiliency e. Deference to Expertise ? Support all efforts related to the Enterprise Risk Management program at Northern Light Health, as required.   2) Direct the internal and external processes related to PL/GL claims management and represent NLH's values and priorities. Coordinate or conduct investigation, evaluation, management and resolution medical professional liability claims against physicians and other healthcare providers with which the company may contract with or employ. Interact effectively and appropriately with various parties involved in an adverse medical event. Facilitate the investigation of each reported incident/loss claim to obtain data necessary to create an event in a claims database and effectively manage the claim. Direct the claims review and reserve process to ensure adequate communication of new cases and adverse developments and timely reserving practices. Independently assess anticipated claim expense and indemnity payments to recommend valuation to VP of Risk Management & Patient Safety and/or General Counsel. Effectively collaborate with outside counsel on status of cases and strategic recommendations regarding case management. Participate in mediation, panel hearings and trials of assigned claims. Proactively resolve claims within established guidelines and/or authority levels. Review outside counsel bills to ensure appropriateness of fees and expenses. Assist VP of Risk Management & Patient Safety on claims presentations to claims review committee and senior management. Assist VP of Risk Management & Patient Safety in responding to inquiries from insurance carriers and outside auditors. Assist VP of Risk Management & Patient Safety in managing the company-wide loss data.   3) Support RMPs at each Member Organization in all matters related to Risk Assessment, Identification, Analysis, Response (Treatment), and Evaluation (I.A.T.E.). Oversee and support RMPs with risk surveillance, identification, and timely communication of serious and reportable events to executive management, quality, compliance, legal, department chiefs, and public relations to ensure regulatory compliance with State, Federal, and accrediting agencies. Develop tools & education; standardize processes; provide support and training, and oversee performance and compliance to support Risk Management Professionals across the system in the following risk processes: Risk Surveillance Methods RIMS Event Workflow Event Investigation Risk Mitigation Strategies. Interact effectively and appropriately support and guide various parties involved in adverse medical event investigations. In conjunction with System Risk Manager and business owner of incident reporting system, collaborate with key stakeholders on the development and expansion of the system to support the strategic goals of Northern Light Health. Review event workflow effectiveness with RMPs and collaborate to remove barriers to ensure all events are given the attention required in a timely manner to support Northern Light Health event management principles. Education and Experience: Bachelor's Degree; Master's degree preferred. Minimum 10 years of experience as a licensed clinical professional and 5 years in healthcare risk management; or 10 years in healthcare risk management. Certification in Healthcare Risk Management required. Training in Lean, Six Sigma or other performance improvement programs preferred. Computer experience using Microsoft Windows and Microsoft Office software products required, with strong skills with Excel and Visio. Experience and understanding the integration of software systems, technical design/build processes, and reporting features associated with electronic health records, incident reporting systems, and/or other databases. Experience facilitating, performing, and/or participating numerous event investigations and root cause analyses. Experience creating and managing projects or work plans including meeting facilitation, tracking progress, and meeting deliverables/milestones on time.   Knowledge, Skills, and Abilities: Advanced computer skills with excellent typing skill and efficient use of Outlook, Excel; Word a must and preferred experience with Visio and Microsoft Project. Exceptional communication skills, including oral, written, and presentation skills with the ability to translate complex concepts into layman's terms to meet the audience's needs. Exceptional analytical, organizational, decision making and problem-solving skills. Strong documentation skills with high attention to detail. Exceptional time management, organization and prioritization skills including the ability to create and manage project plans. Able to analyze and assess processes, including current/future state and gap analysis. Able to analyze data to identify trends and validate the data integrity such as ensuring the data accurately represents its intended goal. Able to build positive relationships and partnerships and work collaboratively with people and teams throughout the company and with external parties. Professional and tactful negotiation and persuasion skills to influence other's opinions and decisions without express authority.   Working Environment: Busy office environment, seated at a desk, with option to stand, for extended periods of time. Work involves daily use of a computer and telephone. Some travel is expected to member organizations and for professional development. Interaction with colleagues via video and telephone conference calls required.   Equal Opportunity Employment We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status. Physical Requirements: Sedentary work requiring good manual dexterity for keyboarding. Work requires repetitive motions of wrists, hands and fingers. Must have correctable vision to work with a computer monitor, excellent hearing and listening skills to receive and give detailed information through oral communication. Extended periods of sitting, with option to stand, at computer. Some travel to Member Organizations. Ability to communicate in person and over the telephone; to effectively speak publicly; to work independently and in team environments; to work under pressure with precision and accuracy; and to handle multiple projects simultaneously. *Note: the list of duties above reflect the majority of the duties of this job and does not, nor is it intended to, reflect all duties that may be required for an incumbent in this job to perform.  
  • Long Beach, California, JobDescription The Application Data Analyst supports operational processesand internal process improvement initiatives to advance the reliability of careand outcomes across the health system. Under the guidance of the Manager ofPhysician Quality & Patient Safety, the Application Data Analyst willinteract with executive management and other key management staff, teams ofclinicians, support department staff and peer review coordinators. TheApplication Data Analyst identifies and supports areas of analytical focus forthe organization's quality of service, care delivery performance, and evaluationof potential areas of opportunity and risk. The Application Data Analystcreates and utilizes internal analytical tools/data sets (e.g. risk data,claims data, financial data, clinical/provider data) to produce meaningfulreports for key stakeholders' interpretation and dissemination.   Essential Job Functions Participates with medical staff leadership and physicians/clinicians to identify and facilitate implementation of best practices and enhancements to processes or stands to support mitigation of risk and improvement of quality. Produces reports and presentations on quality and conducts drill down analysis to proactively identify specific variance in practice patterns. Works collaboratively with report requestors, providing guidance to define repot requirements and validate results. Functions as a workgroup or team leader for portions of large and/or entire small projects, including system/practice implementation, service line quality initiatives, and re-engineering of current processes. Participates in the education and training of physicians & staff related to applications (Crimson) and analysis /coordination through on-the-job instruction, and formal training programs. Identifies opportunities for operational inefficiencies and collaborates with QA leadership for implementation. Uses Lean principles in work processes. Works collaboratively across departments to understand and meet the organization's clinical quality analytic needs. Coordinates and provides on-going technical support and training to physicians and management. Meets productivity and timeline targets and uses tools to track activities and timelines. Ability to rearrange work schedule to accommodate department meetings/medical staff committees. Performs other administrative duties as assigned.
  • San Antonio, Texas, Reporting Relationships The Chief Financial Officer reports directly to the Chief Executive Officer of the facility. The following positions typically report to the Chief Financial Officer: Business Office Manager, Information Systems, Controller, Health Information Management (including Coding), and Materials Management. Responsibilities The Chief Financial Officer has responsibility for safeguarding the facility assets and ensuring the financial statements, including the books and records, are prepared and maintained in accordance with GAAP. The Chief Financial Officer is also responsible for ensuring compliance with company financial and accounting policies and procedures and also ensuring internal controls are effective in both design and operation, including the routine monitoring of controls. Additionally, the Chief Financial Officer is a key member of the Facility A-Team and, as such, participates in establishing and implementing strategic business plans for the facility. He/she is a key member of the facility management team that interacts and communicates on a regular basis with an array of internal and external constituents, including various regulatory bodies. The Chief Financial Officer has responsibility for the identification and independent assessment of financial risk, establishing and monitoring of mitigation plans, and for the communication of financial risk and opportunity to the Regional Chief Financial Officer and Facility Chief Executive Officer. The Chief Financial Officer is also responsible for the monitoring of financial performance and the maintenance of reasonable and appropriate financial plans and forecasts. The Chief Financial Officer must have strong business acumen in order to work collaboratively and effectively with home office departments, such as Compliance, Home Office Accounting/Financial Reporting, Information Systems, Internal Audit, Legal, Treasury and other departments that provide support services to the facility. The Chief Financial Officer is responsible for the monitoring of the revenue cycle process and, along with other revenue cycle stakeholders, the improvement of the revenue cycle process through rate setting, charge capture, managed care negotiations, and cash collections. The Chief Financial Officer is also responsible for the evaluation and management of investments in capital projects by applying unbiased scrutiny in determining the financial impact and ROI of such projects and managing the capital spend in accordance with the capital cash flow projections. As such, the CFO�s responsibilities are to: Analyze daily operating results to ensure that revenues, expenses, and labor are within budgeted objectives; advise department heads and administration of needed changes and improvements in a timely manner. Establish and maintain sound financial controls and record keeping; approve financial expenditures up to the level established by the CEO. Keep abreast of government regulatory requirements and the rapidly changing reimbursement environment to develop and implement changes to policies and procedures as needed. Ensure that the financial operations of the facility are carried out in an ethical, responsible manner. Establish and monitor the annual operating budget according to sound budgeting principles and home office guidelines. Interface with Human Resources and other appropriate departments in the preparation of work force plans and salary and benefit proposals. Evaluate the facility�s overall financial position and prepare periodic financial and operating reports. Provide consistent and accurate financial, accounting and reporting processes throughout the facility. Prepare financial forecasts and monitor performance versus budget; consolidate results, prepare rolling 90-day forecasts, and develop and implement cash management controls. Coordinate with other senior members of the leadership team in the development of major strategic and financial plans, including capital expenditure programs. Review, evaluate and ensure the effectiveness of all financial and accounting systems in the facility. Direct the development and implementation of new systems, policies and procedures as required. Assist in the development of new business by analyzing the feasibility of new programs, including managed care contracts, and advise management of the financial prospects. Attend promptly to the administrative details of the position including the signing of documents, preparation of reports, completion of performance appraisals and other employee-related actions. Compensation A competitive compensation program will be tailored to the selected candidate. Base salary will be supplemented by a performance bonus and comprehensive, well-rounded benefits program, which includes relocation assistance. Travel Minimal. Qualifications: Education/Certifications A Bachelor�s degree in Finance or Accounting is required. An MBA, MHA and/or CPA designation is preferred. Required Background Experience At least ten years of progressive financial healthcare or equivalent experience in the areas of general accounting; operations; financial systems; financial statement preparation; review and analysis; multi-discipline management experience; and ethics. Good organization skills with the ability to prioritize work load and successfully manage all financial activities. Resilience to working successfully under pressure. Ability to convert complex finance, operational, and compliance issues into terms and concepts that are easily disseminated throughout all levels of the organization. A referenceable track record in facility finance, defining the issues and making the decisions to generate improved financial performance. Participation, as well as supervisory experience, in negotiating managed care contracts. Substantial financial management experience including financial operations, strategic and financial planning, contracts, reimbursement, budgeting and capital financing in a complex environment. A thorough understanding of healthcare trends with the ability to anticipate opportunities. Successful experience as a Chief Financial Officer in a highly competitive market. Professional Attributes A cooperative approach to problem-solving with the capability of building consensus and support, working across functional lines to engage disparate resources to work together to achieve desired results. A broad financial thinker and team player who works well with ambiguity and is able to transfer the vision/mission of the organization into a focused financial strategy and detailed practical plan for the future. An intuitive thinker who generates ideas and recommends new and/or modified approaches. Personal Attributes An individual of highest personal and professional integrity, principle and knowledge, earning respect and support when making difficult decisions and choices. Able to establish immediate credibility with peers, senior leadership, and medical staff. Must listen actively and accurately, encourage input from others. Provide clear directions. Maintain an ongoing dialogue with employees to ensure continual progress. Someone with the ability to work collaboratively with individuals critical to the successful execution of financial tasks. Excellent oral and written presentation skills. Articulate, good conversationalist and possessing a gracious demeanor. Job: Executive Search Primary Location: San Antonio, Texas Facility: Tenet Executive Search Job Type: Full-time Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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