When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Reporting to the Highland Board of Directors and a designated Hospital Leader, this senior position is responsible for strategic planning and overall operations of Highland. Strategic planning responsibilities include physician retention and growth, leadership development and Board support, annual planning, oversight of the Business Support and Value-Based Entity programs, serving as the primary liaison and advocate with the senior team at Highland’s affiliated contracting and population health organization (Network), and as the primary contact with external professional advisors. The Executive Director assures that all governing documents are current and consistent with Highland’s strategic direction. Responsible for all planning aspects of Highland’s Annual Membership Meeting and the annual Board of Directors elections. Assures that Highland members are well-informed of contracts, services, requirements, and other matters through ongoing meetings, written communications, and the Highland IPAConnect website platform. Negotiates non-network payer contracts on behalf of the Highland physicians and other members. Develops the operating budget, monitors revenue and expenses, and oversees risk payer settlement distributions. Personnel management includes three Managers, among other staff. Serves as the Privacy Officer of the company
Job Description:
JOB FUNCTIONS
1. Strategic Planning – Responsible for:
- A. PCP membership stability (retention) and PCP growth
- B. Leadership development and succession planning, in collaboration with Highland Board of Directors and its Executive Committee.
- C. Board of Directors and Executive Committee support, including all aspects of meeting preparation and follow-up.
- D. Developing the Annual Planning document, in collaboration with the Managers.
- E. Oversight of the Highland Business Support Program including adding new value-added services and coordinating launch programs.
- F. Oversight of the Highland Value-Based Entity (VBE) Program including regulatory, financial and operations oversight of the VBE Program.
- G. Development of new innovative programs, as needed, to support Highland practices.
2. Primary Liaison with Affiliated Contracting Organization/Population Health Network (Network)
- A. Responsible for ongoing general communications, problem solving, and private practice advocacy, serving as the Highland “voice” for our practices
- B. Negotiates Network Affiliation Agreement and infrastructure funding.
- C. Committee and work group representation could include Growth, Funds Flow, Contracting, Pediatric Governance, Network Policy Review, and Administrator Meetings.
- D. Explore and develop new Network affiliation, as necessary, in collaboration with the Board of Directors and its Executive Committee including Request-for-Proposal (RFP) development and process oversight, and Black Box Analysis of financial arrangements
3. Winchester Highland Management (HM) Oversight and Collaboration – Includes the
joint supervision of the HM Manager with the designated Hospital Senior Leader. Assist, as
needed, with annual budget development and renewal of insurance policies. Hold weekly
collaborative meetings with the Managers. Serve as HM Privacy Officer.
4. Finance and Insurance – Responsible for:
- A. Development of the annual Operating Budget for Board approval. Monitor changes in revenue and expenses, reforecasting the budget, as needed.
- B. Oversight of internal Accountant
- C. Annual insurance renewals (Directors & Officers, Errors & Omissions, Cyber, Property, and Workers Compensation)
- D. Lease Renewal, as needed. Responsible for maintenance of physical office space.
- E. Risk Contract Funds – Development of Funds Flow Mechanics and oversight of settlement funds distributions.
5. Governing Documents
- A. Develop and maintain Highland’s By-laws, Clinician Services Agreement (CSA), and
organizational policies such that these governing documents are current, internally
consistent and reflective of both Highland’s strategic direction and applicable Network
documents.
- B. Assure that Highland Board and Executive Committee actions and decisions are aligned
with these organizational documents.
- C. Collaborate with Legal Counsel and the Highland Board of Directors on any necessary amendments to the By-Laws and CSA. Responsible for the planning and oversight of the amendment processes.
- D. Organizational Policies – develop and update policies, as needed.
- E. Annual Conflict of Interest (COI) and Non-Disclosure Agreements (NDA) – renew COIs and NDAs annually for Board of Directors, Medical Directors, Committee Members, and
- management staff. Raise any discrepancies with these policies and agreements with the Board of Directors or its Executive Committee.
6. Payer Contracting
- A. Negotiate and renew non-Network Payer Agreements assuring adequacy and fairness of physician, other clinician, and Highland reimbursement for services provided.
- B. In collaboration with Legal Counsel, assure that contract language is fair, reasonable, and consistent with applicable regulatory requirements.
8. HIPAA Privacy Officer
As the HIPAA Privacy Officer for Highland and HM, responsible for Privacy & Security
Policies; staff training; Business Associate Agreements; collaboration with Security
Officer/Consultant, BILH Privacy & Security Team, and Privacy & Security Legal Counsel;
and, breach response, as necessary.
9. Serve as Primary Contact with External Advisors – includes Legal Counsels, Tax
Accountant, and Security Consultant.
10. Annual Membership Meeting and Elections
- A. Responsible for planning and oversight for the Annual Membership Meeting including
setting the agenda, coordinating with internal and external outside speakers, and preparing
the presentations and talking points for Highland presenters.
- B. Annual Board Elections – Coordination and oversight of the Nominating and Elections
Processes consistent with the Highland By-Laws.
11. Personnel Management – Responsible for interviewing, hiring, disciplinary action as
necessary, training and coaching for assigned staff.
QUALIFICATIONS:
Education
Required: Bachelor’s degree
Preferred: Master’s degree in Business, Healthcare Administration, or related field
Experience
Required: At least 7 years of progressively responsible related experience, including personnel management
Preferred: 10 years of progressively responsible related experience
Other Skills/Knowledge
Required: Demonstrated passion for the private practice of medicine, strong customer service skills, well-developed verbal and written communication skills, and capacity to advocate and negotiate with tact, diplomacy and conviction.
Preferred: Contracting with payers and contracting organizations, Physician retention and growth
OTHER JOB REQUIREMENTS:
Professional Commitment Requirements: N/A
On-call Requirement: N/A
Schedule Requirements: Generally, Monday through Friday business hours.
Flexibility with early morning or evening meetings required. Hybrid remote and in office model.
Travel Requirements: N/A
REPORTING RELATIONSHIPS:
Reports to the Highland Board of Directors and its Executive Committee, and a designated senior leader at the Hospital. Current direct reports are:
• Quality & Performance Improvement Manager
• Provider & Payer Relations Manager
• EMR/HIE Manager (co-management role with the Hospital)
• Internal Accountant
• Website and Operations Coordinator
• Administrative Assistant
PHYSICAL AND MENTAL REQUIREMENTS/CONDITIONS
- The employee needs to have the physical and mental abilities to perform the duties of the position listed above using the WE CARE behaviors.
- The list below is intended to describe the physical and sensory ability requirements of the position; however those requirements may vary, sometimes considerably, based on meeting patient and operational needs.
WE CARE COMMITMENT
When patients enter Winchester Hospital, they are entrusting us with a responsibility that is otherwise normally their own –the responsibility for their health, well-being, and often, their lives. To honor that trust, all Winchester Hospital employees are expected to demonstrate the WE CARE behaviors of Winchester Hospital in every encounter with patients, coworkers, and the community. WE CARE is an acronym for the following:
Wellbeing – We provide a health-focused workplace and support a healthy work-life balance.
Empathy – We do our best to understand others’ feelings, needs and perspectives.
Collaboration – We work together to achieve extraordinary results.
Accountability – We hold ourselves and each other to behaviors necessary to achieve our collective goals.
Respect – We value diversity and treat all members of our community with dignity and inclusiveness.
Equity – Everyone has the opportunity to attain their full potential in our workplace and through the care we provide.
All Winchester Hospital employees are expected to exemplify the WE CARE behaviors Winchester Hospital leaders are also expected to reinforce the Hospital’s WE CARE standards by coaching staff and if necessary taking corrective action.
Pay Range:
$185,000.00 USD – $220,000.00 USD
The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
