Vice President Ambulatory Finance

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Vice President, Ambulatory Finance
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Durham, North Carolina
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Vice President, Ambulatory Finance
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Details
Posted:
24-Feb-22
Location:
Durham, North Carolina
Salary:
Open
Categories:
Operations
Internal Number:
179166
POSITION SUMMARY
The Vice President, Ambulatory Finance will be a dynamic, innovative thought leader with high levels of visibility. H/she will be responsible for managing the financial stewardship of Ambulatory and Network Expansion, including all current and future DUHS off-campus, non-hospital based ambulatory facilities. In addition, this role will serve as the Divisional Chief Financial Officer for Duke Primary Care and act as a critical member of the DUHS finance team. This role will provide ongoing financial leadership for executing the DUHS ambulatory expansion strategy as part of the Enterprise Strategic Plan. Duties include developing robust economic models supporting the organization's defined priorities and initiatives. This position will ensure the ongoing financial success of a full range of clinical services, including local, community, and regional sites. Additionally, the Divisional CFO will be responsible for the provision of financial services and management to enable DUHS to achieve its strategic objectives in compliance with legal and regulatory requirements.
The Divisional CFO will be responsible for the overall performance of Ambulatory and Network Expansion for DUHS and all aspects of fiscal management; including the development of budgets and key financial reporting indicators as new sites are integrated into the ongoing operation. Performance to the initial business plans will be a critical component of this work. Collaboration with key health system leaders is vital, including as appropriate, the Hospital Presidents, the DUHS Vice President of Administration, the Strategic Planning Office, the President for Diagnostic Services, and other leaders as required.
The finance team members with a direct reporting relationship to the Vice President, Ambulatory Finance DUHS and Divisional CFO, Duke Primary Care include:
Director of Finance, Ambulatory Network Expansion
Director of Finance, Diagnostic Services
Director of Finance, Duke Primary Care (2)
The development of this new role will require the candidate to develop a business structure to accommodate the completion of the responsibilities in this new role.  It is anticipated that additional leadership roles will be developed.
KEY DUTIES/RESPONSIBILITIES
The Divisional CFO/Vice President, Ambulatory Finance has primary financial responsibility for advising management on all aspects that impact the success of the off-campus, non-hospital based ambulatory operations. Specifically, this individual will focus on the ambulatory expansion strategy to ensure that DUHS is well-positioned to deliver the highest quality, patient-centered care, with an emphasis on care integration and optimization and the ability to extend its reach locally, regionally, and nationally. As such, the ideal candidate will work with executive leaders and other stakeholders to develop strategies, define tactics, and validate assumptions and timelines, and financial models for strategic investments.
Ongoing Support:
Collaborate with the DUHS Senior Leadership team to understand expansion strategies and opportunities. Manage and develop capital and operating budgets to support these expansions.
Develop financial reporting and analytics to facilitate senior management's assessment of the overall return on investment and the impact of value-based performance.
Identify opportunities to provide patients with the most clinically appropriate, lowest-cost care setting. This will require intentional collaboration with physician partners and operations leaders across the entire enterprise.
Work in concert with Performance Services to understand productivity and labor costs.
Align with the Population Health office on initiatives and other special projects with a financial and/or strategic focus.
Work closely with the Patient Revenue Management Organization, Compliance Office, and Reimbursement teams to ensure the appropriate establishment of revenue capture processes.
Coordinate with finance leaders as appropriate. Identify revenue enhancement and cost containment opportunities to improve financial performance emphasizing value and quality.
Facilitate the development of a Capital Plan for integration into the DUHS long-term financial and capital planning process. Provide insight into the rationale and expected community impact of these sites.
Work in alignment with the Financial Decision Support team and Cost Accounting team to facilitate the ability to look critically at the services rendered in an ambulatory setting and provide timely, helpful financial reporting.
Provide oversight for financial and analytical support for Duke Primary Care provider compensation models. Facilitate annual rapid cycle improvement events. Supervise compliance and payment audits and ensure incentives and targets are aligned.
Provide direction to the team reporting to this role, including the management and approval of performance management, paid time off, and promotion.  Foster an environment that promotes growth and rewards innovation, process improvement, and enhanced analytics.
Commit to cultivating a talented and diverse team by encouraging a positive, inclusive work culture that supports creativity, innovation, and progression.
Introduce and support innovation and adapt to changes in the health care delivery environment, including the evolving payor and regulatory landscape.
Partners with the CFO and other executive members in providing leadership, vision and engagement of key constituency groups to support the execution of and achieve strategic business objectives.
Instills a culture of accountability. Establishes metrics and monitoring systems that maintain accountability and manage risks.
Arranges systems, functions, and resources within span of control to maximize quality of care/high patient satisfaction and/or efficient operations; utilizes measurements of quality and productivity to evaluate staffing and systems, while ensuring continuous quality care, patient access, customer service excellence, and enhanced profitability.
Ensures financial success of ambulatory services through budget planning, monitoring, oversight of billing procedures/collections/reimbursement, monitoring of overhead and equipment maintenance, development of cost containment/reduction strategies and other components of the revenue stream for areas managed.
Leads, collaborates on and approves all business plans developed within the ambulatory enterprise.
Monitors the financial and capital resources of the ambulatory network; reviews and presents findings to management, the Board and others.
Proven track record of being a strategic thinker, creative, innovative, and execution focused turning ideas into measurable meaningful results.
Acts as a key contributor to the leadership team responsible for the development of team members and the creation of an accountable and supportive culture where employees are engaged and contributing to the overall success of the organization.
Builds consensus across various constituencies and achieves results through the effort of others.
Serves on key committees and builds positive working relationships and develops effective lines of communication with executives and other applicable staff both internally and externally to Duke Health.
PROFESSIONAL EXPERIENCE/QUALIFICATIONS
10 years of progressive experience in health care finance or business related role.  Preference is for experience in a growing Ambulatory Services division within the health care industry and knowledge of complex health care organizations.
Strong financial operations expertise (budgeting, revenue cycle, capital planning, forecasting, facilities, leasing, etc.).
Value based care; risk-based experience, including CON experience.
Strong interpersonal and problem-solving skills, communication, organizational skills, and management experience are required.
The ability to lead and engage multidisciplinary teams and communicate well across different perspectives will be vital to the success of this role.
The ideal candidate will possess the ability to effectively weigh in on critical decisions by applying sound judgment, reasoning, and resolution.
Strong skills in interpersonal interaction, public speaking, knowledge of healthcare finance, high integrity, sound judgment, attention to detail and teamwork.
Assures a work climate of collaboration, creativity, innovation, and accomplishment for system-wide objectives.
Comprehensive knowledge of healthcare and physician finance and accounting as well as healthcare market and physician operations.
Superior ability to lead, facilitate, coach, mentor, and manage to achieve an outstanding track record of operational excellence in all finance areas.
Comprehensive knowledge of healthcare financial planning and management and healthcare strategy and implementation.
Possesses excellent oral and written communication and presentation skills.
Ability to create a work climate of collaboration and community.
Strong analytic ability in preparing proposals, reports, evaluations, assessments, and recommendations.
Ability to maintain productivity and resources within established goals.
Demonstrated experience in providing financial leadership in a health care delivery system.
Personal Attributes
Maintain personal and professional values consistent with organizational values, carried out through a commitment to excellence and respect.
Demonstrates by personal leadership and action full support and commitment to integrity in all business transactions and relationships.
Has a charismatic and engaging personal style that draws people to the individual; emphasizes openness, visibility and approachability. Conveys the organization's mission and goals through enthusiasm, confidence, and creating excitement in others. Must be able to interact with people in a meaningful way at all levels within the organization.
A self-motivated person who holds people accountable but also encourages creativity and the free exchange of ideas. Can empower subordinates, is humble and enjoys giving credit to others so they can shine.
Action-oriented and results focused through strategic thinking and creative problem-solving.
Is a leader and consensus builder with a participatory, collaborative management style, respecting the dignity of all individuals. Is a mentor/coach who uses a team approach to motivate others to achieve their potential.
Demonstrates planning and organizational skills, with an ability to establish a strategic direction and subsequently outline initiatives and develop priorities in support of that vision.
Executive level qualities relative to emotional intelligence, forthright demeanor, self- confidence, self-initiative, diplomacy, creativity and a positive approach. Has a good balance of humor and optimism.
Embraces diversity and safeguards the dignity and respect of each individual.
EDUCATION
Bachelor's degree required. A Master's degree (MHA and/or an MBA and a degree in finance or accounting) is preferred. A CPA preferred.
COMPENSATION
A competitive package including base salary and annual bonus.
korn ferry contacts
Tom Giella
Vice Chairman, Healthcare Services
Chicago
312-375-0629
****
Susan Streeter
Managing Associate
Chicago
847-277-0379
****
Sheri Yess
Senior Executive Assistant
Chicago
312-526-0599
****
Reena Pa****
****
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
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