Chief Administrator, MGB Heart Institute
Mass General Brigham

GENERAL OVERVIEW:

Under the leadership of the MGB SVP for Operations (SVP) and the MGB Executive Director of the Heart and Vascular Institute (ED), the Chief Administrator of the MGB Heart and Vascular Institute (CA) serves as the senior administrative executive for all cardiovascular services across the health system, and has administrative oversight of all cardiology, cardiac surgery, and vascular and endovascular surgery divisions throughout MGB. The CA serves as the executive partner to the department/division chairs/chiefs in their leadership of, and pursuit of excellence in, the quadripartite mission of clinical care, biomedical research, education, and community service within their respective departments. Across MGB more than 300,000 cardiovascular ambulatory visits are provided, and 30,000 cardiac and vascular surgeries and procedures are performed annually.

The CA collaborates directly and continuously with the MGB hospital department/division chairs/chiefs and jointly supervises the departmental administration which manages the day-to-day clinical, research, and education program operations. In addition, the CA is responsible-directly, or in partnership with senior leader colleagues - for a number of ongoing, broad organizational requirements, including:

• Ensuring that competent, efficient, and coordinated patient care is uniformly provided to patients in ambulatory, inpatient and community settings;

• Ensuring that all educational programs meet institutional and outside regulatory requirements;

• Ensuring that all research initiatives are appropriately supported;

• Directing and developing the organization of services and programs within the HVI;

• Managing all operating and capital budgets within the purview of the CA;

• Leading the management team within the CA's enterprises toward attainment of identified short- and long-term goals and objectives;

• Advancing MGB's commitment to diversity, equity, and inclusion;

• Executing strategies and plans designed to achieve MGB's strategic objectives; and

• Collaborating with other institutional leaders to meet MGB strategic goals and objectives.

Reporting to the SVP and ED, the CA is ultimately accountable for the overall administrative and strategic leadership, operating results, and financial performance of the applicable areas, and serves as a leader across MGB.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Leadership

• In partnership with the ED, determines the overall vision, mission, direction, goals, and objectives of the MGB Heart and Vascular Institute.
• Facilitates the strategic planning process, informed by market research and competitive analysis, designed to address patient need/demand and relative gaps and strategic opportunities for the system.
• Ensures development and implementation of strategies and tactics that are aligned with achieving MGB's long-term goals.
• In partnership with the SVP, ED, and MGB physician and administrative leadership, supports and helps lead the initial establishment and integration of the MGB Heart and Vascular Institute.
• Serves as one of the principal architects of the MGB Heart and Vascular Institute, including unification of the BWH and MGH departments for those departments which reside within the CA portfolio.
• In coordination with MGB leadership and the hospital presidents and COOs, oversees development and implementation of a plan to horizontally integrate most activities and structures that are relevant to the MGB Heart and Vascular Institute.
• Works collaboratively with the SVP, ED, and the entire MGB leadership team to establish MGB Heart and Vascular Institute as a national and international leader in cardiovascular clinical care, research and innovation, and education.
• Identifies areas of synergy between the MGB Heart and Vascular Institute and system sites that would foster academic excellence, scientific creativity, and clinical quality.
• Ensures healthy and collaborative administrative relationships across MGB. Conducts regular rounds across all MGB Heart and Vascular Institute sites to engage with team members and encourage change when necessary.
• Develops and implements systems and procedures consonant with MGB's policies. Assesses administrative and financial needs and revises policies and procedures to meet changing needs.
• Serves as a critical leader in MGB's Enterprise Asset Management efforts - leading performance improvement initiatives, presenting data and trends, and working to optimize volume, utilization, and year-over-year performance.
• Ensures that monitoring systems are in place to track compliance with all applicable accreditation, regulatory, and legal requirements.
• Identifies and develops leading practices and higher degree of standardization in the approach, tools, methods, reports, and analysis to support the various strategies and business needs.
• Provides leadership and serves as a point person for Heart and Vascular-related joint ventures, affiliations and partnerships that will support or advance the institute.
• Develops effective, clear, and precise methods of communicating with the SVP, the ED, and with cross-system physician leaders, faculty, and staff on a regular basis.
• Keeps current regarding trends and developments in the healthcare and Heart and Vascular fields.
• Serve as a representative of the organization if/as requested.

Operational Management: Clinical Administration

• In collaboration with Heart and Vascular leaders across all MGB sites and services, coordinates the operation and administration of all care needs.

• Ensures proper integration of cardiology, cardiac surgery, vascular and endovascular surgery and other Heart and Vascular-related sub-specialties into delivery of a single, cohesive, multidisciplinary care offering to Heart and Vascular patients.

• In partnership with physician and administrative Heart and Vascular leaders across MGB, ensures effective clinical administration offerings related to:

• Ambulatory Clinic Administration

• Inpatient Service Administration

• Surgical/Procedural Service Administration

• Access & Capacity

• Data Collection & Registries

• Policies, Procedures, Regulations, and Compliance

• Quality & Safety Administration

• Strategic Growth & Development

• In partnership with physician and administrative Heart and Vascular leaders across MGB, evaluate and establish strategic vision to accommodate staffing needs for clinical demand.
• Drive performance through system-thinking and creativity to create the ideal patient experience by continuously improving quality metrics, employee engagement, patient care services, expense reduction, managing staffing ratios, productivity and institute growth and expansion.
• In alignment with MGB and its associated entities, develops, supports, and manages coordinated programmatic initiatives for care model development and care delivery improvement.
• At the direction of the ED, drives the delivery of exceptional patient care by collaborating with clinical leaders to implement evidence-based practices, and innovative treatments.
• Ensures patient-centric approaches across the MGB Heart and Vascular Institute and administration of the highest quality and safety standards in clinical care.
• Partners with the ED and clinical and academic leaders across MGB to implement new programs, coordinate and evaluate clinical outcomes, and establish value-based heart and vascular services.
• Lead a culture of innovation, collaboration, and continuous improvement to advance Heart and Vascular patient care in full alignment with the MGB Heart and Vascular Institute's teaching, research and community missions.

Operational Management: Academic Administration

• Research

• Leads and maintains the MGB Heart and Vascular Institute research administration infrastructure, including administrative staff, space, and equipment.

• Maintains an inventory of all research activities being conducted across the MGB Heart and Vascular Institute.

• In partnership with the AMC Department Chairs, supports the department-based administrative leaders as they ensure effective research administration offerings related to:

• Pre-Award Administration

• Post-Award Administration

• Policies, Procedures, Regulations, and Compliance

• At the direction of the ED, supports strategic investment that advance the institute's strengths in research discovery and novel therapeutics.

• At the direction of the ED, works with principal investigators to identify and support development of appropriate areas of research, including assistance with related recruitments and acquisition of required resources.

• Ensures that all staff are conversant with institutional research policies and procedures, including appropriate application for and maintenance of necessary IRB or IACUC approvals, protection of intellectual property and compliance with MGB and HMS policies on Conflict of Interest.

• Education

• Works with the ED, the AMC Department Chairs and Division Chiefs, the Chief Academic Officers, the Chief Medical Officers, and the Graduate Medical Education leadership in developing and maintaining quality training programs within the AMCs.

• Ensures effective administrative management of the Heart and Vascular-related residency rotations, fellowship programs, medical school programs, and continuing medical education programs.

• Participates in administrative discussions on issues that potentially have impact on training and educational needs and ensures that the potential impact on these needs are considered as part of the decision-making process.

• In partnership with the AMC Department Chairs, supports the department-based administrative leaders as they ensure effective educational administration offerings related to:

• Affiliations

• Program Design & Management

• Policies, Procedures, Regulations, and Compliance

• Ensures proper data collection and anticipates and ensures preparation of the necessary documents and records for periodic reviews.

• Monitors training affiliation agreements with outside institutions; maintains and fosters relationships with those institutions where our trainees rotate, and those institutions whose trainees rotate through MGB.

• Extends teaching mission to all levels and encourages continuing education for employees.

Operational Management: General

• In partnership with the department/division chairs/chiefs, supports the department-based administrative leaders as they ensure effective faculty development and general service offerings related to:

• Appointments/Promotions/Search Processes

• Credentialing

• OPPE/FPPE

• COI

• Information Systems

• Legal Services

Financial Management

• Leadership

• Establish Institute wide financial management structure to report on financial performance.
• Maintains the solvency of all funds under the CA's purview.
• Examines, analyzes, and interprets financial reports for the purpose of giving advice, preparing statements and projections, and ultimately managing resources.
• Leads standardization efforts aimed at cost savings, efficiency, and best practices.
• Supervises the activities of subordinates who are responsible for being familiar with and approving all expenditures, assigning cost centers, monitoring compliance with budgets, and identifying and investigating potential problem areas and proposing solutions.

• Budgeting
• Partners with all required constituents to prepare annual budgets for the physicians' organizations and the hospitals in the prescribed format for the responsible areas, and on behalf of institute advancements. Presents and justifies budget requests to leadership as appropriate.

• Capital Management

• In coordination with MGB site leadership, takes a leadership role in planning and space allocation for all current and future applicable services assets.
• Partners with MGB site leadership for all capital planning relative to the institute.
• In coordination with MGB site leadership, oversees all physical space that is dedicated to the institute.
• Oversees vendor relationships as applicable.
• Fiscal Management
• Responsible for the cost center fiscal management of all areas of responsibility.
• Establishes and achieves financial goals and measures, monitors, and ensures the on-going financial performance.
• Facilitates effective cost containment practices through monitoring of volume trends, proactive management of capacity (physical and human resource), supplies, service contracts, and professional services agreements.
• Oversees expense management issues; performs comparative analyses; develops and implements strategies for cost containment.
• Participates in the development and monitoring of physician compensation plans for the relevant departments, with a focus on productivity.
• Analysis & Reporting
• Working closely with MGB digital and data teams, establish and maintain institute wide infrastructure, reporting, and consistent data metrics to evaluate performance.
• Examines, analyzes and interprets financial reports for the purpose of giving advice, preparing statements and projections, and ultimately managing resources.
• Oversees preparation of analyses and forecasting for introduction of new programs/services and service line centers.
• Approves all relevant capital purchases and tracks ongoing expenditures.
• Monitors all research, sundry, HMS, and operating funds as appropriate.
• Supervises the activities of subordinates who are responsible for being familiar with and approving all revenue/expense transactions, assigning cost centers, monitoring compliance with budgets, and identifying and investigating potential problem areas and proposing solutions.
• Ensure that the highest standards of integrity, ethics, control, and confidentiality are maintained at all times across all financial and accounting matters under the purview of the CA.

• Development

• At the direction of the Chief Development Officer(s), serves as a primary fundraiser, building relationships with the philanthropic community and working with the Development Office team to secure gifts toward Heart and Vascular education, research, and/or clinical care.

Marketing Management

• Engages with marketing, public affairs, and business development leaders to develop and implement plans to promote the institute and create a strong referring physician, payer and patient awareness program to achieve targets.

• Facilitates with the patient experience activities demonstrating effective use of customer relations management methodologies and a strong understanding of patient trends and preferences.

• Establishes partnerships with key external academic, research, and clinical organizations, both locally and nationally, to expand the MGB Heart and Vascular Institute brand.

Compliance

• Reviews salary and wage issues; works with the ED, SVP, chairs/chiefs, and department-based administrative leaders to develop and implement compensation plans in coordination with MGB.

• Develops, implements, oversees and approves policies, procedures and systems and revises as necessary to maximize efficiency.

• Responsible for ensuring compliance with regulatory bodies and making managers aware of policy and procedure changes.

Qualifications
MINIMUM JOB QUALIFICATIONS:

• 10+ years of experience as a healthcare senior leader, ideally within an academic Heart and Vascular center.
• Demonstrated track record of successfully leading teams.
• Experience working in a highly matrixed organization / environment strongly preferred.
• Master's degree in a management field required.

EEO Statement
Mass General Brigham is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.

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