Director - Provider Contracts & Compensation

Job description

Employment Type: Full time Shift: Day Shift Description: POSITION DESCRIPTION: Director-Provider Compensation and Contracts (IHA) has overall accountability for the development, assessment and administration of all IHA provider compensation models and physician contracts. This will include compensation plan design for new and existing primary care, specialty and surgery providers, and ensuring that all plans are well-documented with clear information and instruction regarding payment formulas, timing and other relevant information to support accurate and timely administration of each compensation model. ESSENTIAL JOB FUNCTIONS: Leadership Responsibilities – Directs provider compensation and contracts department functions and provides guidance and direction for other members of Finance Team and IHA leadership to effectively support the IHA provider compensation and contracts program. Coordinates with VP-Provider Compensation and Contracts and executive leadership team (President, CMO, COO, CFO, CHRO) on all aspects of existing and future provider compensation programs. Oversees and directs all activities related to the timely, accurate and complete preparation of all provider compensation for the organization. Designs, develops and implements new compensation programs. Models compensation and design related to Mergers and Acquisitions activity. Implements compensation programs for new practices via Mergers and Acquisitions activity. Maintains oversight for IHA’s physician compensation program; ensures timely and effective resolution of issues; provides guidance and support for IHA’s Compensation Committee regarding updates or changes to relevant policies and/or compensation models. Conducts Site Medical Director and physician leadership training regarding IHA’s physician compensation program to ensure understanding of practice and individual provider compensation results; communicates with providers directly when questions regarding their individual compensation results arise. Oversees the PCN and NEN process and ensures timely and effective documentation of employment status changes. Leads physician growth requests by reviewing division-submitted business cases and presenting strategic recommendations to senior leadership for approval. Oversees physician workforce growth requests, evaluating business cases, and recommending approvals to senior leadership. Management Responsibilities – Manages assigned staff - hiring, training, supervising, evaluating, corrective action and terminating staff. Manages team and department functions in a way that builds and leverages teamwork and cooperation; inspires a shared sense of mission and achievement among team members. Manages the work of assigned staff including the monitoring of staff competencies, hiring of new staff, orientation of new assignments, developing goals and objectives, conducting annual performance appraisal and the utilization of performance resolution process when needed. Promotes educational opportunities for staff; develops future leadership within the team. Reviews annual staff satisfaction reports with IHA’s CFO; develops, implements and monitors ongoing improvement plans. Ensures that assigned staff receive timely information regarding policy, procedure or other changes that affect their ability to perform the essential functions of their job. Fiscal Responsibilities - Accountable for the thorough analysis and report-out of all relevant IHA Physician Compensation, assures compliance with federal, state and safety regulations and ensures alignment with IHA policy and procedure. Responsible for development, assessment and administration of all IHA provider compensation models. This will include compensation plan design for new and existing primary care, specialty and surgery providers. Ensures that all plans are well-documented with clear information and instruction regarding payment formulas, timing and other relevant information to support accurate and timely administration of each compensation model. Manages and interprets service agreements with the various hospitals; determines available compensation pools by provider type and evaluates funds flow in regard to the Trinity Health financial relationship. Accountable for the accurate capture and reporting of all source data utilized in determining physician compensation allocations, including the preparation of quarterly overheads, Relative Value Units (RVUs) monthly productivity reports, and payroll reports needed for input into the model; ensures information is accurately recorded in IHA’s general ledger. Gathers requested data, analyzes, models and prepares reports as requested by Operations leadership to provide sufficient information to support effective operational decisions regarding office staffing and provider compensation. Communication Responsibilities - Works respectfully and cooperatively with IHA senior management, staff, providers and other leadership. Maintains excellent rapport and cooperative relationships within Finance Team and throughout IHA leadership; ensures that conflicts are resolved in a constructive and timely manner. Attends organizational meetings as required; administers regular staff meetings to gather feedback and develop teamwork; assures that all staff and have support and accurate information about IHA activities, goals or other relevant changes that affect department functions. ORGANIZATIONAL EXPECTATIONS: Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the mission and values of Trinity Health Medical Group. Must be able to work effectively as a member of the Finance and IHA leadership teams. Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management. Successfully completes all relevant organizational training and adheres to Trinity Health Medical Group standard of care as outlined in the Trinity Health Code of Conduct. Maintains knowledge of and complies with Trinity Health Medical Group standards, policies and procedures. Maintains general knowledge of Trinity Health Medical Group office services and in the use of all relevant office equipment, computer and manual systems. Maintains strict confidentiality in compliance with Trinity Health Medical Group and HIPAA guidelines. Serves as a role model by demonstrating exceptional ability and willingness to take on new and additional responsibilities. Embraces new ideas and respects cultural differences. Uses resources efficiently. If applicable, responsible for ongoing professional development – maintains appropriate licensure/certification and continuing education credentials, participates in available learning opportunities. MEASURED BY: Performance that meets or exceeds IHA CARES Values expectation as outlined in IHA Performance Review document, relative to position. ESSENTIAL QUALIFICATIONS: EDUCATION: Master’s Degree, with Bachelor’s in Accounting, Finance or other relevant degree. CREDENTIALS/LICENSURE: MINIMUM EXPERIENCE: 5 or more years’ prior leadership experience. Hands-on experience in provider compensation, contracts, physician relations, provider recruiting, finance or other relevant function within a healthcare industry with background in the development and administration of variable compensation plans. POSITION REQUIREMENTS (ABILITIES & SKILLS): Prior experience and demonstrated proficiency with the development, assessment and administration of physician compensation plan models, or comparable experience in a relevant industry. Ability to effectively supervise and manage functional area, providing feedback and guidance to staff. Demonstrated experience in talent acquisition, support of complex employee relations issues, performance management, employee communication and/or change management. Thorough knowledge of finance and accounting principles; understands organizational policies related to position responsibilities. Proficient/knowledgeable in accounting and finance terminology. Ability to analyze and interpret data for appropriate and effective response. Analytical thinker, identifies issues and problems; secures and organizes relevant information. Understands and properly utilizes IHA’s organizational structure, operations decision-making channels and planning processes to identify potential organization problems and opportunities. Ability to perform mathematical calculations, often with a moderate to high level of complexity, during the course of performing basic job duties. Proficient in operating a standard desktop and Windows-based computer system including, but not limited to, payroll and accounting systems, email, e-learning, intranet, Microsoft Word and Excel, and computer navigation. Ability to use other software as required while performing the essential functions of the job. Excellent communication skills in both written and verbal forms, including proper phone etiquette. Ability to speak before groups of people, either in-person or virtually, and conduct regular meetings to communicate changes, updates and department goals. Ability to work collaboratively in a team-oriented environment; displays courteous and friendly demeanor. Listens and understands the customer (both internal and external), anticipates customer needs and gives high priority to customer satisfaction. Ability to work effectively with various levels of organizational members and diverse populations including IHA staff, providers, vendors, external customers and others as necessary. Ability to cross-train in other areas of Finance in order to achieve smooth flow of all operations. Good organizational and time management skills to effectively juggle multiple priorities and time constraints. Ability to exercise sound judgment and problem-solving skills, specifically as it relates to resolving payroll and accounting issues. Successful completion of IHA competency-based program within introductory and training period. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.