At Houston Methodist, the Manager Physician Contract Compliance position is responsible for developing, implementing, and administering a variety of variable pay programs and the documentation of the programs for compliance with all pertinent regulations. As the strategic lead, the Physician Contract Compliance Manager plans, directs, and/or coordinates inter-related projects to ensure that the goals and monthly, quarterly, and annual reconciliation process are completed accurately and timely. Works with the administration to ensure documentation complies with the approved provider compensation philosophy. Also works with legal, internal audit, operational stakeholders, and external consultants to ensure provider compensation is compliant with all state and federal regulatory requirements. Leads the communication plan for the annual compensation processes working closely with the Physician compensation team to ensure adherence to deadlines during this annual process including but not limited to productivity reconciliation, administrative time tracking, and annual programmatic goals. In addition, this position is accountable for employee engagement, adequate staffing levels, budget development and compliance, staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and developing and implementing policies and procedures to ensure a safe and effective work environment. This position also ensures training, monitoring and operations initiatives are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations.
The manager position responsibilities include managing the daily work activities of the work unit/department staff, ensuring quality, productivity, functional excellence and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position provides guidance to staff and is responsible for staffing, budget compliance, contributing to staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment. This position also implements training, monitoring and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/ government regulations.

EDUCATION

• Bachelor’s degree with emphasis in Business Administration, Finance, or a related field.

WORK EXPERIENCE

• Five years of experience within the field, of which one year must have been in a people management role in healthcare; for internal employees four years of experience in relevant field with HM performance that demonstrates leadership responsibility

KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate through a variety of channels with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the message
• Demonstrates the ability to interact with others in a way that gives them confidence in one’s intentions and those of the organization
• Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations and individuals involved
• Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills
• Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences
• Ability to work effectively in a fast paced environment
• Demonstrates flexibility and adaptability in the workplace
• Demonstrates leadership and influencing skills at all levels of the organization.
• Ability to lead, coordinate, and plan for delivering/driving business goals.
• Embraces strong business partnering approach.
• Strong project management skills.

PEOPLE ESSENTIAL FUNCTIONS

• Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turnover. Develops direct reports to perform these same functions.
• Provides fair and consistent leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.
• Facilitates and promotes effective team dynamics and teambuilding strategies within and between departments; participates and/or leads and facilitates department process improvements as needed.
• Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators.
• Manages relationships within the department and across the Houston Methodist system to ensure customer requirements are known and met. Ensure smooth implementation of program objectives.
• Effectively communicates program information and progress to stakeholders. Manages all communication channels with other departments and groups. Manages the Physician Compensation Compliance Team and consultants and serves as primary contact for operational stakeholders. Maintains high visibility and interactions with the appropriate executives and stakeholders.

SERVICE ESSENTIAL FUNCTIONS

• Plans and organizes day-to-day department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.
• Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department.
• Develops and maintains positive working relationships with department leaders to ensure alignment of goals and objectives, coordination of services, and effective teamwork. Designs, delivers and assesses educational materials for use in training modalities.
• Provides detailed analysis and reporting as necessary to senior management. Develops materials and presentations for various stakeholders.
• Serves as a project lead in the development and delivery of communication and training related to compensation. Works with other managers and administrators to resolve inquiries with regards to providers compensation.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines, including infection control principles. Monitors and confirms staff maintain their required credentials that demonstrate competency per accrediting agency or department guidelines as applicable.
• Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions.
• Employs a proactive approach in the optimization of safe outcomes by monitoring and improving the department workflow, using peer-to-peer accountability, reporting accidents, near misses, and/or adverse events immediately per department protocol and identifying solutions via collaboration. Adopts lean principles in driving process improvements. Role models situational awareness, using teachable moments to improve safety.
• Monitors self and employee compliance with policies, procedures, and System HR Standards of Practice and performs associated actions upon non-compliance (i.e., focal point review requirements, disaster plan, in services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).
• Validates program and project prioritization with senior management. Establishes processes and procedures for the administration of the compensation function to achieve organizational objectives and ensures administration of legally compliant pay structures.
• Manages the process of collection, analysis, and reporting of data specific to organization wide primary and specialty physician compensation, including productivity. Oversees the use of the survey data to ensure the Physician compensation department is using the full functionality of the system in completing compensation work. Ensures reconciliation and documentation of provider contractual terms relating to call and shift requirements.

FINANCE ESSENTIAL FUNCTIONS

• Assists in the development of department budget and ensures that the department operates in a cost effective manner. Manages/audits department expenses within approved budget parameters, ensuring that the department meets the budgeted/flex revenue and/or expense targets on a monthly and annual basis. Develops staffing plans and schedules to meet department/patient needs that reflect understanding of the importance of cost-effectiveness.
• Implements department strategies to achieve financial target and staffing needs, developing others to do the same, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.
• Accountable for adhering to approved budget and program/project timeframes. Assists with the development of the annual budget as it relates to physician compensation. Manages annual compensation reconciliation summaries for physicians and Advanced Practice Providers (APPs). Oversees the maintenance of provider compensation and contracting application for Physician bonuses.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Identifies and implements innovative solutions for practice or workflow changes to improve department operations or other department-specific measures by leading unit projects and/or other department/system directed/shared governance activities. Supports change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures.
• Proactively evaluates processes; recommends and implements action plan(s) for change; follows through to ensure effective, sustainable change. Participates in the development and implementation of new procedures and the review and revision of existing procedures.
• Identifies opportunities and takes action to build strategic relationships between one’s area and other areas, teams, departments, and units to achieve business goals.
• Seeks opportunities to identify developmental needs of self and staff and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates My Development Plan (MDP) on an on-going basis. Conducts conversations with staff on their development.
• Collaborates and networks with industry to develop and seek out best practices. Independently seeks opportunities to identify and streamline inefficiencies. Builds strategies for growth, development, and promotion of the program and oneself.
  This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.