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The Department of Radiation Oncology at UW Medicine is an academic department specializing in the research, teaching, and providing of professional services for the management of cancer patients undergoing treatment using radiation therapy as the main modality of treatment. The department is an integral part of the Cancer Program at the University of Washington and a major contributor to the contribution margin of each of the six centers at which we provide professional services: University of Washington Medical Center (UWMC); the Gamma Knife facility at Harborview Medical Center (HMC); the Seattle Cancer Care Alliance (SCCA); the Radiation Oncology Suite on the Northwest Hospital Campus (SCCA@NWH); the SCCA Proton Therapy Center, a ProCure Center (SPTC); Seattle Children's Hospital (SCH); and the Seattle Puget Sound VA Medical Center.
This position functions as the financial point person in the Department of Radiation Oncology, School of Medicine, and is responsible for maintaining the financial well-being of the Department by providing financial projections, accounting services, preparing growth plans, strategic planning, integrating management, and directing staff. This purpose is achieved through leadership of all aspects of fiscal activities of the department including translating Departmental objectives into financial assumptions for planning, analyzing and reporting on business data for research and clinical performance, hiring accounting and analytic staff, overseeing revenues, expenditures and cash positions for funds related to clinical practice, state-derived monies, indirect cost recovery, gifts, endowments, and other various contractual agreements. In addition this position is responsible for independently developing, implementing, and maintaining tactical plans that support the academic missions of UW Medicine.
Under the direction of the Director of the department and working in partnership with the Operations Managers, this position provides oversight and management of the Department's clinical financial functions, hospital support arrangements budgeting, practice plan budgeting and reporting practices, and development and implementation of the Department's financial decision support systems. S/he provides analysis and reporting of financial data from multiple sources. S/he is an essential member of the department's financial team as well as the Department's senior leadership team that helps to develop Department business models and plans; analyzes and interprets financial data, and prepares reports for the Chair and Director regarding clinical financial performance trends. Applies and translates that information for policy making and maintaining organizational effectiveness.
Oversight, direction, and management of Department Clinical Finances
Work with UWP & CUMG leadership as well as the Department Director, prepare and implement annual clinical budgets.
On a monthly basis, review budget to actual reports and institute changes or make recommendations for change as necessary.
Oversee and act as consultant for department management in developing accurate and appropriate pro formas.
Assure that financial elements of faculty offers are captured and incorporated into Departmental financial tools.
Oversight and management of the Hospital Support Budgeting process and Hospital Agreements
Prepare the hospital support annual budget for review by the Department Director, Chair, and SOM and Hospital Administrations.
Understand and implement hospital budget methodology and nuances in order to provide rationale for Department's request that is appropriate and acceptable to hospital financial administration.
Provide decision support to Director when negotiating hospital support.
Implement and manage the hospital support agreements, including monitoring funds flow and assuring funds are allocated properly.
Review, train, and report to Medical Directors on hospital support budgets and agreements and the impact upon their business unit budgets.
Management of financial decision support, analysis, and reporting
Develop and implement the department based policies and procedures that will shape the financial operation of the Department in collaboration with the senior management team.
Develop and maintain information and decision support systems that will aid in the interpretation of the Department's financial condition on an ongoing and real-time basis.
Identifying and using appropriate financial software applications to facilitate department accounting, billing/collections, forecasting and planning. Work in conjunction with the Department management team to develop new tools and systems to streamline the financial operations.
Participate in the selection and implementation of business intelligence software.
Administer the policies and regulations guiding the Department's financial goals as they relate to the academic, clinical, and research missions. In addition this position will assist in the development of department-based policies and procedures that shapes the financial operation of the Department in alignment with University policies.
Development of budgets, monitoring of expenses, and reporting information related to the financial operation of the Department and the clinical revenue cycle. The incumbent will be expected to make recommendations as to appropriate actions needed to reduce financial risks and increase program viability.
Maintain an accounting system that effectively monitors the Department's revenues and expenditures in all domains (e.g. clinical practice, gifts, state funds, grants, etc.) and generate reports, both standard and custom, as needed to attain a comprehensive view of the Department's financial status.
Report to Director on a regular basis, describing the state of the department academic, clinical, and research funding. Recommend and implement corrective budget actions if necessary.
Manage all financial reporting to the Medical School, including the METER report, generation of the annual UWP budget/Faculty Support budget and development of any ad hoc reports for the Medical School.
Manage the implementation of the Department's annual budgeting process in with specific areas of focus including; research, teaching, clinical, and administrative operation.
Independantly develop operational reports, analytical schedules and operational and financial forecasts that will be used in decision making in Department facilities and program development activities.
Administer the development of operational processes and procedures, and manage the training of staff to perform account reconciliations, and financial reporting activities including annual reports and grant activities.
Consult with the program directors on financial and operational matters to establish an appropriate management/oversight structure and develop plans to improve areas of financial and operational vulnerability where appropriate.
Responsible for fiscal management of recharge and cost centers. Provide leadership and direction assuring their financial feasibility. Developing strategies for successful implementation of new centers and continuation of existing centers.
Direct the finance team in interventions that will correct a program's financial operation when it is not functioning in a fiscally sound manner. It is expected that the nature of this position will consistently require the incumbent to be involved in at least one special project at all times.
Oversight and direction of Revenue and Physician Practice Development (25%)
Analyze practice development opportunities for feasibility, sustainability, cost basis, and revenue structure.
Review, analyze, and make recommendations to the Department Director and Chair regarding contracts for external agreements for new revenue sources and practice development.
Oversight, direction, and management
Directly manage staff operations in relation to: budget reporting, staff and faculty payroll activities, purchasing and travel, and development activities.
Supervise and oversee all fiscal staff within the Department. This includes budget managers, fiscal specialists, and student assistants.
Partners with the Director to create innovative and flexible approaches to the business practices as it relates to the management of rapid change in the department. This involves proactively addressing new initiatives, developing new plans to address growth and implementing the necessary infrastructure to meet the goals and objectives associated with growth in the department. This also includes:
Coordinating the assessment of possible models.
Collection of data for cost benefit analysis.
Creating tools and methods which monitor productivity and utilization.
Independently develop, implement, and maintain financial tactical policies to support the academic, clinical, and research missions.
Partner strategically with the Grants Manager, IT Director, Site Managers, and HR Manager to successfully accommodate anticipated growth and meet departmental facilities needs on an ongoing basis.
| Bachelor's Degree in Business, Accounting, or Finance |
Six to eight years of related experience
Progressively responsible experience with a large clinical practice or academic medical setting.
Familiarity with university accounting practices.
Must have strong skills in leadership, management, physician relations, financial analysis, oral/written communication, team building, systems expertise, collaboration, organization assessment, decision-making, interpersonal, and staff development.
Ability to diagnose and plan interventions to correct funds flow to assure financial stability.
Ability to supervise a diverse group of support staff with varying degrees of financial management abilities.
Ability to train support staff in the various financial tasks.
Ability to communicate financial information to individuals with various levels of accounting background so that they will be able to understand and use information.
Ability to work effectively with various stakeholders who are internal and external to the University managing complex projects.
Must demonstrate a high degree of initiative, operational efficiencies, cost containment, and human resource management with a working knowledge of academic institutions and physician practice management.
Comprehensive knowledge base of accounting and financial management, with emphasis on academic and research program accounting.
Understanding of clinical service system operations as they relate to the development of financial and decision support reports.
Ability to develop finance management reports that can be used by managers as decision support tools.
High level of understanding of various computer-based accounting information systems (e.g. Excel, University Finance system), as well as general ability to direct the information systems efforts of teams as needed.