Manager of Business & Regulatory Affairs - Heart Transplant (BIDMC)

Manager Of Business And Regulatory Affairs

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The Manager of Business and Regulatory Affairs oversees financial performance, regulatory compliance, and data management of the Heart Transplant, LVAD and ECMO programs and programs related to Advanced Heart Failure. The position directly reports to the Director, Heart Transplant & Special Programs. The Manager collaborates with central Hospital and HMFP Finance departments to coordinate budgets, revenue and cost initiatives, contracting, and other financial work. The Manager coordinates with central Information Systems personnel and vendor(s) to ensure effective use of the Transplant Data Management System. The Manager maintains active knowledge of regulations impacting the Heart Transplant, LVAD, ECMO and related Advanced Heart Failure programs.

Primary Responsibilities :

• Works with the Heart Transplant Director and Medical and Surgical Directors to develop business plans and assist with the implementation, monitoring and evaluation of such plans. Updates plan as necessary to reflect challenges and opportunities in the marketplace.
• Manages program financial and data staff. Directs personnel to assigned tasks and projects. Collaborates with nursing leaders to harmonize operations and ensure equitable staff management.
• Oversees program financial performance inclusive of BIDMC and HMFP revenue / expenses. Full responsibility for planning, monitoring and managing dept budget. Identifies opportunities to lower costs / enhance revenue. Collaborates with BIDMC Finance to capture and report organ acquisition expenses on Medicare Cost Report including mgmt of time studies. Liaisons with managed care to optimize contracts. Represent heart transplant with internal and external finance teams. Managed process with internal teams for creation of charges, billing workflows and managed care contracting.
• Maintains knowledge of regulatory requirements specific to transplant programs including the OPTN / UNOS and CMS. Communicates changes impacting the programs to faculty and staff and establishes mechanisms that facilitate compliance. Ensures that policies are reviewed periodically. Serves as the primary point person for regulatory site visits and audits including follow-up corrective action plans.
• Maintains knowledge of Joint Commission and CMS regulations for LVADs and ELSO standards for ECMO program management. Supports multidisciplinary team in preparing for site surveys by monitoring compliance through internal audits to achieve constant readiness for regulatory site visits and surveys.
• Collaborates with the central BILH Information Systems department to ensure adequate electronic systems are in place to capture the data required for submission to regulatory required registries such as UNOS, SRTR, the Joint Commission and INTERMACs. Oversees data personnel to ensure accurate reporting. Uses data to conduct analysis and performance improvement.
• Has the authority to direct and support employees daily work activities. Has the direct responsibility to undertake the following employment actions : hiring, termination, corrective action and performance reviews. Direct Reports : 2-3 Indirect Reports : 1-5
• Acts as the main point of contact for the Transplant Data Management System vendor. Works with the Vendor to make updates to the system, request customization or special reports as needed. Trains with the Vendor to be a System super-user and learns to create reports that help drive program workflows and process improvements.
• Acts as liaison to the New England Organ Bank (NEOB) representing BIDMC. Represents the transplant programs on the BIDMC Organ Donation Counsel. Participates in activities to increase organ donation. Collaborates with NEOB to coordinate transplant activities and implement practices that improve utilization of deceased donor organs.
• Facilitates the application process and ongoing RFIs for regulatory agencies (CMS, UNOS / OPTN, SRTR) as well as annual updates.
• Manages regulatory / QAPI process including workgroups to supports transplant quality projects with data analysis, meeting coordination, and recommendations regarding quality tools and methodologies (such as PDSA, project charter formatting, etc.).
• Responsible for transplant policy oversight and maintenance processes (PPGD site).
• Represents heart transplant on various internal committees (MEC, SQOC, forms).

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