Program Director, Patient Financial Modeling

J  o  b    D  e  s  c  r  i  p  t  i  o  n

JOB INFORMATION

Effective Date:

12/1/2023

Entity:

Wisconsin

Job Code:

331022

Job Title:

Program Director, Patient Financial Modeling

FLSA Exemption Status:

Exempt

Management Level:

Manager/Program Director

JOB SUMMARY

The Program Director, Patient Financial Modeling is responsible for the direction and leadership of the UW Health Enterprise Patient and Population Financial Modeling (EPPFM) program.  The Program Director is responsible for implementation of the program, on-going optimization, sustainment, and improvement.  Scope of the program includes UW Health, UW School of Medicine and Public Health (SMPH), partners, and affiliates.

The Program Director is responsible for the direction and leadership of operational, financial, programmatic, and personnel activities for the EPPFM program, aligned with the strategic goals and objectives for UW Health. The Program Director will form and lead the team of subject matter, data, and analytics experts necessary for success of the program. The Program Director is accountable for maintaining consultative, trusted-advisor relationships with stakeholders.  In collaboration with stakeholders and Information Services (IS) colleagues, the Program Director will deliver and evolve actionable solutions and ensure effective measurement of results. The Program Director will build and support a culture of customer service and continuous process improvement.

The Program Director is accountable for driving the evolution of a modern technology and analytics platform to support the program.

ESSENTIAL DUTIES

•

Lead the development, implementation, and adoption of cost accounting, revenue modeling, population definition, and episode grouping across the UW Health enterprise to assist achievement of UW Health strategic goals.

•

Develop and lead organizational change management programs across the enterprise to provide awareness, obtain input, and ensure adoption of the EPPFM program.

•

Develop and lead on-going sustainment, optimization, and continuous improvement for all elements of the EPPFM program.

•

Actively use benchmarks to high performing systems to assist leaders across the system in setting targets and goals.

•

Serve as an institution level resource and role model for financial literacy, data literacy, and data governance.

•

Lead improvement in agility within UW Health IS and across the organization

•

Lead improvement teams and projects within IS or at the organizational level.

•

Lead the culture of customer service continuous improvement across UW Health IS and the organization.

•

Consistently demonstrate a high level of personal accountability and lead by example in following policies and procedures.

•

Actively mentor and teach other colleagues by contributing experience and insight to the team and to UW Health.

•

Lead improvement in the information security culture and practices, including regulatory awareness, privacy, and security.

•

Lead and/or serve appropriate internal and external committees to represent UW Health IS and Enterprise Analytics.

•

Contribute to a learning environment by providing educational and research experiences to students, residents, fellows, and faculty.

•

Continuously develop knowledge and understanding of the overall landscape of analytics, emerging trends and technologies, and application of analytics in the business domain(s).

•

Ensure continuous curation and optimization of the analytics asset repository, including reduction of technical debt and retirement of out-of-date assets, exploring new analytics technologies, etc. to achieve efficiency and increase value delivered.

As needed, additional responsibilities reasonably within the scope of duties and physical requirements may be assigned.  ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS AND RESPECT FOR PEOPLE COMMITTMENTS.

X

Non-Clinical

JOB REQUIREMENTS

Bachelor’s Degree in Healthcare, Information Technology, Engineering, Data Science or related field.

Required

Master’s Degree in Healthcare, Information Technology, Engineering, Data Science or related field.

Preferred

Demonstrated success applying knowledge of health care finance, cost accounting, and revenue modeling to improve financial performance for the system.

Required

Demonstrated success leading cross-functional teams that deliver enterprise-wide data and analytics solutions.

Required

Demonstrated success leading the maturity of data literacy and data governance.

Required

Demonstrated success serving as project leader for cross-functional enterprise initiatives, including agile delivery.

Required

Demonstrated success forming and sustaining collaborative, trusted-advisor relationships.

Required

Ten (10) years extensive project and leadership management experience with a positive progression resulting in greater levels of responsibility and leadership based upon proven success.

Preferred

Ten (10) years demonstrated experience and success leading finance-oriented initiatives in an academic medical center or large integrated health system.

Preferred

Five (5) years data and/or analytics experience in a health system, academic medical center or health payer organization.

Preferred

Proven experience forming and sustaining collaborative, trusted-advisor relationships with customers and stakeholders.

Preferred

Membership in and certification from professional associations such as ACHE, AMIA, HIMMS, INFORMS, PMI, TDWI, HFMA.

Preferred

LICENSE, CERTIFICATIONS, AND REGISTRATIONS MUST BE MAINTAINED PER UW HEALTH POLICY. 

•

Intermediate competency in business relationship management.

•

Multiple successful domain level analytics initiatives, with significant role in development and implementation.

•

Consistent demonstrated success in data-driven change management - from data story to implementing change.

•

Demonstrates professional maturity surrounding data access, data security, data sensitivity, and data confidentiality.

•

Ability to proactively engage others at all levels of the organization.

•

Ability to work in agile, iterative frameworks and coach others on agile mindset.

•

Subject matter expertise in domains such as:
o Cost accounting
o Financial modeling/analysis
o Quality measurement
o Health outcomes
o Social determinants of health
o Hospital or ambulatory operations
o Population health management
o Patient satisfaction
o Strategic planning
o Labor and productivity analytics
o Revenue cycle management
o Survey design/development

•

Intermediate competency in the following areas:

• Applying lean management tools
• Applying agile methodologies

•

Advanced competency in the following areas:

• Leadership including leads with integrity, maintains strategic orientation, demonstrates business & financial acumen, champions innovation,
• Technical leadership of applicable products or platforms
• Leading without direct authority
• Leading highly empowered, self-directed teams including cross-functional teams
• Communication
• Effective team member
• Critical thinking
• Mentoring and teaching

•

Advanced competency in at least two (2) and intermediate competency in at least four (4) additional data and analytic competencie s including:

• Analysis and critical thinking skills
• Analytics education/learning
• Analytic methods and tools
• Business intelligence
• Data management
• Data architecture
• Data governance
• Data querying
• Metadata

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

☒

Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Up to 10#

Negligible

Negligible

☐

Light: Ability to lift up to 20 pounds maximum with frequent lifting and/or carrying of objects weighing up to 10 pounds. Even though the weight lifted may only be negligible amount, a job is in this category when it requires walking or standing to a significant degree.

up to 20#

Up to 10# or requires significant walking or standing or requires pushing/pulling of arm/leg controls.

Negligible or constant push/pull of items of negligible weight

☐

Medium: Ability to lift up to 50 pounds maximum with frequent lifting and/or carrying objects weighing up to 25 pounds.

20-50#

10-25#

Negligible-10#

☐

Heavy: Ability to lift up to 100 pounds maximum with frequent lifting and/or carrying objects weighing up to 50 pounds.

50-100#

25-50#

10-20#

☐

Very Heavy: Ability to lift over 100 pounds with frequent lifting and/or carrying objects weighing over 50 pounds.

Over 100#

Over 50#

Over 20#

Other - list any other physical requirements or bona fide occupational qualifications not indicated above:

Over 50 lbs.

UW Health does not require, nor does it expect that its employees lift more than 50 lbs unassisted. Objects in excess of 50 lbs should be lifted or moved with mechanical means or through a team lift. Employees in patient care areas are expected to utilize mechanical lifts and adhere to the "Use of Mechanical Lifts (Liko)" policy in the Patient Services Policy and Procedure Manual.

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.

THE EMPLOYEE MUST BE ABLE TO COMPLETE ALL PHYSICAL REQUIREMENTS OF THE JOB WITH OR WITHOUT AN APPROVED ACCOMODATION. Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.