Director of Network Operations, Boston HealthNet

POSITION SUMMARY:

The Director of Network Operations plays a key leadership position in ensuring the effective coordination and integration of services across BMCHS and Community Health Centers within the network, driving excellence in patient care, operational efficiency, and financial performance. This role presents a unique opportunity to transform and advance the care and services provided to BMCHS network patients, and to align strategic priorities across Accountable Care Organization partners and Boston HealthNet providers.  

The Director leads Boston HealthNet’s efforts to strengthen CHC partners and to identify health system and CHC improvement and growth strategies. Additionally the Director will enhance the impact of BMCHS and Boston HealthNet’s community and political impact, including leading innovation in health equity approaches. The Director, in partnership with Boston HealthNet Medical Directors and staff, is responsible for sustaining and improving clinical partnerships such as referral optimization, electronic medical record and patient coordination optimization, grant and research programs, compliance and legal team activities, and best practice sharing.

The Director of Network Operations works closely with the Boston HealthNet team and leadership, Community Health Center leaders and population health teams, to manage and integrate efforts across the following domains: clinical quality and research, health information technology and analytics, and operational programs and process improvements. The Director must have experience in collaboration and relationship management. They must centrally manage BHN network resources in conjunction with the Executive Director and BHN physician leaders, while also understanding individual health center cultures and dynamics.

Position: Director of Network Operations

Department: Boston HealthNet       

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

Responsibilities/Duties

The Director of Network Operations is requires a strong skillset in leadership and relationship management.  They will be a key leader representing BMCHS with the CHC’s, other external organizations and ACOs and will engage and interact with executive and other leaders in the community.  Professionalism, empathy, comfort navigating complex communications, and an ability to engage and address issues across a broad spectrum of topics is essential. This person will need to manage budgets. In addition, they will be responsible for executing on key components of the overall BHN and Population health ACO strategy in alignment with BMCHS. This work requires the leader to have an ability to define strategy, innovate, and collaborate across a set of diverse stakeholders, and requires a strong skill set in analytics, executive-level communications, stakeholder engagement, and clinical program design/oversight. Professionalism, empathy, comfort navigating complex communications, and an ability to engage and address issues across a broad spectrum of topics is essential.

Successful candidates may have experience in clinical operations and healthcare administration, health insurance / payor operations and strategy, healthcare consulting, and/or experience in government or healthcare policy.  They must be able to manage multiple larger and small projects and work well in matrixed environments. They must have excellent communication and interpersonal skills. It is beneficial to the Director to have a knowledge of healthcare regulations, compliance standards, and industry trends. They must demonstrated ability to build and maintain effective relationships with internal and external stakeholders. And must have a commitment to promoting a culture of patient-centered care, diversity, and inclusion.

Specific duties may include, but are not limited to:

• Boston HealthNet transformation: Help lead the transformation of Boston HealthNet to improve the mission, vision and strategy to support Health Center and community priorities and align with BMCHS. This will include leading external relationships with groups such as the Mass League of Community Health Centers, and identifying opportunities for collaboration with the BMC Health Equity Accelerator and the Mass League Health Equity Institute, and organizing and leveraging BMCHS work across health centers statewide.
• BHN, ACO and Board Governance:  Support developing the approach and staff the BHN Board and committees (infection control, health equity, quality, finance, etc.)
• Government partnerships / advocacy:  Build effective relationships with government officials to ensure two-way communication and partnership on issues most critical to CHC and ACO program success. Support political and community impact across BHN/BMCHS entities. Government partnerships include Health Center partnerships such as the National Association of Community Health Centers, and Mass League of Community Health Centers, while community partnerships are developed with local SSO and non-profits complementing our system to improve patient and community care.
• BMC Hospital, Community Health Center, and Affiliation Partnerships: Build and maintain relationships with key stakeholders, including physicians, staff, patients, community leaders, and regulatory leaders. Partner with hospital leaders across operations, strategic, transformation, marketing, IT and ancillary business lines to enhance patient continuity of care and strengthen CHC and BMC partnership. This also includes partners such as the MassLeague of Community Health Centers. Foster a culture of collaboration, innovation, and continuous improvement within the network.
• Network Management: Lead network-wide collaboration through BHN committees and workgroups. Leverage experience, knowledge and trust with health center staff to align on shared goals and objectives. Develop relationships with internal BMC Health System constituents to advance and support the health center partnership (e.g., lab, radiology, pharmacy, legal, Department of Family Medicine). Manage multiple contracts shared among BMCHS and Health Centers. Oversee the development and implementation of policies, procedures, and quality standards to ensure compliance with regulatory requirements and industry best practices.
• Contracting: Manage multiple contracts of shared services, including clinical and IT support services, across BMCHS and CHCs.
• Quality Improvement:  ACO programs and health center HRSA requirements include a set of quality metrics that encompass a broad range of focus areas including adult primary care, pediatrics, behavioral health, and other outcomes-based measures. The Director will, with the BHN staff and BMCHS Quality leaders, help define and execute a Quality program performance strategy. Collaborate with BHN and Population Health Medical Directors to:
  • Identify opportunities for clinical collaboration and implementation of best practices across health center network.
  • Identify and implement opportunities to drive performance improvement across network.
  • Lead efforts to monitor the effectiveness of performance management and quality improvement programs at health centers on an ongoing basis; develop and consult on opportunities for improvement or expansion.
• Health Equity Innovation and Performance: ACO programs, community health centers and BMCHS prioritize health equity through incentives, requirements or grant funded activities. In partnership with Quality and Health Equity leaders, help define and execute a Health Equity program performance strategy. Work closely with Health Equity Accelerator regarding alignment of goals and progress towards health equity and community impact objectives.
• Population Health Program Development:  In collaboration with clinical and administrative leaders across the Population Health teams, take leadership/accountability roles on specific priority areas and projects as they pertain to the health centers. Collaborate with clinical and administrative leadership to identify opportunities for process improvement, cost reduction, and revenue enhancement. This may include efforts to reduce patient utilization and improve transitions of care designed to address readmissions, out of network utilization and primary care access solutions, or efforts to support social determinants of health screening and services.
• Talent management and development:  Oversee a team of Operations Network professionals; take accountability for developing future leaders and maintaining a robust pipeline of talent into BMCHS.
• Informatics and Reporting: Collaborate with Informatics Director and Medical Director to assess and identify opportunities for optimization across health center network. Oversee prioritization of EHR requests and projects across the network. Monitor and analyze key performance metrics and financial indicators to assess the effectiveness and efficiency of network operations.
• Research: Work closely with leaders across BMC, BACO, Boston University’s Clinical & Translational Science Institute (CTSI), and BMC’s Health Accelerator to address inequities through partnership with communities in research. Ensure productive collaboration across entities in activities like organizing research retreats and objectives
• Support implementation of strategic plans for the growth and enhancement of the network, in alignment with the organization's mission and objectives.
• Performs other duties as needed

JOB REQUIREMENTS

EDUCATION:

Bachelor’s Degree of Arts or Science or equivalent work experience.

Master’s Degree in Healthcare Administration, Business Administration, or related fields

EXPERIENCE:

Requires a minimum of 10 years of experience in a healthcare business environment, with minimum of 5 years management experience.

Equal Opportunity Employer/Disabled/Veterans