Executive Director of Cancer Services, Brigham and Women's Hospital at Brigham & Women's Hospital(BWH)

Posted in Other 14 days ago.

Location: Boston, Massachusetts

Job Description:

As a not-for-profit academic health system, Mass General Brigham (MGB) is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Comprising two renowned academic medical centers (Brigham and Women's Hospital (BWH) and Massachusetts General Hospital (MGH)), eight other acute care hospitals, and three world-famous specialty hospitals, MGB provides a complete continuum of care, including a physician network, community health centers, home care and home hospital, and an insurance plan.

Within MGB, the Brigham entities include Brigham and Women's Hospital (BWH), Brigham and Women's Faulkner Hospital (BWFH), Brigham and Women's ambulatory sites, and Brigham and Women's Physicians Organization (BWPO) (collectively the "Brigham Entities"). Brigham is an academic medical center that serves patients from New England, throughout the United States, and from 120 countries around the world, through clinical services at our hospitals and 150 outpatient practices with more than 1,800 physicians and 4,000 nurses. The Brigham has the second largest hospital-based research program in the world, with an annual research budget of more than $630 million. As a major Harvard Medical School teaching affiliate, the Brigham is a cherished training ground for physicians, nurses, and allied health professionals, with 1,500 graduate medical education trainees in over 140 of the most sought-after training programs in the world.

The Executive Director of Cancer Services (ED) is accountable for the overall development of Brigham oncology services and serves as a critical leader for the Brigham relationship with Dana-Farber Cancer Institute (DFCI).
Under the leadership of the Senior Vice President for Clinical Services (SVP), the ED is ultimately accountable for the overall administrative leadership, operating results, and cost center financial performance of the applicable areas. The ED will have accountability for managing the resources of cancer services and meeting Brigham-wide expectations of performance and optimization. Specific areas of responsibility include:

1. Brigham Cancer Center (BCC)

The ED serves as the senior executive for the BCC, including:

• Overseeing central infrastructure such as the Cancer Registry and Contract Administration.
• Working across required constituents to drive forward implementation of BWH's portion of the MGB Cancer strategy.
• Serving as the executive sponsor for Brigham cancer network affiliations.
• Serving as the co-supervisor (indirect) for the Division Administrator for Medical Oncology, the Division Administrators for cancer surgery services, and Department Administrator for Radiation Oncology.

2. Dana-Farber Brigham Cancer Center (DFBCC)

The ED serves as the primary hospital executive partner for the joint adult cancer care collaboration with Dana-Farber Cancer Institute. The ED partners with the academic departments that most closely align with the DFBCC, including the Departments of Medicine, Surgery, and Radiation Oncology, as well as many other academic departments that also provide clinical consultation and service to DFBCC patients.

The ED is responsible for the funding sources and direct management of hospital FTEs who directly support the DFBCC, and serves as the Contract Administrator overseeing and managing the complexities, maintenance, and adherence of the agreement. This executive will be positioned on the DFBCC Executive Operations Committee, which is the governing body that oversees and facilitates the relationship and joint operations of DFBCC.

In addition, the ED is responsible-directly, or in partnership with senior leader colleagues, the Department Chairs, and/or clinical leaders-for a number of ongoing, broad organizational requirements, including:

• Ensuring that competent, efficient, and coordinated patient care is uniformly provided to patients in ambulatory, inpatient and community settings;
• Ensuring that all educational programs meet institutional and outside regulatory requirements;
• Ensuring that all research initiatives are appropriately supported;
• Directing and developing the organization of services and programs within the scope of responsibility of the ED;
• Managing all operating and capital budgets for the Brigham within the purview of the ED;
• Leading the management team within the ED's enterprises toward attainment of identified short- and long-term goals and objectives;
• Advancing the institution's commitment to diversity, equity, and inclusion;
• Executing strategies and plans designed to achieve the institution's strategic objectives; and
• Collaborating with other institutional leaders to meet MGB strategic goals and objectives.



• Determines the direction, goals, and objectives of Brigham cancer services. Establishes and achieves long range goals and ensures the implementation of strategic business plans that are aligned with the organization's vision, strategic plans, and goals.
• Facilitates the ongoing management of the current DFBCC multidisciplinary clinical services, discuss and resolve any cross-DFBCC administrative issues, and direct the planning of improvements in existing multidisciplinary services.
• Establish and maintain clear and precise communications and ensure healthy and collaborative administrative relationships amongst departments and divisions, the hospital, the system, and DFCI.
• Develops and implements policies and procedures consonant with the Brigham Entities' policies. Assesses administrative and financial needs and revises policies and procedures to meet changing needs.
• Evaluates, initiates, and implements various systems and procedures, and revises as necessary to maximize efficiency.
• Serves as a resource for resolution of administrative questions, issues, and problems.
• Works with management staff and representatives from other areas to evaluate, initiate, and implement systems and procedures and revises as necessary to improve and maximize efficiency.
• Continuously assesses and improves the efficiency of systems and processes, and overall expense management.
• Develops effective, clear, and precise methods of communicating with the SVP, and with hospital and physician leaders, faculty, and staff on a regular basis.
• Keeps current regarding trends and developments in the health care field, particularly when they pertain to strategic planning, analytic and decision support tools, financial trends, evolving technologies and programs.
• Serves as a representative of the organization if/as requested.

Service Development & Management

• Leads and executes the development of new oncology-related clinical services by leveraging existing infrastructures to provide high-quality, patient-centric cancer care.
• Reviews the ongoing management of applicable oncology services, discusses and resolves any administrative problems that arise, and directs the planning of improvements in existing clinical services.
• Provides direct supervision to the Cancer Registry.
• Maintains up-to-date knowledge of the American College of Surgeons (ACS) Commission on Cancer (CoC) certification standards and requirements and assists in communication, implementation, and monitoring.
• Maintains a thorough understanding of clinical reimbursement and managed care issues specific to oncology. Identify opportunities to optimize clinical reimbursement and work with departmental leadership to execute change.
• Continuously assesses and improves the efficiency of systems and processes.
• Capacity
• Analyzes data to understand the drivers of capacity; uses formulas and modeling to impact more efficient patient throughput.
• Optimizes value by encouraging use of data to drive decisions, depersonalizing processes and allowing clinical and administrative staff to actively engage in process improvement activities that reduce cost and improve revenue.
• Implements process improvement pilots where the goal is effective management of patient capacity.
• Coordinates with clinical leaders to implement standards to ensure the effective coordination of optimal patient placement.
• Optimization
• Develops, executes, and manages coordinated programmatic initiatives for care model development, care delivery improvement, cost reduction, administrative alignment, and network and business development.
• Monitors and evaluates the adequacy of planned and existing services and ensures the development of programs and services to respond to the market.
• Supports implementation of Enterprise Asset Management in applicable areas. As a role model and teacher to others, active participant in rationalizing where care is delivered, and supporting the development of predictive capabilities.
• Leads standardization efforts aimed at cost savings, efficiency, and best practices for patient care.
• Consults with inpatient leaders to advise on operational policies and practices.
• Assures compliance with MGB, BWH, TJC, OSHA, DPH, and state and federal regulations.
• Partners with the appropriate compliance offices for audits as needed and/or directed.
• Partners with clinical and administrative leaders to identify, prioritize, implement, and monitor progress of information system enhancements and upgrades, as well as new system introductions.

Capital Management

• Oversees all physical space that is part of the portfolio.
• Takes a leadership role in planning and space allocation for all current and future applicable services assets across the Brigham entities.
• Oversees vendor relationships as applicable.
• Partners with the SVP for all capital planning relative to applicable services.

Financial Management

• Maintains the solvency of all funds under the ED's purview.
• Oversees contractual agreements across the BCC, ensuring system-wide compliance and accuracy; track and monitor all agreements (contracts, service level agreements, professional service agreements, etc.) - particularly those with DFCI.
• Oversees financial transactions associated with oncology services for accuracy, timeliness and compliance.
• Examines, analyzes, and interprets financial reports for the purpose of giving advice, preparing statements and projections, and ultimately managing resources.
• Supervises the activities of subordinates who are responsible for being familiar with and approving all expenditures, assigning cost centers, monitoring compliance with budgets, and identifying and investigating potential problem areas and proposing solutions.

• Partners with all required constituents to prepare annual budgets for the hospital in the prescribed format for the responsible areas, and on behalf of service line advancements. Presents and justifies budget requests to the SVP.
• Prepares analyses and forecasting for introduction of new programs/services.

Fiscal Management
• Responsible for the cost center fiscal management of all areas of responsibility.
• Establishes and achieves financial goals and measures, monitors, and ensures the on-going financial performance.
• Facilitates effective cost containment practices through monitoring of volume trends, proactive management of capacity (physical and human resource), supplies, service contracts, and professional services agreements.
• Oversees expense management issues; performs comparative analyses; develops and implements strategies for cost containment.

• Approves all relevant capital purchases and tracks ongoing expenditures.
• Ensures that the highest standards of integrity, ethics, control, and confidentiality are maintained at all times across all financial and accounting matters under the purview of the ED.

Human Resources Management

Management Actions
• Coordinates with Human Resources for the interviewing, hiring, personnel transactions (hiring, salaries, promotions, job descriptions, etc.) and implementation of institutional corrective action policy for staff.
• In conjunction with Human Resources leadership, serves as a primary resource for issues related to professional and non-professional staff benefits.
• Using MGB's HR systems, initiates, approves, and coordinates with Human Resources for approval of human resources changes (e.g., salary adjustments, salary distributions, training records, etc.) for staff who reside under the ED's reporting tree (or delegates said work).
• Prepares performance reviews on direct reports.
• Takes corrective and disciplinary action, up to and including termination, as necessary to maintain the highest level of staff productivity and effectiveness.
• Reviews workload issues to ensure appropriate staffing.

• Provides direct supervision to and is responsible for the conduct, operations, and results of the professional and non-professional staff.
• Develops and implements change management programs including efficiency and resource utilization projects.
• In times of transition, supports areas that require interim leadership support.

• Actively considers opportunities to grow the abilities, skills, and support of employees through professional development, enhanced communication vehicles, employee-focused initiatives, and otherwise.
• Culture/Equity
• Reviews, supports, and ensures salary and wage equity for staff.
• Creates a supportive, educational, and development-focused environment for all staff.
• Ensures the support and maintenance of a diverse, inclusive, and professional environment for all staff.

• Develops, implements, oversees and approves departmental policies, procedures and systems and revises as necessary to maximize efficiency.
• Responsible for ensuring compliance with regulatory bodies and making managers aware of policy and procedure changes.

• Oversees general administrative matters.
• Develops letters, presentations, announcements, and other communications; all documents must be of the highest caliber of refinement and professionalism.
• Serves on committees as needed or assigned.
• Leads or participates in special projects and perform other related tasks as requested or required.


• 10+ years of experience as a leader within an academic medical center.
• Experience in managing and leading cancer services.
• Demonstrated track record of successfully leading teams.
• Experience working in a highly matrixed organization / environment preferred; healthcare industry experience strongly preferred.
• Master's degree preferred.

EEO Statement

Mass General Brigham is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.

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