VP Finance

PURPOSE AND SCOPE:

Provides strategic direction and oversight for the financial activities of the Fresenius Medical Care Practice Services (FMCPS) to include general accounting, financial reporting, forecasting and analysis ensuring the integrity of the financial results, application and adherence to internal controls, and compliance with Generally Accepted Accounting Principles (GAAP) and International Financial Reporting Standards (IFRS) and all pertinent regulatory requirements and company policies and procedures.  Oversees the revenue cycle management team, to include overseeing all A/R functions for FMCPS and ensuring properly implementation of state and federal regulations.  The revenue cycle includes all administrative and financial functions that contribute to the verification of patient sponsorship, recognition of revenue, management of accounts receivables, and ultimate collection of patient service revenue. Responsible for enhancing and maintaining a properly functioning revenue cycle process through a cross-functional organizational structure with a focus on proactive performance monitoring and improvement.

Provides oversight to FMCPS interface with shared services, such as risk management (malpractice), IT, procurement and credentialing, reporting and analytics.  This portion provides strategic leadership in the areas described above, including policies, procedures, metrics, and technology.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Provide strategic leadership of overall objectives through the application of thoughtful techniques in the communication of the company's mission and core values as a means to effect positive change and/or create organizational structure within the assigned function(s).
• Directs the preparation of reports and statistics reflecting the FMCPS group financial position regarding income, earnings, expenses, profits, cash balances, and other financial results providing the reports to FMCPS senior management and FMCNA senior executives for consideration in business decisions.
• Conducts trends analyses, and provides interpretations and recommendations to the pertinent management regarding options and potential initiatives to assist with the appropriate decision making to ensure achievement of key established goals and objectives aligned with company goals and objectives.
• Contributes to the strategic direction of the FMCPS group and the establishment of long and short term goals in close collaboration with the FMC Corporate Finance group and FMCPS senior management.  Collaborates and assists with the development and implementation of sound accounting policies and procedures.
• Provides for the effective and efficient functioning of the FMCPS Accounting and Finance department providing support, leadership and develops, motivates and coaches personnel to their potential.  Provides informal feedback to staff on an ongoing basis and formal feedback through the annual performance evaluation process.  Manages department staffing through the appropriate hiring, firing and disciplinary actions.
• Participates in acquisition and De Novo modeling, discussions and negotiations.
• Ensures proper integration of acquisitions with regard to financial systems, tools and processes.
• Oversees and maintains the integrity of the balance sheet providing oversight of all processes for FMCPS operations including daily and monthly settlements, reconciliation of bank accounts, inter-company transactions etc.  Assess controls and procedures identifying and implementing improvement opportunities as appropriate.
• Collaborates with FMC Internal Controls department to ensure application of established processes and procedures - developing additional procedures and controls specifically for FMCPS as needed to ensure compliance with SOX and other pertinent regulation requirements.
• Coordinates the budgets and financial forecasts for the FMCPS group - working with the FMC Corporate Finance group as appropriate.
• Responsible for the Leadership of Revenue Cycle Management Operations, including direct management presiding over all revenue cycle operations distributed across all practices Responsibilities will also include revenue analytics, compliance, performance, standards, training, technology applications, and vendor management.  Maximizes cash collection for FMCPS.
• Implements and achieves accounts receivable metrics to measure unit productivity and financial performance to goal.
• Leads automation improvements to reduce manual workarounds
• Maintains customer satisfaction through timely courteous accurate responses to client, payer and patient/responsible party billing inquires
• Drives consistent and effective commercial payer operations across the revenue cycle organization, working closely with Managed Care and Legal to ensure timely and appropriate collections from contracted and non-contracted payers.
• Accountable for consistent and compliant billing for government payer operations. Assesses ongoing reimbursement to identify trends and compliance with statutes. Works closely with corporate-level Government Relations representatives to address reimbursement and compliance issues.
• Maintains compliance standards for providing accurate information associated with all system billings. Maintains appropriate internal control safeguards over accounts receivable records and collection of cash. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
• Develops and implements strategic plans and objectives for the direct departments in alignment with corporate strategy.  Participates in the development of the division's or company-wide strategies.  Oversees the direction and approval of tactical administrative or operational policies and resource allocation decisions to ensure the achievement of objectives.
• Ensures optimization of shared services resources, such as procurement, credentialing, malpractice coverage and develops metrics and processes to measure performance to goal
• Assist with various projects as assigned.
• Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations.  See applicable addendum for department or location specific functions. 

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Up to 20% travel is required. 

SUPERVISION:

• May be responsible for the direct supervision of various levels of finance, revenue cycle staff,and shared service staff

EDUCATION:

• Bachelor's Degree required; Advanced Degree preferred

EXPERIENCE AND REQUIRED SKILLS:

• 15+ years' experience.
• 5+ years' experience internal senior financial management level role (e.g., Vice President); or 5+ years' external experience in a senior management level role.
• CPA strongly preferred. 
• Experience overseeing revenue cycle management leading a team of professionals in billing and collections of Commercial Insurance and Medicare Part B claims
• Demonstrated experience managing one or more departments.
• Strong management skills with the ability to lead cohesive and productive teams, including experience working in a matrix environment
• Strong interpersonal skills with the ability to communicate with all levels of management through diplomacy and tact.
• Excellent oral and written communication skills.
• Knowledge of financial systems -advanced skills in Microsoft Office applications.
• Good organizational skills with the ability to prioritize the workload.
• Self -starter with an ability to interact with all levels of management and staff.
• Strong knowledge of federal and state financial regulations and experience working in complex regulatory structures
• Experienced in overseeing the financial needs for operations with varying JV structures and strong JV reporting skills
• Partners with the Senior Vice President  and experience working with senior leaders to address cost structures
• Excellent written, verbal and presentations skills are required.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.