Join our award-winning team at University of Washington Medical Center (UWMC). Among the top medical centers in the United States, and ranked as the number 1 hospital in Washington State, as rated by U.S. News & World Report 2019-2020 "America's Best Hospitals", UWMC prides itself on compassionate patient care as well as its pioneering medical advances. UWMC is operated by the University of Washington (UW) and serves as a training site for UW’s School of Medicine.
The University of Washington Medical Center Transplant Services is seeking a knowledgeable Transplant Financial & Regulatory Program Manager to manage the financial and regulatory operations of the Transplant Services Line, as well as oversee the multiple and complex regulatory requirements set forth by the United Network Organ Sharing (UNOS) and Medicare/Medicaid services (CMS), plus various transplant payer networks, such as United Healthcare, Interlink, Regence and Cigna. These functions are key to the success of the Transplant business.
The responsibility of this position spans across 9 organ specialties including Kidney, Liver, Lung, Heart, Vascular Composite Allograft (face, arm, and hand), Intestine, Pancreas, Living Kidney Donor, and Living Liver Donor. Each organ service has multiple surgeons/physicians, plus 87 staff. This complex Service Line is designated as a UW Medicine strategic priority that interfaces with internal and external parties. Collaboration must include multiple departments, such as UW Finance Supply Chain, Ambulatory Care, Inpatient, Operating Room, UW Medicine affiliates and UW School of Medicine (SOM).
Contact with external services include intricate relationships with nationwide Organ Procurement Organizations (OPOs), Histocompatibility Laboratories (HLAs), air transportation/airlines, multiple blood banks, and other academic transplant centers across the U.S.
This position manages system-wide and external organizations’ financial and regulatory compliance with several national regulatory bodies. Responsibility requires staying abreast of current developments/changes in Medicare/CMS COP requirements, UNOS/OPTN policies and all federal requirements for transplant centers. CMS and UNOS have the rights to close any organ program if regulatory non-compliance arises. Non-scheduled surveys can occur at any time to monitor compliance.
BUSINESS & FINANCIAL MANAGEMENT: • Oversees and approves the purchasing functions related to transplant/donation phases, including organ purchases, procurement expenses, OR and clinic supplies, capital equipment, laboratory charges, and clinical expenses in compliance with UNOS and End Stage Renal Disease/Medicare regulations. • Must be available 24/7 to approve procurement financial arrangements with other procurement agencies. • Develops and manages 19 departmental budgets and gift accounts related to each transplant program, including kidney, liver, lung, living kidney and liver, pancreas, heart, face and intestine, to ensure utilization and reconciliation are handled in accordance with UNOS and UWMC policy and procedures. • Oversees the payment of transplant acquisition charges generated from physician procurement. • Supervises the activities of staff that process multiple supply orders for Transplant departments. • Facilitates and approves multiple business contracts and agreements with numerous vendors, as well as national patient foundations. • Oversees statistical and data analysis of program financial and operations data, including development of conclusions and recommendations. • Analyzes and reviews monthly operation and financial reports for trends in administrative processes and patterns to formulate decisions on business operations and resource allocations for the transplant programs and the Service Line. • Provides analysis, expertise, and guidance regarding service utilization, strategic transplant volume projections for executive level. • Leads cost-containment efforts, standardization, and utilization practices in order to support goals of high-quality care and improved outcomes along with financial responsibility. • Compiles and analyzes data to identify opportunities for improved service utilization, standardization, and process improvement. Evaluates findings and makes recommendations for continued improvements.
REGULATORY REQUIREMENTS & COMPLIANCE: • Available 24/7 to lead unannounced federal regulatory surveys • Oversees regulatory compliance with OPTN reports, including 9 organ specialties. These reports are extremely important as they determine our transplant programs’ national outcome results. • Serves as the central resource and provides consultative advice on Medicare and Medicaid Services (CMS) Transplant Conditions of Participation and United Network Organ Sharing (UNOS) bylaws and policies. • Manages the 200+ Transplant Program polices and/or procedures, plus related templates, and checklists for use across all 9 transplant programs. • Independently plans, designs and carries out multi-disciplinary projects to ensure compliance with Medicare and Medicaid Services (CMS) Transplant Conditions of Participation and United Network Organ Sharing (UNOS) bylaws and policies. • Ensures survey readiness by leading regular prep audits, chart reviews, mock survey drills • Prepares and submits regulatory reporting, including but not limited to annual staffing survey, changes in key personnel, patient outcomes, adverse event reporting, request for information (RFIs) for payers, and other reports as requested by the Membership and Professional Standards Committee of UNOS and CMS. • Leads hospital and Transplant department staff to monitor regulatory compliance • Maintains current knowledge of requirements related to CMS Conditions of Participation and UNOS policies and Bylaws.
QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT (QAPI): • Organizes and leads Transplant multi-disciplinary teams to conduct quality improvement projects • Analyzes, creates, and presents reports on organizational operational performance metrics from different applications such as EPIC, HBI, ACD reports, etc. • Advises Transplant program directors regarding recommended changes to the QAPI plan for 9 transplant programs • Ensures the on-boarding of new staff regarding QAPI and regulatory compliance for UNOS & CMS compliant • Collaborates with UWMC Center of Excellence to ensure the transplant program is compliant with UWMC quality improvement and assurance and safety activities
DESIRED: • Strong organizational skills and ability to work independently, as well as strong project management skills • Preferred knowledge of quality improvement concepts • Excellent personal and professional written and verbal communication skills • Leadership and teambuilding skills working with program team members, as well as with multidisciplinary staff across clinical areas • Exceptional customer service values • Exceptional critical thing and decision making skills • Ability to be available 24/7 for expense approvals and unannounced regulatory surveys
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.