The Manager Clinical Research Coverage Analysis responsibilities include managing the daily activities of the work unit/department staff, ensuring quality, productivity, functional excellence, and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position guides staff and is responsible for staffing, budget compliance, coaching and counseling employees on work-related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment. This position implements training, monitoring, and operations initiatives that secure compliance with ethical and legal business practices and accreditation, regulatory, and government regulations.
Houston Methodist Standard PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
Provide personalized care and service by consistently demonstrating our I CARE values:INTEGRITY: We are honest and ethical in all we say and do.COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.ACCOUNTABILITY: We hold ourselves accountable for all our actions.RESPECT: We treat every individual as a person of worth, dignity, and value.EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.Practices the Caring and Serving ModelDelivers personalized service using HM Service StandardsProvides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience.Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given jobDisplays cultural humility, diversity, equity and inclusion principlesActively supports the organization's vision, fulfills the mission and abides by the I CARE values Responsibilities PEOPLE ESSENTIAL FUNCTIONS
Manages, develops, and implements strategic and operational/high-level projects and processes either through independent/highly autonomous work or through the facilitation of work teams to enable the effective and efficient completion of objectives.Oversees management of and ensures development for staff to meet overall objectives in terms of quality, service, and cost-effectiveness. Provides timely guidance and feedback to help others strengthen specific knowledge or skill areas needed to accomplish a task or solve a problem. Directs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees. Meets or exceeds threshold goal for department turnover and system metrics on employee engagement indicators.Provides leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes.Identifies opportunities and takes action to build strategic relationships between one's area and other areas, teams, departments, and units to achieve business goals. Drives the promotion of teamwork within and between departments; participates and/or leads and facilitates department process improvements as needed.Collaborates with Houston Methodist (HM) leaders to standardize the clinical research coverage analysis process and management across HM organizations.Coordinates with IT to ensure the implementation and optimization of processes that support the clinical research billing functionality in the Epic and OnCore environments as it pertains to the Coverage analysis process which includes oversight of a team of individuals to ensure processes are in place to support the technology and the development of a quality assurance team to ensure the synchronization of Epic and OnCore.
SERVICE ESSENTIAL FUNCTIONS
Oversees department operations, designated projects, schedules, and activities as needed to ensure that goals or objectives are accomplished within the prescribed time frame. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer and patient satisfaction.Drives department service standards and activities to impact department and system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department.Provides oversight, leadership, and support for the development of the clinical research coverage analysis office which includes the accuracy of the study calendar and coverage analysis for Qualified Clinical Trials (QCT)submitted for the review process in the Administrative Review and Forms (ARAF) in the Houston Methodist IRB system. This position may also assist with negotiation of the contract budget with the departments as requested, quality assurance process between clinical trials management system and electronic health record, review of charges related to clinical research activities, and monitoring of the actively enrolling clinical trials.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Ensures a safe and effective working environment; monitors and revises the department safety plan, and any specific accreditation/regulatory required safety guidelines as needed. Responsible for staff maintenance of credentials and competencies per accrediting or licensing agency, and department guidelines as applicable.Employs a proactive approach to the optimization of safe outcomes and information systems by monitoring and improving the department workflow and enhancing operations, using peer-to-peer accountability, and identifying solutions via collaboration. Implements process improvements utilizing tools such as lean principles. Role models situational awareness, using teachable moments to improve safety.Monitors self and employee compliance with policies, procedures and System HR Standards of Practice and performs associated actions upon non-compliance (i.e. FPR requirements, disaster plan, inservices, immunizations, wage and hour, standard hours, timely termination submission, timely timecard approval, etc).
FINANCE ESSENTIAL FUNCTIONS
Develops and manages department operational and capital budgets, approvals, and ongoing maintenance of the department(s), ensuring operation cost-effectiveness. Proactively identifies and plans for capital needs related to current equipment and future department projects.Ensures staffing plans and schedules meet department needs that reflect an understanding of the importance of cost-effectiveness.Creates department strategies to achieve financial targets and staffing needs, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.Coordinates with various areas across HMRI to ensure the establishment of a standard close-out process for clinical research studies which includes the timely and accurate review of budget categories to determine allowable and non-allowable expenses based on funding source guidelines.
GROWTH/INNOVATION ESSENTIAL FUNCTIONSIdentifies and implements innovative solutions for practice or workflow changes to improve department, entity, or system operations by leading unit projects and other department or system-directed activities. Proactively leads task forces and committees. May represent HM at assigned community or professional organization meetings.Drives change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements, or cultures. Partners effectively with stakeholders as appropriate.Coordinates with Information Technology (IT), Central Offices, and others to implement and optimize technology solutions that support clinical research activities which include the implementation and optimization of the financial modules in OnCore, continuous process improvement initiatives, and the optimization of processes to support daily operations, as needed.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. Qualifications EDUCATION
Bachelor's degree in business, finance, healthcare administration, or related healthcare field Master's degree preferred
WORK EXPERIENCE
3 years of people management or supervisory experience10 years in the healthcare environment: to include clinical research operations, research coverage analysis, or research billing operations License/Certification LICENSES AND CERTIFICATIONS - REQUIRED
N/A KSA/ Supplemental Data KNOWLEDGE, SKILLS, AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially about activities impacting patient or employee safety or securityDemonstrates the ability to interact with others in a way that gives them confidence in one's intentions and those of the organizationAbility to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one's own behavior to accommodate tasks, situations, and individuals involvedDemonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skillsAbility to identify and understand issues, problems, and opportunities, comparing data from different sources to conclude; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequencesEnsures own career discussions occur with appropriate management. Completes and updates My Development Plan (MDP) on an on-going basis. Conducts conversations with staff on their development and MDPExtensive knowledge of regulatory and accreditation agency requirements that impact the department; stays abreast of industry changesDemonstrates highly effective communication skills-strong written communication and platform presentation abilitiesAbility to work effectively in a fast-paced environmentDemonstrates flexibility and adaptability in the workplaceCapable of leading teams/facilitating groups, building consensus, and garnering the highest confidence in professionalism and work product by senior leadershipAbility to work under pressure and balance many competing priorities; highly responsive and solution/action-orientedProficiency in spreadsheet, word processing, and presentation softwareMaintains a positive and supportive attitude and demeanorProfessional handling of exposure to confidential/sensitive informationAbility to work efficiently under stress with time limits imposedInteracts effectively with a variety of professionals, administrators, and support staffStrong analytical and interpersonal skillsApplies sound judgment in applying and interpreting policies, procedures, laws, rules, and regulations applying to compliance and monitoringKnowledge of Medicare guidelines and other federal/state guidelines that govern clinical research billingKnowledge of the revenue cycle and the associated billing practices
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform NoScrubs NoBusiness professional YesOther (department approved) No
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
On Call* No
TRAVEL**
**Travel specifications may vary by department**
May require travel within the Houston Metropolitan area NoMay require travel outside Houston Metropolitan area No Company Profile
Houston Methodist Research Institute was formed in 2004 to rapidly and efficiently translate discoveries made in the laboratory and the clinic into new diagnostics, therapies, and treatments. The research institute was created to provide the infrastructure and support for these endeavors, and to house the technology and resources needed to make innovative breakthroughs in important areas of human disease. A 540,000 square foot building dedicated to research, the research institute houses over 1,500 staff and trainees, 284 principal investigators and has more than 570 ongoing clinical trials.
Options Apply for this job onlineApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Need help finding the right job? We can recommend jobs specifically for you! Click here to get started.Equal Employment Opportunity
Houston Methodist is an Equal Opportunity Employer.
Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested. Application FAQs
Software Powered by iCIMS
www.icims.com