About City of Hope

City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.

Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope’s translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope™, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope’s specialized cancer expertise.

A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation’s “Best Hospitals” in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.

City of Hope’s commitment to Diversity, Equity and Inclusion

We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all of our communities. Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds and experiences to our work -- and that our teams align with the people we serve in order to build trust and understanding. We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds and perspectives; this is reflected in our work and represented in our people.

Position Summary

The finance operations manager is responsible for the financial operations and performance of the Orange County clinical network’s $300M operating budget. The finance operations manager will apply their experience and expertise to provide financial management services for the OC clinical network sites including budgeting and forecasting, reporting of department funds, managing timely month end and year end processes, managing labor schedule and approvals of expenditure, purchase orders and invoices. The manager will be responsible for preparing, managing, and leading business cases for additional capex projections or addition/expansion of new services across the Network. Using a labor productivity system and the budget, the manager will also be responsible for management of the position control and labor productivity dashboard of the OC Network to inform data-driven labor management.

The manager must balance in-depth technical expertise with an over-arching understanding of the ambulatory oncology care business and the ability to influence leaders and stakeholders at all levels, including the executive level. The manager will be part of the larger OC Business Operations and Enterprise Finance teams supporting both administrative and clinical stakeholders with problem-solving on financial matters affecting their areas.

Key Responsibilities include:

Financial Management:

• Assesses the operational and financial performance of the OC Network’s ongoing programs through the performance of periodic reviews focusing on process improvements, emerging risks in the market, changes in payor mix and resultant profitability, operating costs and wage changes to eliminate waste and maximize return on investment, ensuring the ongoing viability and performance of the OC Network.

• Measures clinical capacity, utilization and efficiency, partners with operations and physician leaders to implement actions to drive improvement.

• Engages in and supports the annual budget process as well as the reforecasting process throughout the fiscal year. Embedded, close partnership with operations colleagues is critical for success.

• Quantifies and analyzes financial performance of service lines. Partners with clinical operations to establish a framework for measuring service line performance within a P&L framework.

• Leverages City of Hope’s existing data and analytic structure, applications to drive automation and repeatability with minimal intervention.

• Function as general Managed Care and Foundation BI point of contact

• Liaise between Business Development, Managed Care, Revenue Cycle, Accounting, Corporate Finance and BI, to resolve issues within appropriate working groups in a timely manner

• Provide education, ad-hoc analysis, and diagnostic support to all levels of management for financial risk, financial projection, business line development

• Present monthly financial Budget vs. Actual reporting of the Regional Clinics’ performance to stakeholders

• Propose and execute financial solutions to the issues uncovered through variance reporting

• Serve as primary contact for comprehensive financial management of the Regional Clinics

• Project-manage key initiatives within the OC Finance department including developing project plans, milestones, and metrics.

• Manage yearly Service Line Agreements (SLAs) with internal departments supporting the OC Network to ensure appropriate reflection of enterprise level expense in the OC books.

• Develop business cases for new programs, positions, and capital equipment of small to modest scope impacting the OC Network.

Financial Operations:

• Perform highly analytical, complex finance and control functions; multi-dimensional and complex reconciliations and related analysis; prepare or review and approve complex transactions and various level dollar value transactions.

• Lead and execute unit or cross functional projects and teams, make decisions regarding projects and programs affecting operational effectiveness, policies, or processes.

• Lead and support unit and organization strategy and change management initiatives

• Provide training on new financial systems. Represent organization to client group(s) and external partners; serve as subject matter expert on matters that involve complex technical, financial, or subject matter expertise.

• Assess client and business needs and formulate recommendations to determine approach to managing and completing processes.

• Provide local support for the complex Procure to Pay (P2P) processes including expertise on contract management functions

• Approve transactions in the different financial systems, or work with relevant external departments, to properly reflect corrections of Labor/Non-Labor Expenses as well as Patient and Non-Patient Revenues in the general ledger

• Resolve discrepancies within the Network regarding budgets, reimbursements, invoices, etc in coordination with the department leaders

Annual Budget Process Execution:

• Develop complex budget and forecasting scenarios, long-range planning and analyses for financial reporting and presentations; design ad-hoc reports.

• Establish budget methodologies, templates, and schedules to meet internal deadlines.

• Communicate budget process and requirements to the OC network budget planners; provide training as required.

• Meet with Regional Clinic budget stakeholders to ensure adequate involvement and decision-making

• Serve as the superuser for EPM (or related) Enterprise Budget Planning System

• Ensure adequate and timely distribution of finalized budget materials to stakeholders in the entire OC Network.

Labor Management:

• Review, design, and implement appropriate internal control programs, research new regulations, and implement approved changes. Manage compliance program for area of responsibility, interpret internal policy and external regulations, and create and/or review complex compliance reports.

• Manage the OC Position Control Process (BJF Process) including collection of requests, quantification of financial impact, budget verification, mitigation strategies, and benchmark productivity analysis for review by the OC Exec Dir of Finance.

• Manage and monitor position control numbers as well as maintenance of the OC Table of Organization report to ensure proper position management

• Manage the OC Productivity Dashboard by ensuring accurate reflection of payroll expense and disseminating weekly/monthly productivity reports.

Revenue Cycle:

• Create, implement, and monitor performance of the Revenue Cycle financial operations for the OC network clinics.

• Establish and maintain reporting on:

Key metrics for days in A/R, cash collections, A/R aging and CDM maintenance.

Collections, Refunds/Credit Balance, Credit Balances, Payment Posting and Revenue Integrity inclusive of Charge Capture and CDM maintenance and updates.

• Establish appropriate revenue goals and monitor annual operating revenues.

• Research opportunities for enhanced revenues on the already existing business

Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality.

Performs other related duties as assigned or requested.

Basic education, experience and skills required for consideration:

• Bachelor’s Degree in Health Administration, Accounting, Finance, Business Administration or a related field.
• 5+ years professional financial management experience including Financial Modeling, Reporting and Analysis
• 1 year of experience in a leadership capacity

Preferred education experience and skills:

• Masters in Business Administration, Healthcare Administration or similar
• FP&A and Revenue Cycle experience in large academic health system, process improvement, high level project management, data reporting and analyses

Additional Information:

As a condition of employment, City of Hope requires staff to comply with all state and federal vaccination mandates.