Chief Operating Officer
 
 

Location	Silver Spring
FLSA	Exempt
Full or Part-Time	Full
Telecommute	No

 
 
About The Primary Care Coalition of Montgomery County, Maryland

The Primary Care Coalition of Montgomery County, Maryland was founded in 1993 when a group of physicians and health care officials imagined a Montgomery County where every resident had access to high-quality health services. They envisioned a dependable source of primary care for low-income, uninsured individuals in our community and created a framework that shared the responsibility for providing that care across the public and private sectors. The Primary Care Coalition (PCC) was formed to help make their vision a reality.

The PCC, a mid-sized regional non-profit, is deeply connected to the continuum of care for low-income uninsured, ethnically diverse residents of Montgomery County who frequently lead medically and socially complex lives. The PCC strives to provide a coordinated network of high-quality care for vulnerable residents of Montgomery County. The PCC works with the Montgomery County Department of Health and Human Services (DHHS), 12 independent safety-net clinics, six hospitals, and a number of other community partners to help patients’ access the full range of care they need. 

The mission of PCC is to be the catalyst for developing and coordinating a community-based healthcare system that strives for universal access and health equity for underserved community members. The vision of PCC is that all community members have the opportunity to live healthy lives, and that Montgomery County will be the healthiest community in the nation and a model for providing access to high quality and efficient care for all. To learn more please visit www.primarycarecoalition.org. 
 
Position Description
 
This year PCC adds a new role Chief Operating Officer (COO). The COO serves as a key member of the PCC senior executive team, contributing to organizational and strategic planning and execution.  Reporting to the CEO, the COO is a colleague to the senior leaders of PCC’s two large program areas (Health Equity and Population Health/Nexus Montgomery), providing policies and procedures, financial analysis, budgeting and contracting expertise in addition to ensuring program needs are met for human capital development, data analytics and information technology.   The COO also has external responsibilities, interfacing with PCC’s primary clients – county government and local hospitals - on contractual and financial issues related to mission delivery and sustainability. 

This position interacts with Montgomery County DHHS COO, contract management, budget and finance departments as well as C level hospital administrators. This position is the staff lead for the Finance Committees of both the PCC Board of Directors and the Board of Managers for a multi-party regional partnership (Nexus Montgomery) for which PCC serves as the management and programmatic infrastructure. PCC encourages applications from candidates with a passion for improving the health of populations, reducing health care costs, and increasing consumer engagement.
 
This position reports to the CEO and is located in our Silver Spring office.
 
Primary Responsibilities

• Oversight of Accounting, HR, Compliance and Facilities functions.  Manages a team (~4FTE) including Controller and HR Manager. Data analytics and information technology may also report to the COO, if within the candidate’s experience set.
• Develop and maintain an organization budget and budget review process, inclusive of program managers, that encourages accountability and outcomes across matrixed program elements.
• With Program Managers establish contract and grant budgets.  Align labor (FTE) across departments and funding sources. Participate in budgeting for proposal development for new or expansion of programs
• Provide financial reporting and analysis to CEO, senior executive team and PCC Board. Develop a plan for enhancing cash reserves in support of future growth and expansion.
• With the senior executive team, participate in mentoring internal staff and shaping a culture of continuous improvement through high performing teams. Oversee HR to ensure wage, benefit and HR related policies are compliant and equitable; work with managers to ensure these are implemented as written.  Determine corporate recommendations for salary equity and increases, factoring funder requirements, funding sources, and salary surveys performed by HR.
• Work with PCC External Affairs Committee and County Department of Health and Human Services on justifications for requested county funding including inflationary increases.  With Controller input, calculate annual indirect and fringe rates; negotiate rates with Funders.  Maintain indirect and fringe spending within accepted rates. 
• Interface with external legal and other service providers to ensure Program Contracts define scope and mitigate risk for PCC. 
• If data analytics and information technology are within the candidate’s experience set, oversee PCC strategy for use of technology, data capture and data analytics.  PCC places high value on quality outcomes and metrics, using data to drive improvement.
• Revise the invoicing processes PCC has in place with the medical providers for which PCC contracts for services.  Create procedures that allow these providers to mirror those processes follow when they are billing third party insurers.
• Provide analysis of future revenue opportunities (such as billing insurance for services provided) and manage external consultants PCC currently does no medical billing of third party insurers for PCC-provided services.  This position will provide assessment as to whether current or future PCC services (e.g. case management) are appropriate for medical billing (e.g. Medicaid, Medicare) and if so whether billing should be an in-house or contracted function.  Manage consultants involved in such analysis
• Participate in cross-departmental operational management meetings.

 
For Nexus Montgomery Regional Partnership (NM RP), a partnership of six local hospitals, independently and jointly implementing community based population health programs: 
 

• In conjunction with the Nexus Montgomery Finance Committee Chair, create a budgeting and financial reporting process that addresses the funding streams and expenditures across the six hospitals.  
• Working with the Nexus Montgomery Director (PCC’s senior leader for Population Health) and partnership members, create the annual budget for the NM RP. Provide regular budget to actual reports and analysis to the Finance Committee and the State of Maryland.
• Working with the Nexus Montgomery Director, the NM RP Finance Committee and NM RP Programs Committee, develop and maintain models for assessing return on investment for NM RP programs (program goal: avoided hospital utilization/cost).  Obtain baseline input on costs from the hospital partners.  Assist Finance Committee in developing a formula for determining hospital retained savings from reduced utilization.

 
Qualifications
 

• Bachelor's Degree at minimum required with 10 plus years of progressively relevant work experience.  Prior non-profit experience required, health care or hospital experience preferred.
• Demonstrated leadership ability, as a member of a senior management team.
• Demonstrated ability to work with a diverse regional non-profit team, with attention to mentorship and professional development of staff.  Attention to creating a culture of accountability for outcomes. 
• Prior experience with health insurance billing required; experience with Medicaid, Medicare or behavioral health billing preferred.
• Astute at aligning interests and driving action and outcomes through external partners over which you have no direct control.
• Strong understanding of the dynamics of mid-sized regional non-profit.
• Self-motivated and organized with attention to detail.
• Excellent written, verbal and interpersonal communications skills. Experienced communicating with C-level, Boards and board committees. 

 ADA Requirements

This job operates in a professional office environment.  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• This role routinely uses standard office equipment such as computers, telephones, photocopiers, filing cabinets and fax machines.
• This is largely a sedentary role; however, some filing may be required.
• This would require the ability to lift files, open filing cabinets and bend or stand as necessary. 
• Requires ability to learn new software applications as necessary.
• Must be able to lift up to 20 pounds. 
• May require occasional travel.

This job description indicates in general the nature and levels of work, knowledge, skills, abilities and other essential functions (as covered under the Americans with Disabilities Act) expected of an incumbent.  It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of an incumbent.  An incumbent may be asked to perform other duties as required.