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 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, five 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 Vice President, Finance and Administration. The VP, Finance and Administration serves as a key member of the PCC senior executive team. 
 
This position has staff responsibility for PCC accounting, payroll, HR, compliance and facilities functions.  The position is also integral to PCC’s largest programs and the new Nexus Montgomery regional partnership (NM RP), the position has external line responsibilities to the NM Board Finance Committee for the NM RP budget and financials and works closely with the NM Director.  For PCC’s healthcare access programs, the position is responsible for decisions regarding medical provider billing procedures. This position interacts with Montgomery County DHHS COO, contract management, budget and finance departments as well as C level hospital administrators. PCC encourages applications of 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
 
Manage the Financial and Administrative Operation for PCC

• Oversee all Accounting, Payroll, HR, Compliance and Facilities functions.  Manages a team (3-4FTE) including Sr. Accountant and HR Manager.
• 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.    Determine corporate recommendations for salary equity and increases, factoring funder requirements, funding sources, and salary surveys performed by HR.
• Provide financial reporting and analysis to CEO, Senior Executive team and PCC Board.
• Manage cash flow and develop a plan for creating cash reserves in support of future growth and expansion.
• Oversee HR to ensure wage, benefit and HR related policies are compliant and equitable; work with managers to ensure these are implemented as written.  With the senior executive team, participate in mentoring internal staff and shaping a culture of continuous improvement through high performing teams.
• Work with PCC External Affairs Committee and County Department of Health and Human Services on justifications for requested county funding including inflationary increases.  Calculate annual indirect and fringe rates; negotiate rates with Funders.  Maintain indirect and fringe spending within accepted rates. 
• Interface with external legal, audit and other service providers. 
• Work with program managers and external legal counsel to ensure contracts define scope, and mitigate risk for PCC. 

Manage the Financial Operations for the NM RP, an LLC of 6 independent hospitals with 3 community non-profit subcontractors which are together implementing community based population health programs. 

• Provide primary financial and organizational leadership for the Finance Committee of NM RP.
• Working with partnership members, create budgets for the RP.  Maintain consolidated financials for the RP across various revenue generating and service provision entities (interacting with hospital finance departments).
• Working with the Finance Committee and Programs Committee of the RP, develop and maintain models for return on investment for RP programs.

• Invoicing and billing for medical services:

Oversee the invoicing function from the medical providers with whom PCC has contracts.  Revise the invoicing processes PCC requires of these providers to mirror those processes the providers follow when billing third party insurers. 
 
PCC currently does no medical billing of third party insurers for PCC-provided medical services (except for behavioral health therapy). 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.
 
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.
• Prior experience with health insurance billing required; experience with Medicaid, Medicare or behavioral health billing preferred.
• Demonstrated leadership ability, as a member of a senior management team.
• Demonstrated ability to work with a diverse team, with attention to mentorship and professional development of staff.  Attention to creating a culture of accountability for outcomes. 
• Astute at aligning interests and driving action and outcomes through external partners over which you have no direct control.
• 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.