Chief Administrator, MGB Cancer Institute
Mass General Brigham

GENERAL SUMMARY/OVERVIEW STATEMENT:

Under the leadership of the MGB SVP for Operations (SVP) and the MGB President of the Cancer Institute (President), the Chief Administrator of the MGB Cancer Institute (CA) serves as the senior administrative executive for all cancer services across the health system, and has administrative oversight of all medical oncology, radiation oncology, and cancer surgery throughout MGB.

Across MGB the Cancer Institute entails:

12 Owned Sites & 14 Affiliated Sites

>600,000 ambulatory visits/year

>300 Dedicated Medical Oncology Beds

>300 Infusion Chairs (owned or affiliated)

2 Proton Therapy Units & 28 LINACs (owned or affiliated)

>900 Cancer Investigators

>1,000 Active Cancer Clinical Trials

The CA collaborates directly and continuously with the department chairs and division chiefs and disease center leaders, and jointly supervises the departmental administrators who manage the day-to-day clinical, research, and education program operations. In addition, the CA is responsible-directly, or in partnership with senior leader colleagues - for a number of ongoing, broad organizational requirements, including:

• Ensuring that competent, efficient, and coordinated patient care is uniformly provided to patients in ambulatory, inpatient and community settings;
• Ensuring timely access to care
• Ensuring that all educational programs meet institutional and outside regulatory requirements;
• Ensuring that all research initiatives are appropriately supported;
• Directing and developing the organization of services and programs within the scope of responsibility of the CA;
• Managing all operating and capital budgets within the purview of the CA;
• Leading the management team toward attainment of identified short- and long-term goals and objectives;
• Advancing MGB's commitment to diversity, equity, and inclusion;
• Executing strategies and plans designed to achieve MGB's strategic objectives; and
• Collaborating with other institutional leaders to meet MGB strategic goals and objectives.

Reporting to the SVP and President, the CA is ultimately accountable for the overall administrative and strategic leadership, operating results, and financial performance of all areas within the Institute, and serves as a leader across MGB.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Leadership

• In partnership with the President, determines the overall vision, mission, direction, goals, and objectives of the MGB Cancer Institute.
• Facilitates the strategic planning process, informed by market research and competitive analysis, designed to address patient need/demand and relative gaps and strategic opportunities for the system.
• Ensures development and implementation of strategies and tactics that are aligned with achieving MGB's long-term goals.
• In partnership President, leads the initial establishment and integration of the MGB Cancer Institute.
• Serves as one of the principal architects of the MGB Cancer Institute, including unification of the BWH and MGH departments and divisions that reside within the Institute.
• In alignment with MGB leadership and the hospital presidents and COOs, oversees development and implementation of a plan to horizontally integrate activities and structures that are relevant to the MGB Cancer Institute.
• Works collaboratively with the SVP, President, and the entire MGB leadership team to establish MGB Cancer Institute as a top five cancer program in the nation by 2030.
• Identifies areas of synergy between the MGB Cancer Institute and hospital sites that would foster academic excellence, scientific creativity, and clinical quality.
• Ensures healthy and collaborative administrative relationships across MGB. Conducts regular rounds across all MGB Cancer Institute sites to engage with team members and encourage change when necessary.
• Develops and implements systems and procedures consonant with MGB's policies. Assesses administrative and financial needs and ensures policies and procedures are designed to support a changing environment.
• Serves as a critical leader in MGB's Enterprise Asset Management efforts - leading performance improvement initiatives and working to optimize volume, utilization, and year-over-year performance.
• Ensures that monitoring systems are in place to track compliance with all applicable accreditation, regulatory, and legal requirements.
• Identifies and develops leading practices and higher degree of standardization in the approach, tools, methods, reports, and analysis to support the various strategies and business needs.
• Serves as the lead for cancer-related joint ventures, affiliations and partnerships that will support or advance the Institute.
• Develops effective, clear, and precise methods of communicating with the SVP, the President, and with cross-system physician leaders, faculty, and staff on a regular basis.
• Keeps current regarding trends and developments in the healthcare and cancer fields.
• Serve as a representative of the organization if/as requested.

Operational Management: Clinical Administration

• Ultimately responsible for the operation and administration of all cancer patient care needs along the care continuum, including prevention, detection, diagnosis, treatment, and survivorship.
• Ensures proper integration of medical oncology, cancer surgery, radiation oncology, pathology, radiology, and other cancer-related sub-specialties into delivery of a single, cohesive, multidisciplinary care offering to cancer patients.
• In partnership with physician and administrative cancer leaders across MGB, ensures effective clinical administration offerings related to:

• Ambulatory Clinic Administration
• Inpatient Service Administration
• Surgical/Procedural Service Administration
• Access & Capacity
• Clinical Trials
• Data Collection & Registries
• Policies, Procedures, Regulations, and Compliance
• Quality & Safety Administration
• Strategic Growth & Development

• Drives performance through system-thinking and creativity to create the ideal patient experience by continuously improving quality metrics, employee engagement, patient care services, expense reduction, managing staffing ratios, productivity and institute growth and expansion.
• Develops, supports, and manages coordinated programmatic initiatives for care model development and care delivery improvement.
• At the direction of the President, drives the delivery of exceptional patient care by collaborating with clinical leaders to implement evidence-based practices, and innovative treatments.
• Ensures patient-centric approaches across the MGB Cancer Institute and administration of the highest quality and safety standards in clinical care.
• Partners with the President to implement new programs, coordinate and evaluate clinical outcomes, and establish value-based oncology services.
• Leads a culture of innovation, collaboration, and continuous improvement to advance cancer patient care in full alignment with the MGB Cancer Institute's teaching, research and community missions.

Operational Management: Academic Administration

Research

• Leads and maintains the MGB Cancer Institute research administration infrastructure, including administrative staff, space, and equipment, in alignment with the MGB Chief Academic Officer.
• Maintains an inventory of all research activities being conducted across the MGB Cancer Institute.
• Oversees all research administration offerings related to:
• Pre-Award Administration
• Post-Award Administration
• Policies, Procedures, Regulations, and Compliance
• At the direction of the President, facilitates strategic investment that advance the institute's strengths in research discovery and novel therapeutics.
• At the direction of the President, works with principal investigators to identify and support development of appropriate areas of research, including assistance with related recruitments and acquisition of required resources.
• Ensures that all staff are conversant with institutional research policies and procedures, including appropriate application for and maintenance of necessary IRB or IACUC approvals, protection of intellectual property and compliance with MGB and HMS policies on research conduct and Conflict of Interest.

Education

• Works with the President, the AMC Department Chairs, the Chief Academic Officers, the Chief Medical Officers, and the Graduate Medical Education leadership in developing and maintaining quality training programs across the AMCs and within the Institute.
• Ensures effective administrative management of the cancer-related residency rotations, fellowship programs, medical school programs, and continuing medical education programs.
• Monitors issues that have impact on training and educational needs and ensures that the potential impact on these needs is considered as part of the decision-making process.
• Oversees all educational administration offerings related to:

• • Affiliations
  • Program Design & Management
  • Policies, Procedures, Regulations, and Compliance

• Ensures proper data collection and anticipates and ensures preparation of the necessary documents and records for periodic reviews.
• Monitors training affiliation agreements with outside institutions; maintains and fosters relationships with those institutions where our trainees rotate, and those institutions whose trainees rotate through MGB.
• Extends teaching mission to all levels and encourages continuing education for employees.

Operational Management: General

• Manages recruitment efforts and search processes on behalf of the President.
• Supports the department-based administrative leaders as they ensure effective faculty development and general service offerings related to:

• • Appointments/Promotions/Search Processes
  • Credentialing
  • OPPE/FPPE
  • COI
  • Information Systems
  • Legal Services

Financial Management

Leadership

• Maintains the solvency of all funds under the CA's purview.
• Examines, analyzes, and interprets financial reports for the purpose of giving advice, preparing statements and projections, and ultimately managing resources.
• Leads standardization efforts aimed at cost savings, efficiency, and best practices.
• Ultimately accountable for the management of cost centers, compliance with budgets, and resolution of potential problem areas.

Budgeting

• Partners with all required constituents to prepare annual budgets for the physicians organizations and the hospitals in the prescribed format for the responsible areas, and on behalf of institute advancements. Presents and justifies budget requests to leadership as appropriate.

Capital Management

• In coordination with MGB site leadership, takes a leadership role in planning and space allocation for all current and future applicable services assets.
• Partners with MGB site leadership for all capital planning relative to the institute.
• In coordination with MGB site leadership, oversees all physical space that is dedicated to the institute.
• Oversees vendor relationships as applicable.

Fiscal Management

• Responsible for the cost center fiscal management of all areas of responsibility.
• Develops and administers financial models and virtual operating statements that show a coordinated and holistic picture of MGB-wide cancer services.
• Establishes and achieves financial goals and measures, monitors, and ensures the ongoing financial performance.
• Facilitates effective cost containment practices through monitoring of volume trends, proactive management of capacity (physical and human resource), supplies, service contracts, and professional services agreements.
• Oversees expense management issues; performs comparative analyses; develops and implements strategies for cost containment.
• Administratively directs the development and monitoring of physician compensation plans for the relevant departments, with a focus on productivity.

Analysis & Reporting

• Examines, analyzes and interprets financial reports for the purpose of giving advice, preparing statements and projections, and ultimately managing resources.
• Oversees preparation of analyses and forecasting for introduction of new programs/services and service line centers.
• Approves all relevant capital purchases and tracks ongoing expenditures.
• Monitors all research, sundry, HMS, and operating funds as appropriate.
• Supervises the activities of subordinates who are responsible for being familiar with and approving all revenue/expense transactions, assigning cost centers, monitoring compliance with budgets, and identifying and investigating potential problem areas and proposing solutions.
• Ensures that the highest standards of integrity, ethics, control, and confidentiality are maintained at all times across all financial and accounting matters under the purview of the CA.

Development

• At the direction of the Chief Development Officer(s), and working with the President, serves as a primary fundraiser, building relationships with the philanthropic community and working with the Development Office team to secure gifts toward cancer education, research, and/or clinical care.

Marketing Management

• With the President, engages with marketing, public affairs, and business development leaders to develop and implement plans to promote the institute and create a strong referring physician, payer and patient awareness program to achieve targets.
• Advances patient experience activities through the use of customer relations management methodologies and a strong understanding of patient trends and preferences.
• Establishes partnerships with key external academic, research, and clinical organizations, both locally and nationally, to expand the MGB Cancer Institute brand.

Human Resources Management

• Coordinate with Human Resources for the interviewing, hiring, personnel transactions (hiring, salaries, promotions, job descriptions, etc.) and implementation of institutional corrective action policy for staff.
• In conjunction with Human Resources leadership, serves as a primary resource for issues related to professional and non-professional staff benefits.
• Using appropriate management systems, initiates, approves, and coordinates with Human Resources for approval of human resources changes (i.e. salary adjustments, salary distributions, training records, etc.) for staff who reside under the CA's PeopleSoft tree (or delegates said work).
• Prepares performance reviews on direct reports.
• Takes corrective and disciplinary action, up to and including termination, as necessary to maintain the highest level of staff productivity and effectiveness.
• Reviews workload issues to ensure appropriate staffing.
• Ensures that organizational structure and staffing comply with MGB spans and layers guidelines.

Compliance

• Reviews salary and wage issues; works with the President, SVP, chairs/chiefs, and department-based administrative leaders to develop and implement compensation plans in coordination with MGB.
• Develops, implements, oversees and approves policies, procedures and systems and revises as necessary to maximize efficiency.
• Responsible for ensuring compliance with regulatory bodies and making managers aware of policy and procedure changes.

Qualifications
MINIMUM JOB QUALIFICATIONS:

• 7+ years of experience as a senior leader within an academic cancer center required.
• Demonstrated track record of successfully leading teams.
• Experience working in a highly matrixed organization / environment strongly preferred.
• Master's degree in a management field required.

EEO Statement
Mass General Brigham is an Equal Opportunity Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under the law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, perform essential job functions, and receive other benefits and privileges of employment.

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