University of Rochester Director, Finance & Administration in Rochester, New York


Full Time 40 hours Grade 055 OPD Pediatrics


8 AM-4:30 PM


Position Summary:

The Complex Care Center (CCC) provides interdisciplinary care to adults with pediatric onset conditions including developmental disabilities, sickle cell disease, cystic fibrosis, cerebral palsy, among others. Clinical services at the CCC include primary care, dentistry, physical/occupational/respiratory therapies, dietician, and behavioral health. The CCC provides complex and coordinated care through one single point of entry through the coordination and engagement of multiple clinical departments and service lines. The Division encompasses the Complex Care Center’s research, training, community service and clinical activities.

With wide latitude for initiative and independent judgement, the Director of Finance & Administration serves as the Senior Administrator and provides direction and oversight of all administrative needs for the Division. This position serves as a strategic partner in the University and UR Medicine requiring commitment to the Division’s mission. This is a leadership position and requires extensive coordination and communication with staff and resources throughout the University. The position is responsible for all regulatory policies and procedures (Joint Commission, DOH, Medicare, Medicaid, medical home). As the financial officer, is responsible for navigating staffing issues such as recruiting, effort management, and professional development. The Administrator provides coordination and managerial support for the fiscal, administrative and personnel aspects of the Division’s programs. Serve as the administrative and business manager to the Division Chief by informing and advising on administrative and fiscal activities, especially in terms of strategic planning and problem resolution. Represent the Division Chief on committees and teams inside and outside UR Medicine. Serve in a leadership role in the development phase of any new or revised activity. Participate in the evaluation of the division. Identify opportunities to improve operations, using Lean strategies. The level of knowledge, expertise and interpersonal skills required to manage the position’s responsibilities are consistent with those of a senior level management position.


Fiscal and Budget Administration

  • Develop and monitor salary, operating and capital budgets (URMFG Faculty Practice, Hospital and Medical School) and interact with faculty regarding their utilization of grant, contract, clinical and gift/endowment funds. Ensure appropriate fiscal control across accounts.
  • Review monthly financial reports and respond to inaccuracies, red flag budgetary items and provide options for resolution.
  • Supervise account and purchasing functions including reconciliation with University reports, problem resolution and analysis of revenue and expense trends and variances.
  • Evaluate and analyze budget information for appropriateness, exemptions, trends and accuracy.
  • Responsible for fiscal aspects of the Faculty and Faculty/Resident practices, including income and expense reports and implementation of the faculty compensation plan.
  • Responsible for budget development, planning and financial modeling, including development and execution of Business Improvement Plans (BIPs). Respond to requests from the Program Administrator as well as URMFG, SMD and SMH administration.

Quality Improvement Initiatives and National Recognition/Certification Processes

  • Assume a leadership role in coordination with the Division Chief to manage the tracking of Strong Internal Medicine (SIM) quality improvement initiatives.
  • Guide SIM in the process of continuing NCQA recognition as a Patient Centered Medical Home for both the Faculty and Faculty/Resident practices.
  • Assume leadership role in community-wide PCMH Collaborative.
  • Represent SIM on multiple New York State Delivery System Reform Incentive Program (DSRIP) pilot teams and management oversight committees in coordination with the Division Chief. Coordinate with the Chief the impact of ongoing changes in payment methodologies on the practice and primary care and specialty practices across the system.

Practice Management

  • Manage fiscal aspects of Faculty and Faculty/Resident practices, such as preparing practice budgets and reports; analyze data and project trends.
  • Authorize all expenditures on accounts.
  • Promote billing for all services; ensure all charges are captured in a complete and timely manner.
  • Analyze and evaluate practice plan management information for trends and improvements.
  • Reduce billing rejections and improve the quality of billing documentation submitted.
  • Educate staff and faculty regarding billing practice and coding regulations.
  • In conjunction with the Division Chief and Nurse Manager, measure and analyze data in order to recommend possible improvements to clinic processes, including becoming LEAN certified and leading the SIM UPP team.
  • Areas of review include patient access, patient satisfaction, practice flow, abandoned calls, third next available appointment, resident continuity, exam room utilization, no show/bump rates, HIV testing, controlled substance agreement forms signed, MOLST, Advanced Directives and RHIO consents.

Personnel Administration

  • Develop requests for new positions; analyze staffing needs and staffing reclassifications.
  • Initiate all personnel actions for the Division, such as new hires, job descriptions, and coordination of interviews, orientation and training of new administrative staff.
  • Authorize and approve biweekly and monthly payroll, and any extra compensation.
  • Resolve/mediate personnel issues.
  • Perform non-academic personnel evaluations in accordance with established University standards.
  • Coordinate faculty appointments and reappointment process.

General Administration

  • Assist the Division Chief by informing and advising on administrative and fiscal activities, especially in terms of strategic planning and problem resolution.
  • Oversee Division activities to ensure efficient and effective operations.
  • Ensure completion of various surveys and reports.
  • Coordinate updating and maintenance of the General Medicine Division web site.
  • Responsible for purchases, approval of major equipment, services, space and materials.
  • Serve in a facilitative role in the development phase of any new or revised activity.
  • Participate in the evaluation of the performance of the Division. Explore opportunities to improve operations.
  • Represent the Division, as appropriate, in interactions with the Department of Medicine, Strong Memorial Hospital, UR Medicine, and local, state and national organizations.


Bachelor’s degree. A Master’s degree, equivalent course work, or specialized experience in an appropriate field related to the assignment is desirable. Five years relevant experience including at least two years at a managerial level.

Master’s in Business Administration and at least 10 years of progressive management experienceor an equivalent combination of education and experience is required. A terminal degree in business or education specialty with significant leadership training preferred. At least five years in a supervisory role, managing faculty and/or professional staff is required. Work experience in higher education or a health care setting preferred. Must have reliable/efficient transportation for travel as needed.

EOE Minorities/Females/Protected Veterans/Disabled

Job Title: Director, Finance & Administration

Location: Strong Memorial Hospital

Job ID: 209945

Regular/Temporary: Regular

Full/Part Time: Full-Time