The Senior Vice President, Physicians’ Organization (PO) Operations reports to the President/CEO of the PO and is accountable for the operational integrity, financial performance, and strategic direction of the Boston Children’s Hospital (BCH) Physician Organization. The PO is a nonprofit management services organization supporting approximately 1,200 faculty physicians across fifteen subspecialty Foundations and three BCH Service Funds.
In collaboration with BCH and the Foundations, the PO supports an integrated pediatric healthcare system that advances high-quality, cost-effective patient care while enabling BCH’s academic, research, and community missions. The PO provides and oversees essential services including revenue cycle operations and billing; accounting, cash management, audit, and tax compliance; payer contracting and reimbursement support; HR advisory services; patient access and ambulatory operations; utilization review and compliance oversight; and IT systems supporting billing, accounting, HR, analytics, cost modeling, and charge capture.
The PO also partners with BCH on enterprise initiatives related to compliance, patient experience, ambulatory access, and system-wide revenue cycle performance.
Key Responsibilities
Operational Leadership and Strategy
Lead PO operations with a focus on performance, scalability, accountability, and sustainability
Direct strategic planning in partnership with BCH, PO, and Foundation leadership
Align enterprise priorities, resources, and operating models
Design and maintain an effective organizational structure
Communicate clearly with BCH and Foundation stakeholders
Financial and Business Performance
Oversee budgeting, forecasting, and financial performance
Partner on revenue cycle strategy, payer contracting, and reimbursement optimization
Develop financial models and business cases for clinical growth and new programs
Steward PO reserves, joint investment funds, and operational assets
Foundation and Network Operations
Standardize centralized business services across Foundations
Accommodate clinical and academic variation where required
Deliver timely, accurate accounting and reporting
Support governance and performance oversight of affiliates and partnerships
Quality, Access, and Infrastructure
Improve patient access, ambulatory capacity, productivity, and experience
Partner with clinical leaders on operational improvement
Oversee shared services including compliance, credentialing, IT/EMR workflows, analytics, billing, and collections
Ensure regulatory compliance, audit readiness, and risk mitigation
Human Resources and Enterprise Collaboration
Oversee HR infrastructure supporting physician faculty in partnership with enterprise HR
Support workforce planning, engagement, and alignment
Recruit, develop, and retain PO staff while fostering a collaborative culture
Serve as an enterprise partner across clinical, academic, and administrative leadership
Lead feedback processes to improve PO services
Required Qualifications
Advanced degree (MBA, MHA, or equivalent) preferred
10+ years of senior leadership experience in an academic medical center with physician practice or network operations responsibility
Demonstrated expertise in physician practice financial management, revenue cycle, compensation models, and growth initiatives
Strong operational capability in process improvement, technology enablement, and analytics
Proven success leading complex organizational change
Executive presence with a collaborative style and commitment to equity, inclusion, physician well-being, and family-centered care
The Senior Vice President (SVP), Physicians’ Organization (PO) Operations serves as the executive accountable for the operational integrity, financial health, and strategic direction of the Boston Children’s Hospital (BCH) Physician Organization. The PO is a nonprofit management services organization supporting approximately 1,200 faculty physicians that are employed across fifteen subspecialty Foundations and three BCH Service Funds.
Working collaboratively with BCH and the Foundations, the PO plays a critical role in developing and coordinating an integrated pediatric healthcare system that advances high-quality, cost-effective patient care, and supports BCH’s academic, research, and community missions.
In support of mission-based physician-delivered healthcare services and in partnership with the Foundations, the PO:
Directs management services including patient billing, revenue cycle operations, financial accounting, and accounts receivable management
Supports chargemaster development and the contractual agreements and relationships with insurers and managed care organizations
Develops, offers, and advises on select human resources services for physician faculty
Support...s patient access and ambulatory operations
Enforces utilization review and compliance oversight
Manages PO reserve funds, joint investment funds, and cash management
Oversees audit preparation, external financial reporting, and tax compliance
Monitors and reports on billing compliance and regulatory requirements
Guides information technology services supporting billing, accounting, human resources, cost-modeling, and charge capture
The PO also partners closely with BCH on joint enterprise initiatives spanning compliance, patient experience, ambulatory access, and enterprise-wide revenue cycle performance.
