Director, Healthcare Finance – Reimbursement

This is a fully remote position, open to applicants in United States.

📋 Description

• Manage the daily operations of the healthcare finance and reimbursement department

• Provide direct leadership, technical expertise, direction, and support for team development and performance

• Set priorities, track deliverables, enhance workflows, and foster accountability

• Create and implement reimbursement strategies for Medicare, Medicaid, and commercial payers

• Supervise reimbursement analysis related to payment methods, reimbursement trends, settlement activities, service line performance, contractual accounting, and bad debt reserves

• Review internally or externally prepared cost reports, ensuring the timely and accurate completion of interim and final cost reports

• Directly engage in financial modeling and variance analysis concerning reimbursement structures, payment trends, and opportunities for revenue optimization

• Compile and present financial reports, insights, and recommendations to finance leadership and internal stakeholders

• Ensure adherence to CMS guidelines and relevant federal and state reimbursement regulations

• Keep track of regulatory changes, assess the impacts of payment models, and facilitate organizational preparedness

• Lead and assist in internal and external audits related to reimbursement, cost reporting, and payment practices

• Stay updated on value-based care models and alternative payment methodologies

• Collaborate with finance, operations, and internal stakeholders to address issues, enhance processes, and ensure compliance

⛳️ Requirements

• A bachelor’s degree in finance, accounting, healthcare administration, or a related field is essential

• At least 7 years of progressive experience in healthcare finance, reimbursement, or related domains

• Significant experience with Medicare hospital cost reports is required

• Advanced skills in Excel and financial modeling are necessary

• In-depth knowledge of Medicare, Medicaid, DRG/APC payment systems, and managed care contracts

• Strong capabilities in financial modeling and data analysis

• Familiarity with value-based care, bundled payments, and risk-based contracts

• Exceptional communication and stakeholder management abilities

• A master’s degree is preferred

• Previous leadership or supervisory experience is preferred

• Experience with healthcare financial systems and reimbursement reporting tools is preferred

• Knowledge of Tableau or Power BI is preferred

🏝️ Benefits

• Full-time employment

• Opportunity to work alongside highly skilled subject matter experts and operations executives

• A collegial environment that emphasizes professionalism and teamwork