Director, Reimbursement, Southbank Plaza II

Key Responsibilities

• Provides leadership, staffing oversight, and departmental supervision for the Reimbursement function.
• Ensures compliance with applicable government reimbursement regulations, reporting requirements, and industry standards.
• Maintains the Health System charge master, ensuring charges are accurate, current, and aligned with applicable regulatory requirements.
• Pulls, reviews, and analyzes government reimbursement reports and related data to support financial reporting, compliance, and decision-making.
• Supports audit readiness and responds to reimbursement-related inquiries, reviews, or requests as needed.
• Develops and maintains policies, procedures, and internal controls related to reimbursement operations and compliance.

Required Education And Qualifications

• Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field required.
• 5+ years of healthcare finance experience required.
• Home office cost report experience required.
• Significant experience in healthcare reimbursement, net revenue, cost reporting, finance, revenue cycle, or related financial operations required.
• Strong knowledge of Medicare, Medicaid, and government reimbursement regulations.
• Experience preparing or overseeing government cost reports and reimbursement-related financial analysis.
• Prior leadership or supervisory experience required.
• Strong analytical, communication, problem-solving, and organizational skills.
• Ability to interpret complex regulatory guidance and communicate impact to leadership and operational stakeholders.

Preferred Qualifications

• Master’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field preferred.
• Experience in a hospital or health system environment preferred.
• AHCA reporting experience preferred.
• Experience pulling government reports and analyzing government reimbursement data preferred.
• Experience with charge master oversight, net revenue budgeting, and reimbursement compliance preferred.
• CPA, HFMA certification, or other relevant healthcare finance certification preferred.