Senior Director System Reimbursement

Responsibilities

• Ensure accuracy of net patient service revenue and third-party settlement estimates in line with GAAP
• Lead development of advanced analytics and tools to gain insights on reimbursement trends and denial drivers
• Monitor and interpret evolving reimbursement regulations, translating them into actionable compliance strategies
• Synthesize complex regulatory changes into clear insights for senior leadership
• Oversee submission of all third-party cost reports and reimbursement correspondence
• Manage interactions with Medicare Administrative Contractors and handle audit and appeal strategies
• Guide graduate medical education reimbursement strategies and compliance with CMS regulations

Qualifications

• Bachelor's Degree in Finance or related field required, Master's preferred
• Minimum 8 years of experience in finance, with at least 5 years in a managerial or supervisory role
• Strong analytical thinking and problem-solving skills
• Proficient in healthcare industry regulations and reimbursement methodologies
• Excellent communication and organizational skills

Benefits

• Work from home flexibility in Pennsylvania
• Full-time schedule with 40 weekly hours
• Opportunity to build and develop a high-performing team
• Access to advanced reimbursement and revenue analytics technologies
• Engagement with senior leadership and influence on regulatory policy changes

Pay

$130,000 – $180,000 annually

Schedule

Full-time schedule with 40 weekly hours