VP / Director Of Clinical Reimbursement (70642)

Key Responsibilities

• Provide executive leadership and strategic oversight for all clinical reimbursement functions company‑wide.
• Develop, implement, and maintain reimbursement strategies, policies, and processes that ensure accuracy, compliance, and financial integrity.
• Lead and mentor the reimbursement team, fostering a culture of accountability, collaboration, and continuous improvement.
• Monitor regulatory changes, payer requirements, and industry trends to ensure the organization remains compliant and competitive.
• Partner with clinical, operational, and financial leaders to support accurate documentation, coding, and billing practices.
• Oversee audits, quality reviews, and internal controls related to reimbursement activities.
• Serve as the primary advisor to the CEO on reimbursement matters, providing regular updates, analysis, and recommendations.
• Drive initiatives that improve reimbursement outcomes, reduce risk, and enhance operational efficiency.
• Represent the organization in high‑level discussions with external partners, regulatory bodies, and industry groups as needed.

Qualifications

• Bachelor’s degree required; advanced degree in healthcare administration, business, or related field preferred.
• Extensive experience in clinical reimbursement, revenue cycle, or related healthcare financial operations.
• Prominent leadership experience at the director, VP, or equivalent senior level.
• Deep understanding of reimbursement regulations, payer systems, and clinical documentation requirements.
• Exceptional analytical, strategic planning, and communication skills.
• Ability to collaborate effectively with executive leadership and cross‑functional teams.
• Strong commitment to compliance, accuracy, and organizational excellence.