Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top-tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and third-party payer reimbursement programs.
Reporting to the System Vice President of Contracting, Reimbursement & Revenue Integrity, this pivotal role involves overseeing the preparation of third-party cost reports, financial audits, and net revenue forecasts. As a visionary leader, you'll play a key role in implementing cutting-edge reimbursement models and methodologies, fostering innovation, and optimizing automation to ensure industry-leading practices.
If you're a dynamic professional with a proven track record in strategic and operational leadership, don't miss this opportunity to make a lasting impact on healthcare reimbursement. Join us and be at the forefront of shaping the financial future of Henry Ford Health!
Responsibilities
The Director of Reimbursement is responsible for setting strategic direction for various governmental and third-party payer reimbursement programs. The position will lead evaluation and implementation of best practice reimbursement models and methodologies for the health system. This position will work closely with health system leaders to effectively manage the monthly financial close and net revenue reporting. HFH is seeking a leader with strong strategic and operational skills to drive industry-leading reimbursement practices and processes, including further leveraging automation. These responsibilities include overseeing:
Preparation of third party cost reports and other third party filings
Reporting and reconciliation of general ledger accounts related to third party payments & settlements, including third party payer receivables, payables and reserves
Planning and coordination of third party audits and appeals as well as quarterly and year-end financial audits
Preparation of monthly net revenue calculations and review with Vice President prior to financial statement due date
Preparation of net revenue forecasts
Maintain expertise in reimbursement regulations & strategies, including Medicare, Blue Cross and Medicaid, through appropriate education and provide education and consultation to staff
Development of impacts related to changes in reimbursement regulations
Provide a leadership role in developing goals and accomplishment of those goals for both team members and the department
Qualifications
Bachelor’s degree in Accounting or Finance with a Master’s degree preferred
Approximately ten (10) years of progressive experience in healthcare reimbursement is required
Working knowledge of generally accepted accounting principles and a thorough understanding of third party reimbursement mechanisms
Working knowledge of the full Revenue Cycle process and implications on net revenue and accounts receivable valuation
Ability to communicate in clear, concise terms
Well developed conceptual and analytical skills
High level of interpersonal, management and organizational skills
Additional Information
Organization: Corporate Services
Department: Financial Management
Shift: Day Job
Union Code: Not Applicable
Seniority level
Director
Employment type
Full-time
Job function
Finance and Sales
Industries
Insurance, Wellness and Fitness Services, and Hospitals and Health Care
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