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Director of Reimbursement | The Confidential Search Company

08 Sep 2020 2:02 PM | Anonymous

Position Description: We have been engaged to conduct the search for Director of Reimbursement for our client, an integrated health network comprised of a major teaching hospital and several area hospitals. They are prestigious health system that is the largest health care organization in Maine and leading health care provider serving Northern New Hampshire, with offices in Portland, ME.

The starting salary range is $150 to $180k, depending on background and experience.

Relocation assistance is available as appropriate.

This is a permanent position but we will also consider an interim/contract Director of Reimbursement to temporarily fill the position until the new Director is selected and joins the company. The Interim Director would be on-site for a minimum of one week per month and work remotely for the remainder of the month (until cost reporting season).

The Director of Reimbursement will assist the Vice President, Reimbursement in departmental planning in order to achieve departmental goals and supervision. They will manage a team of three Reimbursement Managers and staff of eight.

The Director will:

  • Manage the hospital’s preparation and submission of cost reimbursement reports to government and private third-party agencies.
  • Develop rate structure and monitor compliance with federal regulatory programs.
  • Monitor implications of all proposed third-party reimbursement changes.
  • Review and ensure accuracy of monthly contractuals and supporting documents and the Fiscal Year End contractuals and supporting schedules.
  • Participate in the contractual allowance portion of the Long-Range Financial Plan.
  • Manage and supervise the preparation of the annual budget for net revenue including the implementation of the annual rate increase.
  • Provide timely assistance to Service Lines and Departments that request reimbursement expertise.
  • At the System level: Coordinate, control, and manage the preparation of interim and year end cost reports and analyses related to governmental reimbursement for all of the System’s facilities.
  • Supervise and coordinate activities related to reviews and audits by the Medicare Administrative Contractor (MAC) and governmental organizations.
  • Coordinate with the Vice President to ensure the System is achieving the optimal reimbursement under existing regulations and is prepared for proposed regulations.

Requirements

  • Bachelor’s degree
  • Knowledge of advanced accounting and reimbursement principles
  • High level of problem-solving skills necessary to develop and implement new procedures and techniques and prepare special and recurring reports and analyses
  • MBA or FHFMA, or CPA preferred
  • Excellent communications skills and a high level of interpersonal skills
  • Deal with complex situations with a wide variety of internal and external personnel and make fact-based presentations before groups, including regulatory agencies
  • Five to ten years of experience in reimbursement and Medicare/Medicaid cost reporting is required with at least three years of hospital financial management experience

The Confidential Search Company is an executive recruiting firm that specializes in the placement of healthcare financial executives, VPs, directors, Managers and Specialists.

All inquiries will be treated confidentially.

For more information about this opportunity please contact:

Matthew O’Brien
The Confidential Search Company
ConfSearch@aol.com
860-742-1555

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