System Director Reimbursement and Government Programs Job at Dignity Health
Overview
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Responsibilities
Job Title: SYSTEM DIRECTOR, REIMBURSEMENT AND GOVERNMENT PROGRAMS
Job Summary / Purpose
Directs and manages the healthcare organization's reimbursement activities and initiatives to ensure timely and accurate government and financial reporting. Develops and implements strategies, policies, procedures, and programs for all aspects of reimbursement management practices. Promotes a thorough department and system understanding of government payer regulations and reimbursement, support for CommonSpirit Health advocacy efforts, and formulation of reimbursement strategy. Monitors and responds to federal and state regulatory proposals and changes regarding healthcare reimbursement and provides effective solutions to address reimbursement issues. Responsible for compliance with government reimbursement regulations and laws. Oversees, evaluates and improves the productivity and performance of staff members.
Essential Key Job Responsibilities
Qualifications
Minimum Qualifications
Pay Range
$65.48 - $94.95 /hour
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Responsibilities
Job Title: SYSTEM DIRECTOR, REIMBURSEMENT AND GOVERNMENT PROGRAMS
Job Summary / Purpose
Directs and manages the healthcare organization's reimbursement activities and initiatives to ensure timely and accurate government and financial reporting. Develops and implements strategies, policies, procedures, and programs for all aspects of reimbursement management practices. Promotes a thorough department and system understanding of government payer regulations and reimbursement, support for CommonSpirit Health advocacy efforts, and formulation of reimbursement strategy. Monitors and responds to federal and state regulatory proposals and changes regarding healthcare reimbursement and provides effective solutions to address reimbursement issues. Responsible for compliance with government reimbursement regulations and laws. Oversees, evaluates and improves the productivity and performance of staff members.
Essential Key Job Responsibilities
- Directs and manages the healthcare organization's reimbursement activities and initiatives to ensure timely and accurate financial and government reporting.
- Ensures compliance with Medicare, Medicaid and other third party government reimbursement through oversight of cost reporting, audits and appeals in partnership with the compliance, internal and external legal teams.
- Develops and implements strategies, policies, procedures and programs for all aspects of reimbursement management practices.
- Participates in development and maintenance of system wide policies for revenue cycle, payor strategy, financial services and accounting that impact financial reporting and compliance with government reporting regulations.
- Responsible for supporting national advocacy to create and improve government rate methodologies and supplemental funding at the federal level.
- Responsible for supporting division advocacy to create and improve government rate methodologies and supplemental funding for all states across the organization’s footprint.
- Monitors federal and state legislative regulatory proposals and changes regarding healthcare reimbursement and providing effective solutions to address reimbursement issues.
- Responsible for compliance with federal and state reimbursement regulations for all hospitals.
- Manages the productivity and performance of reimbursement staff members to ensure high quality service to all hospitals.
Qualifications
Minimum Qualifications
Required Education and Experience
Minimum of ten (10) years of intensive experience with Medicare and Medicaid reimbursement, Patient AR and Net Revenue. Management experience within a multi-hospital setting required. Minimum of five (5) years of leadership experience.
Bachelor's Degree in Accounting, Finance, Business Administration or related field.
Minimum of ten (10) years of intensive experience with Medicare and Medicaid reimbursement, Patient AR and Net Revenue. Management experience within a multi-hospital setting required. Minimum of five (5) years of leadership experience.
Bachelor's Degree in Accounting, Finance, Business Administration or related field.
Pay Range
$65.48 - $94.95 /hour
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