Director, Healthcare Finance – Reimbursement

Job not on LinkedIn

🔥 13 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

👻 Ghost score 11%

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Logo of Ovation Healthcare

Ovation Healthcare

201 - 500 employees

Founded 45 years

💼 Consulting

📦 Logistics

🏭 Manufacturing

Consulting • Logistics • Manufacturing

Ovation Healthcare is a leading provider of shared services for independent hospitals and health systems. With over 45 years of experience, the company enhances hospital and system performance through services like leadership advisory, supply chain management, revenue cycle management, technology services, and clinical care management. Ovation Healthcare is dedicated to supporting the financial and clinical needs of hospitals while preserving their focus on patient care and community wellness. Their educational programs and consulting services aim to strengthen hospital operations, making healthcare delivery more efficient and effective.

📋 Description

• Lead the day-to-day activities of the healthcare finance and reimbursement function • Provide hands-on leadership, technical guidance, work direction, and support for team performance and development • Establish priorities, monitor deliverables, improve workflows, and promote accountability • Develop and execute reimbursement strategies for Medicare, Medicaid, and commercial payers • Oversee reimbursement analysis related to payment methodologies, reimbursement trends, settlement activity, service line performance, contractual accounting, and bad debt reserves • Review internal or externally prepared cost reports and ensure timely, accurate completion of interim and final cost reports • Direct and perform financial modeling and variance analysis related to reimbursement structures, payment trends, and revenue optimization opportunities • Prepare and present financial reports, insights, and recommendations to finance leadership and internal stakeholders • Ensure compliance with CMS guidelines and applicable federal and state reimbursement regulations • Monitor regulatory changes, evaluate payment model impacts, and support organizational readiness • Lead and support internal and external audits related to reimbursement, cost reporting, and payment practices • Maintain current knowledge of value-based care models and alternative payment methodologies • Partner with finance, operations, and internal stakeholders to resolve issues, strengthen processes, and support compliance

🎯 Requirements

• Bachelor’s degree in finance, Accounting, Healthcare Administration, or related field required • Minimum of 7 years of progressive experience in healthcare finance, reimbursement, or related areas • Strong experience with Medicare hospital cost reports required • Advanced proficiency in Excel and financial modeling required • Deep understanding of Medicare, Medicaid, DRG/APC payment systems, and managed care contracts • Strong financial modeling and data analysis skills • Knowledge of value-based care, bundled payments, and risk-based contracts • Excellent communication and stakeholder management skills • Master’s preferred • Prior leadership or supervisory experience preferred • Experience with healthcare financial systems and reimbursement reporting tools preferred • Familiarity with Tableau or Power BI preferred

🏖️ Benefits

• Full-time employment • Opportunity to collaborate with highly skilled subject matter specialists and operations executives • Collegial atmosphere of professionalism and teamwork

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