Head of Transformation

2 weeks ago

Providence RI, United States Hospital Association of Rhode Island Full time

Company Description The Hospital Association of Rhode Island (HARI) is a membership organization focused on meeting the healthcare needs of Rhode Island through advocacy, representation, education and other supports. HARI ensures that the needs of its members are heard and addressed in state and national policy development, legislative and regulatory debates, and a system of transformation matters.

HARI is seeking an innovative and collaborative leader to serve as its Director, Hospital Finance and Policy. This position will lead the association's work in the areas of healthcare finance, reimbursement, data collection and analysis, and payer behavior. The director role demands a hands-on, practical approach to financial and policy issues, in-depth knowledge of Medicare and Medicaid with the ability to develop and validate financial data promptly and to respond to member inquiries effectively.

Lead the association's efforts to analyze healthcare finance policy information and support advocacy efforts related to state, federal and commercial insurer behavior, practices and policy.
Monitor and analyze the financial impact of state and federal legislative and regulatory activities related to Rhode Island hospitals, including Medicaid and Medicare.
Research and analyze proposals for potential healthcare policy changes at both state and federal levels that will impact members: e.g. alternative payment methods and 340B reforms.
Provide support and advice to hospital chief financial officers and peer groups including finance, reimbursement and utilization review through leadership and collaboration
Manage related data systems and contracts to ensure timely and accurate analysis and reporting to support members and advocacy.
Minimum of a bachelor's degree in health administration, public health, or business with a concentration in finance required.
Minimum of 5-7 years healthcare knowledge and applied experience, including work in healthcare/hospital finance, and Medicaid/Medicare implementation and policy.
Experience in developing and implementing financial models related to healthcare data such as reimbursement, utilization, third-party payers, and financing.
In-depth knowledge of state (RI) and federal financial and reimbursement policy issues related to Medicaid, Medicare and commercial payers.
Experience in government and commercial payer arrangements, budgeting, revenue cycle and regulatory requirements.
Exceptional skill in project management and the ability to manage a wide range of member issues to a successful resolution.
HARI offers a highly competitive benefits package and a flexible, hybrid remote work arrangement.

HARI is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran or basis of disability or any other federal, state, or local protected class.

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