Chief Reimbursement Officer

2 weeks ago

Edison, New Jersey, United States Hackensack Meridian Health Full time

Position Overview

At Hackensack Meridian Health, our team members are integral to our mission of enhancing patient care and fostering a supportive work environment. We are committed to helping our patients lead healthier lives while ensuring our employees thrive in their roles. Our culture emphasizes collaboration and connection, providing competitive benefits as a foundation for our success.

As the Director of Reimbursement & Cost Reporting, you will take on a pivotal leadership role, overseeing professional staff and serving as a key resource on various federal and state financial and reimbursement policies, including IPPS, OPPS, IPF, and IRF. Your expertise will be crucial in guiding the preparation of cost reports, ensuring compliance, conducting reimbursement research, and performing financial analyses across the Hackensack Meridian Health (HMH) Network.

Key Responsibilities

A typical day for the Director of Reimbursement & Cost Reporting includes:

  • Enhancing the financial and operational performance of the Network by developing and implementing key policies, processes, and tools related to third-party reimbursement.
  • Managing personnel by overseeing the hiring, supervision, evaluation, and training of all Reimbursement professional staff, including two managerial positions.
  • Overseeing financial accounting by centralizing the development of third-party accounts and ensuring accurate reconciliation of patient-level credit balances.
  • Leading the preparation, submission, and audit of systems for constructing third-party cost reports, while assessing the impact of proposed audit adjustments and negotiating settlements.
  • Directing the preparation of GME IRS filings and DSH filings for the organization.
  • Monitoring and analyzing proposed federal and statutory legislative changes, modeling their impacts on the organization.
  • Formulating strategies for third-party governmental appeals and initiatives.
  • Reviewing subsidies to ensure optimal reimbursement for HMH's safety net providers.
  • Chairing the Wage Index Data Integrity Workgroup to ensure accurate reporting of data elements on Federal Cost Reports.
  • Negotiating with government agencies to resolve payment disputes, collaborating with legal counsel and compliance teams as necessary.
  • Participating in state and national meetings regarding policy proposals that affect hospitals.
  • Preparing and delivering presentations on reimbursement topics at various departmental and interdepartmental meetings.
  • Developing and maintaining a skilled, customer-focused team to ensure timely and accurate completion of duties.
  • Creating an engaging work environment that promotes team member involvement and aligns objectives with organizational goals.
  • Applying financial analytical techniques and a broad healthcare business perspective to all engagements.
  • Engaging in ongoing professional education to stay informed about evolving trends and regulations.
  • Maintaining high-quality work papers in a digital business intelligence environment.
  • Completing additional duties and projects as assigned, while adhering to HMH's organizational competencies and standards of behavior.

Qualifications

Required Education, Knowledge, Skills, and Abilities:

  • Bachelor's degree in Accounting or Finance.
  • A minimum of 7 years of progressive experience in reimbursement-related roles.
  • Experience in a large health network or academic medical center.
  • Advanced proficiency in technology, including Microsoft Office (Excel, Outlook, etc.), Axiom, and PeopleSoft Financials System.
  • Strong interpersonal, team, and organizational skills.
  • A proven track record of professional growth and responsibility.
  • Excellent analytical and problem-solving abilities.
  • Outstanding written and verbal communication skills.

Preferred Licenses and Certifications:

  • Certified Public Accountant (CPA) and/or Master of Business Administration (MBA).

If you believe that your skills and experiences align with this position, we encourage you to consider this opportunity.

About Our Network

Hackensack Meridian Health (HMH) is committed to maintaining a safe and healthy workplace.

We aim to assist you in your job search by connecting you with other areas within the Hackensack Meridian Health network that may have openings suited to your qualifications.

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