Director of Revenue Optimization

2 weeks ago


Hamtramck, Michigan, United States Henry Ford Health System Full time
Director Net Revenue Job Description

Henry Ford Health System is seeking a highly skilled Director of Net Revenue to join our team. This critical role will report to the Director of Corporate Reimbursement and focus on managing and advising on issues related to fee-based reimbursement, ensuring compliance with regulatory changes, and collaborating with key stakeholders across the organization to optimize revenue processes.

Key Responsibilities:
  • Review and advise on monthly net revenue calculations using various tools, including Kodiak RCA.
  • Develop rate-setting strategies and proposals, and coordinate pricing transparency efforts with operations.
  • Work with revenue cycle, operations, and finance departments on reimbursement issues, and consult on coding and charge master issues.
  • Provide a leadership role in developing goals and accomplishment of those goals.
Requirements:
  • Bachelor's Degree in Finance or Health Care Administration; Master's Degree, preferred.
  • Ten years of progressively more responsible experience in healthcare reimbursement is required.
  • Working knowledge of third party reimbursement mechanisms, basic coding principles, and rate setting strategies.
  • Working knowledge of Kodiak RCA net revenue and AR valuation reporting.
  • Ability to work collaboratively and communicate in clear concise terms.
  • Well-developed conceptual and analytical skills.
  • High level of emotional intelligence, interpersonal, management and organizational skills.


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