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AVP Corporate Reimbursement

2 weeks ago

Detroit, Michigan, United States Henry Ford Health Full time

The Associate Vice President (AVP), Reimbursement & Net Revenue Optimization provides strategic leadership and oversight of reimbursement and net revenue functions across Henry Ford Health. This role will lead two directors over Net Revenue Reporting and Cost Reporting who will be responsible for driving accuracy, transparency, and performance in net revenue results for all acute care hospitals, behavioral services, and employed providers.

In addition to overseeing traditional reimbursement functions, this role will lead a systemwide transformation of Reimbursement and Net Revenue operations. The AVP will redesign team structures, improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care, System Analytics, and the Mosaic CIN. This leader plays a central role in telling the "story" of revenue performance while building durable processes that protect and optimize system revenue.

Principal Duties & Responsibilities

Net Revenue Leadership

  • Lead monthly net revenue modeling, forecasting, and variance analysis, ensuring accuracy and timely delivery of systemwide results.
  • Optimize net revenue reporting tools, methodologies, and analytic capabilities.
  • Direct the development of annual net revenue budgets in partnership with operational, financial, and contracting teams.
  • Coordinate with Value-Based Enterprise (VBE) leadership to ensure value-based revenues are accurately modeled and recorded.
  • Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling tools align with net revenue assumptions.
  • Oversee balance sheet contractual reserve analyses and communicate financial drivers and trends to Finance leadership.
  • Direct third-party cost report filings, audit responses, and settlement calculations.

Reimbursement Transformation

  • Lead systemwide redesign of Reimbursement and Net Revenue operations, establishing integrated team structures that support accuracy, efficiency, and proactive revenue management.

Regulatory, Technology & Policy Strategy

  • Monitor regulatory and payer policy changes, assessing financial and operational impacts in coordination with Revenue Cycle, Managed Care, Government Affairs, and Policy.
  • Lead the development and execution of a comprehensive Reimbursement Playbook aligned with system priorities.
  • Evaluate and implement technologies and automation that improve efficiency, increase accuracy, and support scalable reimbursement operations.

Leadership & Organizational Culture

  • Foster a collaborative, high-performing work environment focused on accountability, service excellence, and staff development.
  • Provide education and consultation to internal stakeholders on reimbursement methodologies, regulatory changes, and revenue impacts.
  • Manage multiple projects and priorities in a fast-paced environment while driving execution and measurable improvement.

Education & Experience Required

  • Bachelor's degree required; master's degree in business, health administration, finance, or related field preferred.
  • Certified Public Accountant (CPA) preferred.
  • Minimum 7 years of leadership experience in a healthcare organization, preferably within a large integrated health system.
  • Minimum 10 years of experience in reimbursement, net revenue modeling, or revenue integrity.
  • Extensive knowledge of reimbursement methodologies, payer requirements, and regulatory frameworks.
  • Demonstrated experience with net revenue modeling, cost reporting tools, and reimbursement technologies.
  • Strong understanding of revenue cycle operations, denial prevention strategies, and financial impacts to net revenue.
  • Excellent analytical, communication, and interpersonal skills; ability to effectively present complex financial concepts to leadership.
  • Proven ability to lead teams, develop talent, and manage multiple high-impact initiatives.
Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at

Benefits

The health and overall well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.