Revenue Strategy

3 hours ago

Rochester, New York, United States Mayo Career Site US Full time

Serves in an operational leadership role for a defined RSI team, process, and/or function, either on an enterprise (multi-site) basis or a high-impact function for a single site. Coordinates own and team member roles and work assignments to deliver success over the area managed and its outputs. Formally supervises one or more staff, or in lieu of having direct formal HR supervisory duties, is personally accountable for a defined core revenue function or process with large financial impact to organization and requiring manager-level capabilities. Participates in the identification of opportunities to improve revenue performance and efficiency/effectiveness of the assigned area and acts as a catalyst for realizing these improvements. Brings awareness of current external environment issues relevant to the area managed.

This position will lead and oversee government reimbursement (Medicare/Medicaid) operations across Mayo Clinic and Mayo Clinic Health System, ensuring strategic alignment, compliance, and optimization of financial performance.

Primary Responsibilities

  • Provide strategic direction and oversight for data management and analysis related to Medicare/Medicaid reimbursement, ensuring actionable insights drive organizational performance.
  • Develop and implement strategies to optimize government reimbursement processes, identifying new opportunities and guiding operational improvements.
  • Interpret and advise on regulatory changes for Medicare Part A and B and other government programs, ensuring compliance and influencing practice strategies across the enterprise.
  • Oversee preparation and submission of Medicare cost reports and other government reporting requirements, ensuring accuracy, timeliness, and adherence to compliance standards.
  • Lead cross-functional collaboration with administration, physician leadership, finance, revenue cycle, compliance, and operational teams to align reimbursement strategies with organizational goals.
  • Mentor and guide team members, fostering professional development and building expertise in government reimbursement practices.

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