Join to apply for the Senior Director - Reimbursement role at MaineHealth

Do you have the right skills and experience for this role Read on to find out, and make your application. Description MaineHealth Corporate

Management/Leadership

Req #: 31341

Summary Works with the Vice President, Reimbursement in departmental planning and budgeting to achieve departmental goals and supervision. Responsible for coordinating top-level review and approval for submission of Medicare, Medicaid, and other Governmental payer cost reports. Develops rate structure and monitors compliance with federal and state regulatory programs. Coordinates the monitoring of implications of all proposed governmental and implemented third-party reimbursement changes. Coordinates the preparation, review, and approval of local health system Net Patient Service Revenue Budgets. Manages internal system-level project requests, coordinating with Decision Support, Contract Management, System Development, Planning, the Central Billing Office, and Finance, both local and system level, as necessary. Supervises, mentors, and evaluates the effectiveness of Directors and Managers of reimbursement. Trains staff and educates leadership on higher-level reimbursement concepts and their effects on the system. Communicates to local health system and corporate leadership about revenue recognition, prior year settlement, and reimbursement changes impacting net operating revenue. Ensures all large enrollment projects are equitably distributed among reimbursement personnel and completed timely. Coordinates with the Vice President to ensure MaineHealth achieves optimal reimbursement under existing regulations and is prepared for proposed regulation changes.

Required Minimum Knowledge, Skills, And Abilities (KSAs)

Education: MBA degree or HFMA or CPA certificate preferred.

Experience: Ten plus years in reimbursement and Medicare/Medicaid cost reporting, with at least five years of hospital management experience.

High interpersonal skills to handle complex situations with internal and external personnel and make fact-based presentations, including to regulatory agencies.

Knowledge of advanced accounting and reimbursement principles, typically acquired through a Bachelor’s degree in Accounting, Finance, Business Administration, or related field.

Strong problem-solving skills to develop and implement procedures and prepare reports and analyses.

Additional Information Working across Maine and New Hampshire, MaineHealth offers benefits supporting today’s needs and future planning, including paid parental leave, flexible work policies, student loan assistance, training, and well-being resources. MaineHealth is committed to an inclusive environment where staff can thrive and realize their potential. If you want to build a career where teamwork delivers top-tier care, apply today.

For questions, contact Philip R. Ellis at philip.ellis@mainehealth.org

Seniority level Director

Employment type Other

Job function Finance and Sales

Industries Medical Practices

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