Senior Director Reimbursements

Description

THE ROLE

The Senior Director Reimbursement, Regulatory Analytics is responsible for overseeing analytics and implementation support of major reimbursement initiatives and evaluating the impacts of regulatory changes. Areas of work include but are not limited to: CMS rulemaking, federal & state legislative activity, wage index strategies, provider fee analysis, various cost-based reimbursement strategies, and any reimbursement methodology related to Medicare and Medicaid that have reimbursement implications. The Senior Director also oversees data and analytics support for other Reimbursement areas. The Senior Director is responsible for ensuring efficient processes, tools, and data infrastructure are in place to accurately prepare needed analytics. This includes developing the overall Reimbursement data strategy and coordinating with Healthcare Intelligence, FP&A Analytics, and other related areas. The Senior Director is responsible for understanding all government reimbursement regulations and pursuing strategies that are compliant with all relevant regulations. The Senior Director is also responsible for the efficient operation of the functional team, including supervision and review of staff, assessing current workloads, and providing adequate oversight and prioritization of reimbursement related projects. The incumbent performs all duties in a manner that promotes PSJH mission, values, and philosophy. In all aspects, the incumbent serves as a role model for the values and mission of the organization.

Essential Functions

• Oversees and coordinates the analysis of state and federal rulemaking. Coordinates with Director, Regulatory Strategy and/or VP Reimbursement to develop response.
• Develops and oversees implementation of Reimbursement data strategy.
• Develops tools to evaluate regulatory strategies such as wage index.
• Supports the budget and long-range planning process by developing assumptions and scenarios for government payer revenue.
• Develops reporting and analytics to help operations understand drivers and impacts of reimbursement programs.
• Directs communication, planning, and reconciliation activities related to state Provider Tax programs.
• Continuously monitors workload and methodologies used to achieve results, making recommendations to improve efficiency and/or achieve cost savings whenever possible.
• Plans functional team workload and works with managers on the team to manage such that all reports, projects, etc., are completed timely, efficiently, and with a high degree of accuracy. Responsible for review and evaluation of staff in accordance with PSJH system policies.
• Collaborates with other stakeholders around the system to probe, evaluate, synthesize, and articulate complex subject matter to facilitate needed improvements.
• Performs reviews, research and other duties independently or as requested by the VP Head of Reimbursement.
  
  

Qualifications

• Bachelor's Degree in Accounting or Finance; or equivalent educ/experience
• Upon hire: CPA (preferred)
• Upon hire: CHFP (preferred)
• 10 or more years of demonstrated experience in the reimbursement field and expert knowledge of current reimbursement and reporting rules and regulations
• 8 years of leadership experience, including supervisory/management experience
• Work experience in consulting, in a multi-hospital system, or MAC (preferred)
• Proven skills in communicating complex, technical information to executive levels, and to external customers
• Demonstrates strong written and oral communication skills
• Listens with sensitivity and openness
• Actively seeks constructive feedback and remains open and receptive to it
• Anticipates the information needs of others
• Models' customer service within the work group
• Individually, anticipates and takes personal responsibility for customer satisfaction
• Consistently goes out of the way to listen, understand, and support the needs of others in a sensitive manner
• Anticipates problems and takes proactive, corrective action
• Sets challenging team objectives and works against defined standards of excellence to continually improve personal performance
• Demonstrated planning and project oversight/management skills
• Proven ability to implement strategy
• Reviews and moves forward effective solutions to defined problems
• Demonstrated management skills and ability to work effectively to build relationships with colleagues, customers, and executive management through positive interaction
• Proven ability to organize multiple projects, schedules, demand and to meet shifting priorities
• Demonstrated ability to study, understand, adapt and respond effectively to a constantly changing environment.
  
  

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Requsition ID: 329245

Company: Providence Jobs

Job Category: Reimbursements

Job Function: Finance

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 4004 SS SYS FIN 4

Address: WA Renton 1801 Lind Ave SW

Work Location: Providence Valley Office Park-Renton

Workplace Type: Remote

Pay Range: $84.19 - $137.24

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Please be advised that our application system will be unavailable on November 15 from 7 p.m. PT until approximately 11 p.m. PT as we implement enhancements.

Pay Range: $84.19 - $137.24

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.