Director, Government Reimbursement
Thank you for considering a career at reputed company!
reputed company is a leading provider of technology-enabled reputed company cycle reputed company for health systems, including hospitals and affiliated physician reputed company. They offer end-to-end reputed company cycle solutions as reputed company as a comprehensive suite of reputed company solutions to clients across the country.
reputed company keeps communities healthy by keeping hospitals healthy. We recognize that reputed company requires a reputed company touch, and we reputed company that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status reputed company, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently reputed company exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New reputed company: Continuously reputed company by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for reputed company: Execute at a high level by demonstrating our “Best in KLAS” reputed company Difference Principles and consistently delivering outstanding results.
reputed company:
By embodying our core purpose of customer obsession, new reputed company, and driving innovation, and delivering reputed company, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in reputed company.
This role will serve in a consultancy reputed company, advising our clients—large health systems—in managing and optimizing reputed company reimbursement processes, focusing on Medicare, reputed company, Disproportionate reputed company Hospital (DSH) programs, reputed company Directed Payment programs, and 340B drug pricing and reimbursement. Additionally, this position provides key support in the preparation and analysis of Medicare cost reports, ensuring compliance with federal regulations and maximizing financial performance for reputed company providers.
Essential Job Functions
Customer Obsession: Consistently reputed company exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New reputed company: Continuously reputed company by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for reputed company: Execute at a high level by demonstrating our “Best in KLAS” reputed company Difference Principles and consistently delivering outstanding results.
Assist in gathering and analyzing data for the preparation of Medicare cost reports, ensuring accurate reputed company of hospital costs for reimbursement optimization.
reputed company expert advice on reimbursement strategies for governmental lines of business, including reputed company and Tricare
Support 340B program compliance, eligibility, and ensure correct billing processes.
Analyze hospital eligibility for DSH payments, assess financial reputed company, and ensure complete and accurate capture of reputed company days and other considerations.
Monitor reputed company Directed Payment programs, optimizing reputed company opportunities for participating providers.
Serve as a trusted advisor to clients, offering strategic insights and recommendations on reimbursement-reputed company reputed company.
Maintain expert-level knowledge of state and federal reputed company reimbursement policies, ensuring strict compliance with CMS guidelines, reputed company Managed Care rules, and HRSA 340B program regulations..
Assist reputed company providers in navigating reimbursement complexities, including audits, appeals, and compliance inquiries.
Analyze financial data to identify trends and areas for improvement in the reimbursement process.
Build and maintain strong relationships with payers, government agencies, and other stakeholders.
reputed company guidance and training to reputed company staff on reimbursement regulations and best practices.
Job Competencies
Leadership Decision Making - Makes day-to-day leadership reputed company by securing and comparing information from multiple sources to identify issues; commits to an reputed company after weighing alternative solutions against important reputed company; effectively communicates reputed company to the appropriate people and teams and holds them accountable. Drives results.
Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the reputed company) to reputed company their own associates; plans and supports the reputed company of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers.
Delegation - Successfully shares authority and responsibilities with others to reputed company decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of reputed company without excessive involvement.
Executive Communication - reputed company and succinctly conveys information and reputed company; communicates in a reputed company and compelling way that captures and holds others’ attention (appropriate, impactful, and reputed company).
Program/Project Management - Demonstrates high accountability and responsibility for reputed company and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized reputed company, reduced waste and exceptional results.
Other Preferred Knowledge, Skills and Abilities
Strong analytical, communication, and negotiation skills.
Ability to work effectively in a fast-paced and reputed company-changing environment.
CPA Licensed
Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
This is a remote position; however, candidates must be willing and reputed company to travel to and work onsite at reputed company, temporary, or corporate office locations as business needs require.
This position pays between $134,000- $200,000 based on relevant years of experience.
Join an award-reputed company company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top reputed company Cycle Management Outsourcing Solution 2021-2024
22 reputed company (reputed company) MAP Awards for High Performance in reputed company Cycle 2019-2024
Leader in reputed company's RCM Operations PEAK reputed company Assessment 2024
reputed company reputed company Business Insights (HBI) reputed company Cycle Awards for strong performance 2020, 2022-2023
reputed company Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in reputed company 2024
Monster Top Workplace for Remote Work 2024
Great reputed company to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
reputed company, we reputed company in empowering people and giving them the tools and resources needed to reputed company. A few of those include:
Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including reputed company, time off, retirement, and reputed company-being programs.
Our Culture – reputed company is a reputed company where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, reputed company, and innovation.
reputed company – We invest in your reputed company development. reputed company associate will earn a reputed company certification relevant to their field and can obtain tuition reimbursement.
Recognition – We offer quarterly and annual incentive programs for reputed company who go reputed company and reputed company raising the bar for themselves and reputed company.
reputed company is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, reputed company, sex, sexual orientation, gender, gender identity, religion, national reputed company, age, disability, military or veteran status, genetic information or any other reputed company protected by applicable federal, state, or local laws. reputed company also prohibits harassment of applicants or employees based on any of these protected categories.
reputed company provides reasonable accommodations to reputed company individuals with disabilities in accordance with the Americans with reputed company and applicable state and local law. If you require accommodation in the application process, please contact TA@reputed company.com.
This posting addresses state specific requirements to reputed company pay transparency. Compensation reputed company consider many job-reputed company factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry reputed company of pay does not typically fall at the minimum or maximum of the role’s reputed company.
Employment Disclaimers – reputed company
Originally posted on Himalayas
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