Jobs
>
Detroit

    Director Reimbursement - Detroit, United States - Henry Ford Health System

    Default job background
    Description

    Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top-tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and third-party payer reimbursement programs.

    Reporting to the System Vice President of Contracting, Reimbursement & Revenue Integrity, this pivotal role involves overseeing the preparation of third-party cost reports, financial audits, and net revenue forecasts.

    As a visionary leader, you'll play a key role in implementing cutting-edge reimbursement models and methodologies, fostering innovation, and optimizing automation to ensure industry-leading practices.

    If you're a dynamic professional with a proven track record in strategic and operational leadership, don't miss this opportunity to make a lasting impact on healthcare reimbursement.

    Join us and be at the forefront of shaping the financial future of Henry Ford Health

    The Director of Reimbursement is responsible for setting strategic direction for various governmental and third-party payer reimbursement programs. The position will lead evaluation and implementation of best practice reimbursement models and methodologies for the health system.

    This position will work closely with health system leaders to effectively manage the monthly financial close and net revenue reporting.

    HFH is seeking a leader with strong strategic and operational skills to drive industry-leading reimbursement practices and processes, including further leveraging automation.


    These responsibilities include overseeing:

    • Preparation of third party cost reports and other third party filings
    • Reporting and reconciliation of general ledger accounts related to third party payments & settlements, including third party payer receivables, payables and reserves
    • Planning and coordination of third party audits and appeals as well as quarterly and year-end financial audits
    • Preparation of monthly net revenue calculations and review with Vice President prior to financial statement due date
    • Preparation of net revenue forecasts
    • Maintain expertise in reimbursement regulations & strategies, including Medicare, Blue Cross and Medicaid, through appropriate education and provide education and consultation to staff
    • Development of impacts related to changes in reimbursement regulations
    • Provide a leadership role in developing goals and accomplishment of those goals for both team members and the department

    Qualifications:

    • Bachelor's degree in Accounting or Finance with a Master's degree preferred
    • Approximately ten (10) years of progressive experience in healthcare reimbursement is required
    • Working knowledge of generally accepted accounting principles and a thorough understanding of third party reimbursement mechanisms
    • Working knowledge of the full Revenue Cycle process and implications on net revenue and accounts receivable valuation
    • Ability to communicate in clear, concise terms
    • Well developed conceptual and analytical skills
    • High level of interpersonal, management and organizational skills
    Additional Information


    • Organization:
    Corporate Services


    • Department:
    Financial Management

    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


    Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan.

    With 33,000 valued team members, Henry Ford is also among Michigan's largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more

    Benefits

    Whether it's offering a new medical option, helping you make healthier lifestyle choices or

    making the employee enrollment selection experience easier, it's all about choice. Henry

    Ford Health has a new approach for its employee benefits program - My Choice

    Rewards. My Choice Rewards is a program as diverse as the people it serves. There are

    dozens of options for all of our employees including compensation, benefits, work/life balance

    and learning - options that enhance your career and add value to your personal life. As an

    employee you are provided access to Retirement Programs, an Employee Assistance Program

    (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's 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.


  • Henry Ford Hospital Detroit, United States

    Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top-tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and t ...


  • Henry Ford Health System Detroit, United States

    Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top-tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and t ...


  • Henry Ford Health System Hamtramck, United States

    Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top-tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and t ...


  • Innovative Renal Care Detroit, United States Full time

    Senior Director of Business Development – Acute Services · The Senior Director of Business Development – Acute Services is responsible for acquiring contracts and developing and maintaining relationships with hospitals and health systems to grow the footprint of Innovative Renal ...


  • Superior Plus Propane Wayne, United States

    **Job Summary**: · The Strategic Account Representative is responsible for increasing Superior Plus Propane's market share of strategic accounts. This role is a combination role of an outside strategic account hunter and strategic account manager. This individual will work closel ...


  • ABA Centers of Pennsylvania Wayne, United States Part time

    **Registered Behavior Technician (RBT), Part-Time - ABA Centers of Pennsylvania** · **King of Prussia, PA** · **About ABA Centers of Pennsylvania** · ABA Centers of Pennsylvania embraces the "Pursue Your Happiness" motto as we help kids and teens diagnosed with Autism Spectrum Di ...

  • Novocure

    Director, Policy

    2 days ago


    Novocure Wayne, United States

    Location: Wayne, PA, US, 19087 Birmingham, AL, US, 35005 Raleigh, NC, US, 27513 Charleston, WV, US, 25301 Pittsburg, PA, US, 15106 Philadelphia, PA, US, 19104 Parsippany, NJ, US, 07005 Manchester, NH, US, 03103 Roanoke, VA, US, 24001 Princeton, NJ, US, 08540 Charlotte, NC, US, 28 ...


  • Centria Autism Detroit, United States

    Centria Autism is the largest provider of Applied Behavior Analysis (ABA) for children with Autism Spectrum Disorder (ASD) across the state of Michigan, with services in 12 other states. Our mission is to help every child living with autism to develop, pursue and achieve their ow ...


  • Life's WORC Garden City, United States

    This is a great opportunity for an experienced Entitlements professional who is ready for the next step in their career. The Entitlements Coordinator reports directly to the Assistant Director of Entitlements. Responsible for obtaining, monitoring and maintaining all benefits and ...


  • Regency at Livonia Livonia, United States Full time

    $5000 Sign on Bonus · Do you have a passion for working with seniors? Are you a good communicator, have a fun-loving attitude and enjoy planning events? · When you join us as the Activities Director at Regency at Livonia, you'll manage an ongoing program of activities designed to ...


  • The Jackson Laboratory Farmington, United States

    **Executive Assistant II | Office of the Scientific Director** · **Farmington, CT (onsite, 5 days a week** · This role provides senior level administrative support for the Office of the Scientific Director of The Jackson Laboratory for Genomic Medicine ("JGM") and ensures the smo ...

  • Lavner Education

    Stem Camp Director

    4 days ago


    Lavner Education Garden City, United States

    **Job Title: On-Site Camp Director** · **Type: Seasonal Position** · **Job Location: Adelphi University, Garden City** · **Job Hours: Monday - Friday, 8 am - 5:45 pm** · **Job Dates**:June 24 to August 16, 2024** · **Pay Rate: $1,200/week + $200 bonus/week if all work dates are c ...


  • CGH Medical Center Sterling, United States

    Shift · Days, Salaried · Scheduled Weekly Hours · 40 · POSITION PURPOSE: · Oversees the daily operations and strategy of CGH Medical Center's business office functions, including ensuring timely and accurate completion of billing, collections, cash posting and customer service. I ...


  • St. Peter's Health Partners Troy, United States

    St. Peter's Health Partners is seeking a new Director for the Samaritan School of Nursing · ***: The Director has 24-hour accountability for the effective and efficient operation of the School of Nursing (SON). The Director is responsible for academic planning, program evaluation ...

  • The Bristal Assisted Living

    Medication Aide

    5 days ago


    The Bristal Assisted Living Garden City, United States

    Looking for a career where you can make a difference in someone else's life? Where opportunities abound to advance your future, both personally and professionally? The Bristal Assisted Living is the place for you. You'll thrive in a premier senior care organization that values yo ...


  • Brightview Senior Living, LLC Warren, United States

    About Us: · **We are honored that Brightview Senior Living has been recognized as one of Fortune Magazine's 100 Best Companies to Work For in 2023** · **We're in the top 100 across all industries, and all companies no matter how large or we're the ONLY Senior Living company on t ...


  • CapRelo Sterling, United States

    Overview: · As the Team Lead, your primary responsibility will be to oversee and coordinate comprehensive relocation services for corporate clients and their transferring families. This role involves managing a team of relocation consultants and ensuring the seamless delivery of ...

  • Coca-Cola Northeast

    Sales Merchandiser

    1 week ago


    Coca-Cola Northeast Troy, United States

    Compensation: $23.00/hour (eligible for quarterly sales incentive) +.67 cent per mile travel reimbursement from first to last stop on route · - Schedule: Full-time, 5 day workweek, 40+ hours per week. You will either have Friday/Saturday OR Sunday/Monday off depending on availabi ...


  • Seabury Bloomfield, United States

    The Personal Health Coordinator is responsible for overseeing health coordination services to members of the Seabury At Home program, enabling members to remain in their own homes by establishing individual wellness profiles to assure pro-active intervention when necessary throug ...

  • US Bureau of Safety and Environmental Enforcement

    Project Manager

    1 week ago


    US Bureau of Safety and Environmental Enforcement Sterling, United States

    **Duties**: · This position is located within the Department of the Interior, Bureau of Safety and Environmental Enforcement (BSEE), Office of the Director, Renewable Energy Operations (REO) in Sterling, VA. · **At the full performance level (GS-13) the major duties of this posit ...