Dir. Reimbursement Strategy-Patient Accounting

University Medical Center of El Paso (UMC); El Paso (TX); On-site; USD 180,000 - 280,000; Full time

Job summary

University Medical Center of El Paso (UMC) seeks a Director of Reimbursement Strategy to lead enterprise-wide reimbursement initiatives and ensure regulatory compliance. This senior role requires expertise in Medicare/Medicaid methodologies and the ability to drive cross-functional programs across Finance, Revenue Cycle, and Operations.

The position emphasizes analytics, dashboards, and performance monitoring to optimize payer outcomes and sustain financial health in a large health system

Qualifications

• Seven years of progressively responsible experience in healthcare reimbursement, healthcare finance, revenue cycle, managed care, or reimbursement compliance, including five years in a leadership role.
• Bachelor’s or master-level education in related fields as specified in the Education section.

Responsibilities

• Lead the development and execution of enterprise-wide reimbursement strategies to optimize financial performance and regulatory compliance.
• Oversee reimbursement analytics, performance monitoring, and reporting tools to support proactive payer management.
• Collaborate across Revenue Cycle, Managed Care, Finance, HIM, CDI, Compliance, IT, Operations, and Executive Leadership to identify opportunities and implement improvements.

Skills

Reimbursement strategies

Medicare/Medicaid

Payer contracts

Analytics & modeling

Dashboarding

Cross-functional leadership

Education

Bachelor's Degree in healthcare administration/finance/accounting/business

Master's Degree in healthcare administration/MBA/finance/public health

Tools

Power BI

Excel

Job description

Job Summary

The Director of Reimbursement Strategy leads the development and execution of enterprise-wide reimbursement strategies that optimize financial performance, ensure regulatory compliance, and strengthen the long‑term sustainability of the organization. As the health system’s subject matter expert in governmental and commercial reimbursement, this role evaluates payment methodologies, monitors regulatory and payer changes, and drives initiatives that improve reimbursement outcomes across all care settings. The Director works collaboratively across a highly matrixed environment, including Revenue Cycle, Managed Care, Finance, HIM, CDI, Care Management, Compliance, IT, Operations, and Executive Leadership—to identify opportunities, resolve reimbursement challenges, and implement sustainable improvements. The position oversees reimbursement analytics, performance monitoring, and reporting tools that support proactive payer management and accountability. Ultimately, the Director ensures the organization captures all entitled reimbursement, maintains compliance with federal, state, and payer requirements, and advances strategies that enhance financial stability and operational effectiveness.

Minimum Job Requirements

Seven years of progressively responsible experience in healthcare reimbursement, healthcare finance, revenue cycle, managed care, or reimbursement compliance, including a minimum of five years in a leadership role within a hospital, health system, academic medical center, payer organization, healthcare consulting firm, or related healthcare environment. Demonstrated expertise in Medicare and Medicaid reimbursement methodologies, healthcare payment systems, and reimbursement regulations, with a proven ability to lead complex, cross‑functional initiatives involving multiple stakeholders. Experience within a large integrated health system, academic medical center, public hospital, or safety‑net organization is strongly preferred.

Work Experience:

Experience with governmental reimbursement programs including DSH, UPL, Directed Payment Programs, Uncompensated Care Programs, and Graduate Medical Education reimbursement.

Experience supporting payer contract analysis and reimbursement optimization initiatives.

Experience utilizing healthcare analytics, reimbursement modeling, and performance reporting tools.

License/Registration/Certification

None

Education And Training

Bachelor's Degree in Healthcare Administration, Finance, Accounting, Business Administration, Economics, or a related field required.

Master's Degree in Healthcare Administration (MHA), Business Administration (MBA), Finance, Accounting, Public Health, or related field preferred.

Skills

• Expert knowledge of governmental and commercial reimbursement methodologies
• Strong understanding of healthcare finance, reimbursement regulations, and payer payment practices
• Knowledge of hospital and professional billing, coding, documentation, and patient status regulations
• Advanced analytical and financial modeling skills
• Ability to interpret complex regulatory requirements and translate them into operational strategies
• Exceptional problem‑solving and critical‑thinking skills
• Collaboration and influence skills across highly matrixed environments
• Negotiation skills, particularly with payers and cross‑functional stakeholders
• Executive‑level verbal, written, and presentation communication skills
• Leadership of large‑scale, cross‑functional initiatives
• Proficiency with healthcare financial systems, reimbursement analytics tools, and reporting platforms
• Advanced Microsoft Office proficiency, especially Excel and Power BI‑style analytics
• Strategic planning and execution, including enterprise reimbursement strategy development
• Project management and organizational leadership
• Ability to evaluate reimbursement implications of service line, facility, and operational changes
• Payer performance evaluation, including contract compliance and payment accuracy
• Regulatory monitoring and policy interpretation, with proactive risk mitigation
• Ability to develop dashboards, scorecards, and reimbursement monitoring tools
• Cross‑departmental coordination, including Finance, Managed Care, Revenue Cycle, HIM, CDI, Compliance, and IT
• Team leadership and staff development, including coaching, performance management, and conflict resolution