Dir. Reimbursement Strategy-Patient Accounting

Umcelpaso; El Paso (TX); On-site; USD 180,000 - 260,000; Full time

Job summary

University Medical Center of El Paso is seeking a Director of Reimbursement Strategy to lead enterprise-wide reimbursement initiatives, optimize financial performance, and ensure regulatory compliance across care settings.

You will oversee reimbursement analytics, develop dashboards and scorecards, and collaborate with Revenue Cycle, Managed Care, Finance, HIM, CDI, Compliance, IT, and Operations to capture entitled reimbursement and improve payer performance.

Qualifications

• Bachelor's degree in a related field required.
• Master's degree preferred in a related field.
• Seven years of healthcare reimbursement/finance experience with leadership background.

Responsibilities

• Develop and execute enterprise reimbursement strategy across the health system.
• Lead reimbursement analytics, monitoring, and reporting tools.
• Collaborate with Revenue Cycle, Managed Care, Finance, HIM, CDI, Compliance, IT, and Operations.
• Ensure compliance with federal, state, and payer requirements.
• Oversee reimbursement performance and initiatives to improve outcomes.

Skills

Healthcare reimbursement

Leadership

Regulatory compliance

Data analysis

Payer contract analysis

Cross-functional collaboration

Executive communication

Strategic planning

Project management

Education

Bachelor's degree in Healthcare Administration / Finance / Accounting / Business

Master's degree in Healthcare Administration / MBA / Finance / Public Health

Tools

Power BI

Microsoft Excel

Healthcare analytics tools

Job description

Dir. Reimbursement Strategy-Patient Accounting

• Facility University Medical Center of El Paso

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.

Work Experience:

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.

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
• 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