Director - Government Reimbursement - AS Finance Administration - Full Time - 8 Hour - Days

John Muir Health; California, Walnut Creek (MO, CA); On-site; USD 194,000 - 292,000; Full time

Job summary

An established industry player is seeking a Director of Government Reimbursement to lead strategic planning and analysis for government patient revenue. This role involves collaborating with key stakeholders to ensure the integrity of reimbursement activities and implementing effective solutions. The ideal candidate will possess strong leadership, analytical, and communication skills, with a deep understanding of Medicare and Medi-Cal regulations. This is a unique opportunity to make a significant impact in a patient-centered environment, driving initiatives that enhance operational efficiency and support organizational goals.

Qualifications

• 5+ years experience with government reimbursement programs.
• Knowledge of generally accepted accounting principles and healthcare reimbursement.

Responsibilities

• Oversee government patient revenue and supplemental revenue.
• Provide consultative analytics and recommendations for health system initiatives.

Skills

Medicare Knowledge

Medi-Cal Knowledge

Leadership Skills

Project Management

Critical Thinking

Interpersonal Skills

Healthcare Decision Support Systems

Cost Accounting

Payer Reimbursement Methodologies

Communication Skills

Education

Bachelor's degree in Finance

Tools

Epic

Workday

Job description

Job Description:Under the direction of the Chief Financial Officer, the Director of Government Reimbursement has responsibility, oversight and leadership for the strategic planning, analysis, valuation, and integrity of government patient revenue and associated supplemental revenue for all John Muir Health clinical enterprise government reimbursement activities. This position also provides consultative analytics, guidance and recommendations for potential John Muir Health endeavors including, but not limited to, due diligence and/or return on investment projects. This position is responsible for oversight, leadership, and integrity of the John Muir Health Chargemaster under the direction of the Chief Financial Officer. This position works in collaboration with key stakeholders throughout John Muir Health, as well as Federal, State, and other external agencies. As such the Director of Government Reimbursement builds and maintains strong relationships with key stakeholders influencing successful implementation of related health system initiatives. The Director conducts themselves in a manner that is patient-centered and respectful of all stakeholders and customers. This position requires effective communication, analytical, organization, problem solving and implementation skills.

Education:

• Bachelor's degree in Finance, Accounting or related area -REQUIRED

Experience

• At least five years experience with state/federal government reimbursement programs specific to medical centers with residency programs and research programs - Required.

Required Skills:

• Excellent knowledge of Medicare, Medi-Cal, and local county regulations.

• Experience with developing and implementing government reimbursement infrastructure to support a healthcare entity.

• Knowledge and understanding of generally accepted accounting principles, cost accounting, and government accounting.

• Experience with payer reimbursement methodologies (Commercial and Government) preferred.

• Excellent leadership skills, with the ability to create and maintain a goal-oriented climate of teamwork and collaboration across departments for effective problem solving, conflict resolution, support for organizational values, and consistent achievement of objectives.

• Thorough knowledge of healthcare decision support systems and best practices, as well as clinical finance and cost accounting principles.

• Excellent skills in developing strategic plans, evaluating, and developing staff competencies, organizing operations, and fiscal management.

• Excellent critical-thinking and business process skills, with the ability to implement effective solutions.

• Advanced skills to educate management and tailor decision support objectives and goals to meet a broad variety of needs.

• Excellent interpersonal and communications skills. Excellent ability to motivate, influence, and persuade others, and cultivate a strong commitment to efficiency, functionality, and quality customer service.

• Knowledge of clinical, financial, and business information technology software, hardware, tools, techniques, and systems.

• Experience with hospital cost accounting concepts and systems, and familiarity/understanding of hospital and professional patient billing data including healthcare reimbursement concepts.

• Outstanding project management skills with demonstrated ability to manage multiple projects with overlapping deadlines simultaneously.

• Knowledge of and experience working with Epic, Workday, and additional associated accounting software

Work Shift:Exempt Salaried (United States of America)

Pay Range:

$194,315.00 - $291,472.00Salary

Offer amounts are based on demonstrated/relevant experience and/or licensure.

Pay will be adjusted to the local market if hired outside of the Bay Area.

Note: Positions at JMH which are exempt (not eligible for overtime) under the level of Manager are listed as hourly for compensation purposes on this posting. The work shift will contain the word 'exempt' on it.

Scheduled Weekly Hours:40