Director, Healthcare Finance & Reimbursement

Ovation Healthcare; Welcome (SC); On-site; USD 120,000 - 210,000; Full time

Job summary

Ovation Healthcare seeks a Director, Healthcare Finance & Reimbursement to lead day-to-day operations, drive reimbursement strategies for Medicare, Medicaid, and commercial payers, and ensure compliant cost reporting.

You will oversee financial modeling, variance analysis, and reporting to finance leadership, partnering with operations and other stakeholders to optimize revenue and accuracy in reimbursement processes.

Qualifications

• Bachelor’s degree in finance, Accounting, Healthcare Administration, or related field required.
• Master’s degree preferred.
• Minimum of 7 years of progressive experience in healthcare finance, reimbursement, or related areas.
• Strong experience with Medicare hospital cost reports required.
• Prior leadership or supervisory experience preferred.
• Advanced proficiency in Excel and financial modeling required.
• Deep understanding of Medicare, Medicaid, DRG/APC payment systems, and managed care contracts.
• Knowledge of value-based care, bundled payments, and risk-based contracts.
• Excellent communication and stakeholder management skills.
• Experience with healthcare financial systems and reimbursement reporting tools preferred.
• Familiarity with data visualization and reporting tools such as Tableau or Power BI preferred.

Responsibilities

• Lead the day-to-day activities of the healthcare finance and reimbursement function, providing hands-on leadership, technical guidance, work direction, and support for team performance and development.
• Establish priorities, monitor deliverables, improve workflows, and promote accountability to ensure timely, accurate, and high-quality service delivery.
• Develop and execute reimbursement strategies for Medicare, Medicaid, and commercial payers while overseeing reimbursement analysis related to payment methodologies, reimbursement trends, settlement activity, service line performance, contractual accounting, and bad debt reserves.
• Review cost reports prepared by internal staff or outside parties and ensure timely, accurate completion of interim and final cost reports.
• Direct and perform financial modeling and variance analysis related to reimbursement structures, payment trends, and revenue optimization opportunities.
• Prepare and present financial reports, insights, and recommendations to finance leadership and other internal stakeholders to support informed decision-making.
• Ensure compliance with CMS guidelines and other applicable federal and state reimbursement regulations by monitoring regulatory changes, evaluating payment model impacts, and supporting organizational readiness.
• Lead and support internal and external audits related to reimbursement, cost reporting, and payment practices, while maintaining current knowledge of value-based care models and alternative payment methodologies.
• Partner with finance, operations, and other internal stakeholders to resolve issues, strengthen processes, and support compliance across reimbursement-related activities.

Skills

Excel

Financial modeling

Data analysis

Stakeholder management

Communication

Tableau

Power BI

Medicare/Medicaid understanding

Education

Bachelor’s degree in finance, Accounting, Healthcare Administration, or related field

Master’s degree

Job description

Welcome to Ovation Healthcare!At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com.Summary:The Director, Healthcare Finance & Reimbursement is responsible for leading the day-to-day operations of the healthcare finance and reimbursement function, with a strong hands-on focus on reimbursement analysis, cost reporting oversight, regulatory compliance, and financial support. This role provides both technical expertise and functional leadership while partnering with internal stakeholders to support accurate reimbursement, sound financial analysis, and effective department operations. The Director also supports team development, process improvement, and high-quality service delivery.Duties and Responsibilities:Lead the day-to-day activities of the healthcare finance and reimbursement function, providing hands-on leadership, technical guidance, work direction, and support for team performance and development.Establish priorities, monitor deliverables, improve workflows, and promote accountability to ensure timely, accurate, and high-quality service delivery.Develop and execute reimbursement strategies for Medicare, Medicaid, and commercial payers while overseeing reimbursement analysis related to payment methodologies, reimbursement trends, settlement activity, service line performance, contractual accounting, and bad debt reserves.Review cost reports prepared by internal staff or outside parties and ensure timely, accurate completion of interim and final cost reports.Direct and perform financial modeling and variance analysis related to reimbursement structures, payment trends, and revenue optimization opportunities.Prepare and present financial reports, insights, and recommendations to finance leadership and other internal stakeholders to support informed decision-making.Ensure compliance with CMS guidelines and other applicable federal and state reimbursement regulations by monitoring regulatory changes, evaluating payment model impacts, and supporting organizational readiness.Lead and support internal and external audits related to reimbursement, cost reporting, and payment practices, while maintaining current knowledge of value-based care models and alternative payment methodologies.Partner with finance, operations, and other internal stakeholders to resolve issues, strengthen processes, and support compliance across reimbursement-related activities.Work Experience, Education, and Certifications:Bachelor’s degree in finance, Accounting, Healthcare Administration, or related field required. Master’s preferredMinimum of 7 years of progressive experience in healthcare finance, reimbursement, or related areas.Strong experience with Medicare hospital cost reports required.Prior leadership or supervisory experience preferred.Knowledge, Skills, and Abilities:Advanced proficiency in Excel and financial modeling required.Deep understanding of Medicare, Medicaid, DRG/APC payment systems, and managed care contractsStrong financial modeling and data analysis skillsKnowledge of value-based care, bundled payments, and risk-based contractsExcellent communication and stakeholder management skillsExperience with healthcare financial systems and reimbursement reporting tools preferred.Familiarity with data visualization and reporting tools such as Tableau or Power BI preferred.