Director, Healthcare Reimbursement Strategy

Baptist Health (Jacksonville); Newport (KY); On-site; USD 120,000 - 180,000; Full time

Job summary

Baptist Health in Jacksonville, FL seeks a Director of Reimbursement to lead the reimbursement function across government programs, net revenue budgeting, and cost reporting. You will drive compliance, oversee cost filings, and provide strategic guidance on payer changes and regulatory updates to senior leadership.

The role requires extensive healthcare finance experience, leadership skills, and expertise in Medicare/Medicaid reimbursements.

Qualifications

• Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field.
• 5+ years of healthcare finance experience.
• Home office cost report experience.
• Strong knowledge of Medicare, Medicaid, and government reimbursement regulations.
• Experience preparing or overseeing government cost reports and reimbursement‑related financial analysis.
• Prior leadership or supervisory experience.
• Strong analytical, communication, problem-solving, and organizational skills.
• Ability to interpret complex regulatory guidance and communicate impact to leadership and operational stakeholders.

Responsibilities

• Provides leadership, staffing oversight, and departmental supervision for the Reimbursement function.
• Ensures compliance with applicable government reimbursement regulations, reporting requirements, and industry standards.
• Monitors reimbursement rules, regulatory updates, and payer changes, and communicates potential financial or operational impacts to Health System leadership.
• Directs the preparation of annual net revenue budgets, including analysis of reimbursement assumptions, payer trends, and projected revenue performance.
• Oversees the preparation, review, and submission of government cost reports and related reimbursement filings.
• Leads and supports home office cost report preparation, review, analysis, and related reimbursement activities.
• Monitors monthly net revenue performance and provides leadership with analysis of variances, trends, and reimbursement‑related impacts.
• Leads financial analysis related to reimbursement issues, regulatory changes, governmental payer programs, and other revenue‑related matters.
• Pulls, reviews, and analyzes government reimbursement reports and related data to support financial reporting, compliance, and decision‑making.
• Directs the maintenance and compliance of the Health System charge master, ensuring charges are accurate, current, and aligned with applicable regulatory requirements.
• Partners with internal stakeholders to support reimbursement strategy, financial forecasting, revenue optimization, and operational decision‑making.
• Provides guidance and education to Health System leaders regarding reimbursement issues, regulatory updates, and financial implications.
• Supports audit readiness and responds to reimbursement‑related inquiries, reviews, or requests as needed.
• Develops and maintains policies, procedures, and internal controls related to reimbursement operations and compliance.

Skills

Analytical skills

Leadership

Communication

Problem solving

Organizational skills

Education

Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field

Job description

Baptist Health in Jacksonville, FL seeks a Director of Reimbursement to lead the reimbursement function across government programs, net revenue budgeting, and cost reporting. You will drive compliance, oversee cost filings, and provide strategic guidance on payer changes and regulatory updates to senior leadership.

The role requires extensive healthcare finance experience, leadership skills, and expertise in Medicare/Medicaid reimbursements.