Director Net Revenue Management

Ascension; St. Louis (MO); Remote; USD 120,000 - 180,000; Full time

Benefits offered by this job

Comprehensive health coverage

Employer-matched 403(b)

Pro-rated PTO and holidays

Tuition reimbursement

Employee Assistance Program

Parental leave

Pet insurance

Job summary

Ascension is seeking a remote InternalOps finance leader to analyze third-party reimbursement trends and optimize net patient revenue across multiple entities. You’ll partner with payer and contracting teams to clarify terms and resolve discrepancies, while directing market-level revenue strategies with senior leaders.

The role focuses on reducing aged accounts receivable, minimizing revenue leakage, and monitoring key metrics to drive data-informed decisions in a large healthcare system.

Qualifications

• High School diploma or equivalency with 5 years of applicable cumulative job specific experience, with 2 in leadership/management.
• Associate's degree or Bachelor's degree with 3 years of applicable cumulative job specific experience, with 2 in leadership/management.
• Bachelor's degree plus MBA or CPA a plus

Responsibilities

• Analyze complex third-party reimbursement trends, revenue performance and contractual adjustments to capture missing revenue and optimize net patient revenue.
• Partner with Managed Care and payer-contracting teams to clarify reimbursement terms, resolve payment discrepancies and address claim denials to maximize reimbursement realization.
• Direct market-level revenue and reimbursement strategy alongside CFOs and operational leaders to establish performance targets, reduce aged A/R and maintain accountability.
• Address complex billing issues, underpayments and Medicare/state-level reimbursement barriers to accelerate cash collection and minimize revenue leakage.
• Track critical reimbursement metrics, including net collection rates, denial rates and reimbursement variances, to drive data-informed financial decisions across entities.

Skills

Leadership

Communication

Analytical skills

Education

High School diploma equivalency

Associate's or Bachelor's degree

Job description

InternalOps

Your future role at a glance

• Location: Remote
• Facility: Ascension Sacred Heart - Florida
• Schedule: Days | Full-time
• Eligible for annual bonus incentive

How you’ll make an impact in this role

• Analyze complex third-party reimbursement trends, revenue performance and contractual adjustments to capture missing revenue and optimize net patient revenue.
• Partner with Managed Care and payer-contracting teams to clarify reimbursement terms, resolve payment discrepancies and address claim denials to maximize reimbursement realization.
• Direct market-level revenue and reimbursement strategy alongside CFOs and operational leaders to establish performance targets, reduce aged A/R and maintain accountability.
• Address complex billing issues, underpayments and Medicare/state-level reimbursement barriers to accelerate cash collection and minimize revenue leakage.
• Track critical reimbursement metrics, including net collection rates, denial rates and reimbursement variances, to drive data-informed financial decisions across entities.

What Minimum Requirements You’ll Need

Licensure / Certification / Registration

• Required Credential(s):
• None Required.

Education

• High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management.

Additional Preferences

• Bachelor's degree in a related field; MBA or CPA a plus
• 8+ years in healthcare finance/reimbursement, with specialized accounting/analytical work in Reimbursement (Cost Report Preparation) and AR Valuation, including 5+ years of hospital leadership experience.
• Strong leadership, communication, and analytical skills focused on process improvement.

Benefits that help you thrive

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

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