Director of Managed Care Reimbursement

Usph; Texas; On-site; USD 135,000 - 145,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with match

Paid time off

Job summary

U.S. Physical Therapy, Inc. is seeking a highly energetic Director of Managed Care Reimbursement to join the Managed Care team. This role reports to the VP of Managed Care Operations and aims to develop strategic initiatives to grow the company’s revenue stream.

Requirements include 5+ years in health care finance or revenue cycle, strong data analytics, proficiency with fee schedules, BI tools, and advanced Excel. Competitive benefits include medical, dental, vision, 401(k) and PTO.

Qualifications

• 5+ years of experience in health care finance, medical economics, or revenue cycle.
• Skilled in data synthesis and analytics.
• Proficient with private, federal & state fee schedules and guidelines across payor types.
• Experience with BI tools and advanced Excel (PivotTables, VLOOKUP, etc.).
• Strong communication and project management skills.

Responsibilities

• Develop strategic initiatives to grow the company's revenue stream.
• Oversee Payment Compliance & Chargemaster teams.
• Support VP in due diligence for strategic partnerships.
• Translate reimbursement changes and their impact to revenue.

Skills

Finance experience

Medical economics

Revenue Cycle

Data analytics

Policy communication

Education

Bachelor's in Business / Finance / Healthcare

Master's in Business / Finance / Healthcare

Tools

BI tools

Excel

Job description

Company Description

U.S. Physical Therapy, Inc. ("USPh"), which was founded in 1990, is a publicly held company which operates 780+ outpatient physical and/or occupational therapy clinics in 44 states. The Company's clinics provide post-operative care for a variety of orthopedic-related disorders and sports-related injuries, treatment for neurologically related injuries, rehabilitation of injured workers and preventative care.

Job Description

We are seeking a highly energetic individual who has a "can do" attitude to join our exciting outpatient healthcare company as a seasoned Director of Managed Care Reimbursement. This position will be housed on the Managed Care team and reports to the Vice President of Managed Care Operations. The primary objective for this role is to develop strategic initiatives to grow the company's revenue stream.

Qualifications

KNOWLEDGE AND SKILLS:

• Minimum of five years (5) experience in: Finance, Medical Economics or Revenue Cycle
• Versed in modeling and analytics
• Skilled in synthesizing data
• High proficiency maneuvering private, federal & state fee schedules as well as supporting guidelines in a nationwide setting for all payor mix types.
• Provide VP with strategic analysis and trend evaluation
• Translate reimbursement changes & the impact to revenue stream
• Communicate policy changes cross-functionally
• Familiar with various reimbursement models and methodologies including but limited to: Daily Max, Fee for Service, RBRVS, Medicaid, value-based payment models, escalators, bundled payments & shared savings.
• Drive initiatives to identify and recoup underpayments
• Oversee the Payment Compliance & Chargemaster teams
• Support VP in due diligence for strategic partnerships

EDUCATION & EXPERIENCE:

• Bachelor's/Masters in Business, Finance, Health Care or related field required
• EMR experience, Raintree experience a plus
• Experience with BI tools
• Advanced Microsoft experience in: Excel, Pivot Tables, Vlookup, etc.
• Effective project management skills
• Strong critical and analytical skills, ability to work strategically
• Excellent oral and written communication skills
• Proven strong organization, interpersonal and management skills. 5+ years' experience in health care setting

All your information will be kept confidential according to EEO guidelines.

The anticipated base salary range for this position is 135,000-145,000. Salary is based on various factors, including relevant experience, knowledge, skills, other job-related qualifications, and geography. Medical, dental, vision, 401(k), paid time off, and other benefits are also available, subject to the terms of the Company's plan.

We are proud to be an equal opportunity and affirmative action employer. We prohibit discrimination and harassment of any kind based on race, color, religion, national origin, sex (including pregnancy), sexual orientation, gender identity, gender expression, age, veteran status, genetic information, disability, or other applicable legally protected characteristics.

If you'd like to view a copy of the company's affirmative action plan or policy statement and/or if you would like to request an accommodation due to a disability, please contact us at [e-mail]