Director of Supplemental Payments

HCA Healthcare, Inc.; Nashville (TN); Presencial; USD 140.000 - 230.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive benefits package

Wellbeing support services

Generous paid time off and family-lea​

401(k) match and retirement resources

Education and certification support

Descripción de la vacante

HCA Healthcare is seeking a Director of Supplemental Payments to serve as the primary operating manager and steward of the Medicaid supplemental-payment and financing portfolio.

You will support the VP, Corporate Controller, and Group CFOs by maintaining monitoring, documentation, issue management, and coordination with Groups, Divisions, Finance/Reimbursement, Legal, Government Relations, and external consultants.

Formación

• Bachelor's degree in health care administration, Public Policy, Business, Finance, Accounting, or related field required.
• 8-10 years of experience in Medicaid supplemental payment programs, Medicaid financing, healthcare reimbursement, healthcare finance, Medicaid program administration, or related areas required.
• 3+ years of experience leading complex cross-functional initiatives, programs, or teams required.
• Masters degree in Health Care Administration, Public Policy, Business, Finance, Accounting, or related field preferred.
• 25% Required

Responsabilidades

• Maintain the complete state/program inventory and Group/Division crosswalk for portfolio management.
• Monitor material active programs, approvals, renewals, payments, reconciliations, and known changes.
• Identify missing information and coordinate updates.
• Maintain standardized state/program profiles, source-document links, approval/preprint packages, historical versions, source logs, and decision history.
• Convert material consultant work and decisions into durable internal documentation.
• Maintain CMS/state approval and renewal calendars; track assessment, payment, remittance, accounting, and reconciliation dates.
• Coordinate unresolved variances and recoupments with Finance/Reimbursement.
• Maintain the enterprise Medicaid DSH and GME register including methodology, pools, allocation, payment, financing, audit status, recoupment, legislative activity, and advocacy.
• Escalate material risks and opportunities and coordinate supporting analysis.
• Maintain the quality measure and reporting inventory and associated dollars at risk.
• Translate IT, clinical, reporting, and operational dependencies into financial deadlines and protection actions.
• Track exception and extension processes.
• Maintain state assumptions, source provenance, and model version control with Finance/Reimbursement.
• Maintain risk/opportunity, decision, and action logs.
• Prepare Governance scorecards, state updates, decision requests, and VP briefing materials.
• Serve as routine operating contact for consultants; coordinate assignments, deadlines, and deliverables.
• Capture conclusions in the enterprise repository and identify coverage gaps.

Educación

Bachelor's degree in health care administration, Public Policy, Business, Finance, Accounting, or related field

Master's degree in Health Care Administration, Public Policy, Business, Finance, Accounting, or related field

Descripción del empleo

This position is incentive eligible.

Job Summary and Qualifications

The Director of Supplemental Payments serves as the primary operating manager and steward of institutional knowledge for the enterprise Medicaid supplemental-payment and financing portfolio. The role supports the VP, Corporate Controller, and Group CFOs by maintaining sustained monitoring, documentation, issue management, and follow-through and by working directly with Groups, Divisions, Finance/Reimbursement, Legal, Government Relations, and external consultants.

Major Responsibilities

Portfolio Management

• Maintain the complete state/program inventory and Group/Division crosswalk.
• Monitor material active programs, approvals, renewals, payments, reconciliations, and known changes.
• Identify missing information and coordinate updates.

Program Documentation & Knowledge Management

• Maintain standardized state/program profiles, source-document links, approval/preprint packages, historical versions, source logs, and decision history.
• Convert material consultant work and decisions into durable internal documentation.

Approvals, Payments & Revenue Realization

• Maintain CMS/state approval and renewal calendars.
• Maintain assessment, payment, remittance, accounting, and reconciliation dates.
• Track expected versus actual payments and coordinate unresolved variances and recoupments with Finance/Reimbursement.

DSH & Medicaid GME

• Maintain the enterprise Medicaid DSH and GME register, including methodology, pools, HCA allocation, payment, financing, audit status, recoupment, legislative activity, and advocacy.
• Escalate material risks and opportunities and coordinate supporting analysis.

Quality & Operational Requirements

• Maintain the quality measure and reporting inventory and associated dollars at risk.
• Translate IT, clinical, reporting, and operational dependencies into financial deadlines and protection actions.
• Track exception and extension processes.

Modeling, Issue Management & Governance

• Maintain state assumptions, source provenance, and model version control with Finance/Reimbursement.
• Maintain risk/opportunity, decision, and action logs.
• Prepare Governance scorecards, state updates, decision requests, and VP briefing materials.

Consultant Management

• Serve as the routine operating contact for consultants.
• Coordinate assignments, deadlines, and deliverables.
• Capture conclusions in the enterprise repository and identify coverage gaps.

Education & Experience

• Bachelors degree in health care administration, Public Policy, Business, Finance, Accounting, or related field required
• 8-10 years of experience in Medicaid supplemental payment programs, Medicaid financing, healthcare reimbursement, healthcare finance, Medicaid program administration, or related areas required
• 3+ years of experience leading complex cross-functional initiatives, programs, or teams required
• Masters degree in Health Care Administration, Public Policy, Business, Finance, Accounting, or related field preferred
• 25% Required

Benefits

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

We are comprised of affiliated hospitals, physician practices and other sites of care across the United States and United Kingdom. The Sarah Cannon Cancer Network is transforming cancer care through integrated services and cutting-edge technologies. Our physicians can develop leading oncology programs to advance science and patient care. Providing physician-led patient care offers our doctors access to a national network of experts. This is where multidisciplinary teams come together with a goal of delivering seamlessly coordinated, quality cancer care. Through a united network of globally recognized oncology specialists, we collaborate and share best practices. We address each aspect of the cancer journey, from screening and diagnosis through treatment and survivorship, to advance our shared mission: Above all else, we are committed to the care and improvement of human life.

HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

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HCA Healthcare Co-Founder

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We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.