Director of Supplemental Payments

HCA Healthcare; Nashville (TN); On-site; USD 140,000 - 230,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) with match

Tuition assistance / education support

Job summary

HCA Healthcare, Inc. is seeking a Director of Supplemental Payments to lead the enterprise Medicaid supplemental-payment and financing portfolio.

You will support senior finance leaders, monitor programs, manage documentation, and coordinate with Groups, Divisions, Legal, and external consultants. You will maintain calendars, track payments, and oversee reconciliation activities while escalating risks and opportunities.

Qualifications

• 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 or related healthcare finance
• 3+ years of experience leading complex cross-functional initiatives, programs, or teams

Responsibilities

• Maintain complete state/program inventory and crosswalk across Groups/Divisions
• Monitor active programs, approvals, renewals, payments, reconciliations, and changes
• Coordinate updates and resolve material variances with Finance/Reimbursement
• Maintain CMS/state calendars, payment dates, and revenue realization processes
• Manage DSH & Medicaid GME register, tracking legislative activity and advocacy
• Translate dependencies into financial deadlines and protection actions
• Prepare governance scorecards, state updates, and VP briefing materials
• Coordinate consultant assignments, deadlines, and deliverables

Skills

Cross-functional leadership

Program governance

Financial reconciliation

Education

Bachelor's degree in health care administration or related field

Master's degree preferred

Job description

This position is incentive eligible.

Do you have the career opportunities as a Director of Supplemental Payments you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare.

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

• 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

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

• 25% Required

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

• Wellbeing support, including free counseling and referral services

• Time away from work programs 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 support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

• Additional benefits for 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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

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 World's 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.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

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