Enterprise Reimbursement Director (Remote)

Mercy Home Health; Junction City (OH); Remote; USD 180,000 - 240,000; Full time

Benefits offered by this job

Competitive pay

403(b) with employer contributions

Medical, dental, vision, prescription

Paid time off and parental leave

Tuition assistance and professional发展

Job summary

Mercy Health is seeking a System Director of Reimbursement to lead the assigned state portfolio remotely. You will oversee cost reporting, CMS/Medicaid payment integrity, regulatory analysis, audits, settlements, and strategic advisory in collaboration with Revenue Cycle, Finance, Legal, and Compliance.

This role drives enterprise standards and executive transparency across states, managing senior analysts and Directors.

Qualifications

• Bachelor's degree in accounting, finance, business administration, health care administration, or related field.
• Extensive progressive hospital reimbursement experience with leadership accountability.
• Experience with Medicare and Medicaid cost reporting, settlements, audits, and reimbursement analytics.
• Working knowledge of hospital reimbursement across acute, post‑acute, ambulatory, and physician settings.
• Experience leading matrixed teams and managing broad portfolios under deadlines.

Responsibilities

• Lead reimbursement operating model for the assigned portfolio across cost reporting and payment integrity.
• Monitor CMS rules and Medicaid rate changes; translate into actions.
• Oversee cost report lifecycle including filing, audits, and settlements.
• Lead Medicare and Medicaid payment integrity oversight with risk monitoring.
• Maintain consolidated reimbursement forecasting and executive reporting.
• Partner with Legal, Compliance, and Revenue Cycle on payer issues.
• Champion AI-enabled analytics and digital upskilling.

Skills

Leadership

Strategic thinking

Regulatory analysis

Financial analysis

Audit defense

Cross-functional collaboration

Education

Bachelor's degree in accounting, finance, business administration, health care administration, or a related field

Master's degree in accounting, finance, business administration, or health care administration

CPA or similar credential

Tools

GenAI tools

AI/Analytics tooling

Job description

Mercy Health is seeking a System Director of Reimbursement to lead the assigned state portfolio remotely. You will oversee cost reporting, CMS/Medicaid payment integrity, regulatory analysis, audits, settlements, and strategic advisory in collaboration with Revenue Cycle, Finance, Legal, and Compliance.

This role drives enterprise standards and executive transparency across states, managing senior analysts and Directors.