Remote Reimbursement Director - Strategic Oversight

RiseMe; New Jersey; Hybrid; USD 180,000 - 260,000; Full time

Job summary

Bon Secours Mercy Health is seeking a System Director of Reimbursement to lead the state portfolio and its markets, ensuring cost reporting accuracy, Medicare/Medicaid integrity, and compliance. The role collaborates with Revenue Cycle, Finance, Legal and Compliance to protect reimbursement yield and present transparent CFO-facing insights.

The position oversees a range of reimbursement workstreams, including regulatory analysis, settlements, audits, and strategic advisory, with executive

Responsibilities

• Lead the reimbursement operating model for the assigned state portfolio and markets, driving cost reporting, CMS/Medicaid integrity, regulatory analysis, audits, settlements and strategic advisory.
• Provide proactive regulatory and financial impact analyses to senior leaders and ensure timely action planning across cross-functional partners.

Job description

Bon Secours Mercy Health is seeking a System Director of Reimbursement to lead the state portfolio and its markets, ensuring cost reporting accuracy, Medicare/Medicaid integrity, and compliance. The role collaborates with Revenue Cycle, Finance, Legal and Compliance to protect reimbursement yield and present transparent CFO-facing insights.

The position oversees a range of reimbursement workstreams, including regulatory analysis, settlements, audits, and strategic advisory, with executive