Senior AVP, Government Reimbursement Strategy

Ensemble Health Partners; Kentucky; Hybrid; USD 140,000 - 170,000; Full time

Benefits offered by this job

Healthcare benefits

Tuition reimbursement

Bonuses and incentive programs

Job summary

Ensemble Health Partners is seeking an Assistant Vice President of Government Reimbursement to advise large health systems on Medicare/Medicaid reimbursement, DSH, 340B, and related cost reporting. The role focuses on optimizing revenue while ensuring federal compliance and strong client partnerships.

The position emphasizes leadership, strategic advisory, and expertise in government reimbursement policies, with responsibilities spanning audits, appeals, and payer negotiations.

Qualifications

Responsibilities

• Assist in gathering and analyzing data for Medicare cost reports and reimbursement optimization.
• Provide expert advice on reimbursement strategies for governmental lines of business, including Medicaid and Tricare.
• Support 340B program compliance, eligibility, and ensure correct billing processes.
• Analyze hospital eligibility for DSH payments and Medicaid days to ensure accurate capture and revenue impact.
• Monitor Medicaid Directed Payment programs to maximize revenue opportunities for providers.
• Advise clients on reimbursement-related matters and maintain knowledge of CMS guidelines and HRSA 340B regulations.

Job description

Ensemble Health Partners is seeking an Assistant Vice President of Government Reimbursement to advise large health systems on Medicare/Medicaid reimbursement, DSH, 340B, and related cost reporting. The role focuses on optimizing revenue while ensuring federal compliance and strong client partnerships.

The position emphasizes leadership, strategic advisory, and expertise in government reimbursement policies, with responsibilities spanning audits, appeals, and payer negotiations.