Director Reimbursement - Henry Ford Health

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Business (Non-Clinical)
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240412 Requisition #

Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top-tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and third-party payer reimbursement programs.

 

Reporting to the System Vice President of Contracting, Reimbursement & Revenue Integrity, this pivotal role involves overseeing the preparation of third-party cost reports, financial audits, and net revenue forecasts. As a visionary leader, you'll play a key role in implementing cutting-edge reimbursement models and methodologies, fostering innovation, and optimizing automation to ensure industry-leading practices.

 

If you're a dynamic professional with a proven track record in strategic and operational leadership, don't miss this opportunity to make a lasting impact on healthcare reimbursement. Join us and be at the forefront of shaping the financial future of Henry Ford Health!

 

The Director of Reimbursement is responsible for setting strategic direction for various governmental and third-party payer reimbursement programs. The position will lead evaluation and implementation of best practice reimbursement models and methodologies for the health system.  This position will work closely with health system leaders to effectively manage the monthly financial close and net revenue reporting.  HFH is seeking a leader with strong strategic and operational skills to drive industry-leading reimbursement practices and processes, including further leveraging automation.  These responsibilities include overseeing:

  • Preparation of third party cost reports and other third party filings
  • Reporting and reconciliation of general ledger accounts related to third party payments & settlements, including third party payer receivables, payables and reserves
  • Planning and coordination of third party audits and appeals as well as quarterly and year-end financial audits
  • Preparation of monthly net revenue calculations and review with Vice President prior to financial statement due date
  • Preparation of net revenue forecasts
  • Maintain expertise in reimbursement regulations & strategies, including Medicare, Blue Cross and Medicaid, through appropriate education and provide education and consultation to staff
  • Development of impacts related to changes in reimbursement regulations
  • Provide a leadership role in developing goals and accomplishment of those goals for both team members and the department

Qualifications:

  • Bachelor’s degree in Accounting or Finance with a Master’s degree preferred
  • Approximately ten (10) years of progressive experience in healthcare reimbursement is required
  • Working knowledge of generally accepted accounting principles and a thorough understanding of third party reimbursement mechanisms
  • Working knowledge of the full Revenue Cycle process and implications on net revenue and accounts receivable valuation
  • Ability to communicate in clear, concise terms
  • Well developed conceptual and analytical skills
  • High level of interpersonal, management and organizational skills

    Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at henryford.com.

Benefits

       Whether it's offering a new medical option, helping you make healthier lifestyle choices or

       making the employee enrollment selection experience easier, it's all about choice.  Henry

       Ford Health has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

       dozens of options for all of our employees including compensation, benefits, work/life balance

       and learning - options that enhance your career and add value to your personal life.  As an

       employee you are provided access to Retirement Programs, an Employee Assistance Program

       (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness,                 and a whole host of other benefits and services.  Employee's classified as contingent status are not         eligible for benefits.    

Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

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