Assistant Director, Health Finance and Revenue Cycle

GREATER NEW YORK HOSPITAL ASSOCIATION•New York, NY

6d•Hybrid

About The Position

Reporting to the Senior Vice President, Health Finance and Managed Care, the Assistant Director, Health Finance and Revenue Cycle will help GNYHA member institutions navigate a broad range of revenue cycle operations and policy issues. The successful candidate will provide technical assistance and resolve questions about billing and reimbursement for all payer lines of business, including Medicare, Medicaid and commercial health insurance. This role will also support broader advocacy on state and federal insurance and managed care policy issues.

Requirements

Bachelor’s degree in public health, health care administration or a related field.
Professional experience in hospital finance, reimbursement or operations.
Knowledge of regulations relevant to hospital billing of government and commercial payers.
Strong understanding of the health care regulatory framework.
Superior written and oral communication skills, including the ability to convey technical content in a non-technical manner
Exceptional critical thinking skills
Demonstrated ability to analyze regulations and government guidance
Ability to work independently and collaboratively while managing multiple deadlines and adapting to shifting project priorities.
Highly organized and detail oriented

Nice To Haves

Master’s degree in public health, healthcare administration, business, finance or a related field.
Experience in payer-side revenue cycle operations.

Responsibilities

Establish strong working relationships with revenue cycle departments at member hospitals.
Research and provide guidance on discrete member billing and reimbursement questions and challenges.
Monitor regulatory developments and evolving reimbursement landscape for all lines of business, including Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, Commercial, Employer, Essential Plan, and Qualified Health Plans.
Review and analyze proposed and final regulations and policies, identify their member impact, and prepare written and oral communications to ensure membership is aware of new and changing regulatory requirements. Examples of state and federal laws with revenue cycle implications include Federal No Surprises Act and Hospital Price Transparency, and NYS Hospital Financial Assistance Law.
Draft policy and operational communications for various audiences including GNYHA member institutions and regulators
Track technological developments and requirements relevant to the life cycle of a claim, including, for example, regulatory requirements for provider Application Programming Interfaces (APIs).
Help represent GNYHA and member institutions in policy forums where revenue cycle operations are being shaped.

Benefits

Comprehensive benefits package and perks including, but not limited to:
Defined contribution 401(k) plan with nonelective employer contributions and employer match of employee’s elective contributions
Paid parental leave
Health/vision insurance, including options with employer-subsidized health savings account
Generous paid time off that increases over time and holidays including one annual floating holiday
Dental insurance
Company-paid life insurance
Health advocacy and employee assistance program
Fully sponsored membership in healthcare professional society
Tuition reimbursement program
Employee discount programs
Commuter benefits program
Casual dress code