AVP - Assistant Vice President - Reimbursement
About The Position
Provides strategic leadership and oversight of all reimbursement operations, including claims processing, cost reporting, third-party settlements, and revenue optimization. Partners with executive leadership to align reimbursement strategies with organizational financial goals and regulatory requirements. Directs the overall strategy and execution of reimbursement and cost reporting functions to ensure financial sustainability and compliance. Advises senior leadership on regulatory trends, reimbursement risks, and financial implications of payer and provider. Oversees the preparation, analysis, and reconciliation of cost reports, third-party settlements, and financial statements. Evaluates the financial impact of clinical services and reimbursement methodologies; recommends opportunities for revenue enhancement and operational efficiencies. Implement controls and monitors performance metrics to reduce risk and support audit readiness. Lead due diligence and reimbursement modeling for acquisitions and strategic partnerships. Serves as a key liaison with external auditors, payers, and regulatory agencies. Partners with clinical and operational leaders to align reimbursement practices with clinical strategies. Perform other duties as assigned.
Requirements
- Master's degree in a related field required.
- Seven (7) years of technical experience required.
- Five (5) years of leadership/management experience required.
- Accountant licensure relevant to state in which work is performed preferred.
Responsibilities
- Provides strategic leadership and oversight of all reimbursement operations, including claims processing, cost reporting, third-party settlements, and revenue optimization.
- Partners with executive leadership to align reimbursement strategies with organizational financial goals and regulatory requirements.
- Directs the overall strategy and execution of reimbursement and cost reporting functions to ensure financial sustainability and compliance.
- Advises senior leadership on regulatory trends, reimbursement risks, and financial implications of payer and provider.
- Oversees the preparation, analysis, and reconciliation of cost reports, third-party settlements, and financial statements.
- Evaluates the financial impact of clinical services and reimbursement methodologies; recommends opportunities for revenue enhancement and operational efficiencies.
- Implement controls and monitors performance metrics to reduce risk and support audit readiness.
- Lead due diligence and reimbursement modeling for acquisitions and strategic partnerships.
- Serves as a key liaison with external auditors, payers, and regulatory agencies.
- Partners with clinical and operational leaders to align reimbursement practices with clinical strategies.
- Perform other duties as assigned.
Benefits
- generous paid time off
- paid parental leave
- Associate Assistance Program
- Tuition Reimbursement Program
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What This Job Offers
Job Type
Full-time
Career Level
Manager
