Director, Government Reimbursement

UC Health • Cincinnati, OH

4d

About The Position

Position will provide primary leadership and support to the Governmental Reimbursement function for UC Health. Primary areas of focus will include governmental hospital cost report review and oversight of preparation, home office cost report preparation, HCAP filings and audit, key contact for the Medicare Administrative Contractor (MAC) oversight with primary management of audit submission deadlines and assignment of tasks, work with consultants/auditors to resolve reimbursement issues and present on strategic planning advice to senior leaders for the organization and hospital sites. Provide budgetary input and full analysis on all reimbursement assumptions. Support monthly net revenue analysis related to governmental reimbursement and management of Medicare and Medicaid third-party liability accounts. Provide strategic direction to the system related to governmental reimbursement and applicable trends and provide coordinated leadership with the Corporate Controller related to community benefit reporting. Leader serves as gatekeeper to the department and interfaces with pertinent teams and senior leadership throughout the year to provide education and awareness on governmental reimbursement items and regulatory changes.

Requirements

• Leadership and support for Governmental Reimbursement function.
• Governmental hospital cost report review and preparation oversight.
• Home office cost report preparation.
• HCAP filings and audit management.
• Medicare Administrative Contractor (MAC) oversight and audit management.
• Consultant and auditor collaboration for issue resolution.
• Strategic planning advice presentation to senior leaders.
• Budgetary input and analysis of reimbursement assumptions.
• Monthly net revenue analysis support for governmental reimbursement.
• Management of Medicare and Medicaid third-party liability accounts.
• Strategic direction on governmental reimbursement and trends.
• Coordinated leadership with Corporate Controller for community benefit reporting.
• Department gatekeeping and senior leadership interface.
• Education and awareness on governmental reimbursement and regulatory changes.

Responsibilities

• Provide primary leadership and support to the Governmental Reimbursement function.
• Oversee preparation of governmental hospital cost reports.
• Oversee preparation of home office cost reports.
• Manage HCAP filings and audit.
• Serve as the key contact for Medicare Administrative Contractor (MAC) oversight.
• Manage audit submission deadlines and assign tasks.
• Work with consultants/auditors to resolve reimbursement issues.
• Present strategic planning advice to senior leaders.
• Provide budgetary input and full analysis on all reimbursement assumptions.
• Support monthly net revenue analysis related to governmental reimbursement.
• Manage Medicare and Medicaid third-party liability accounts.
• Provide strategic direction to the system related to governmental reimbursement and applicable trends.
• Provide coordinated leadership with the Corporate Controller related to community benefit reporting.
• Serve as gatekeeper to the department.
• Interface with pertinent teams and senior leadership to provide education and awareness on governmental reimbursement items and regulatory changes.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed