Director of Managed Care Reimbursement

US Physical TherapyHouston, TX
20h$135,000 - $145,000

About The Position

We are seeking a highly energetic individual who has a "can do" attitude to join our exciting outpatient healthcare company as a seasoned Director of Managed Care Reimbursement . This position will be housed on the Managed Care team and reports to the Vice President of Managed Care Operations. The primary objective for this role is to develop strategic initiatives to grow the company’s revenue stream.

Requirements

  • Minimum of five years (5) experience in: Finance, Medical Economics or Revenue Cycle
  • Versed in modeling and analytics
  • Skilled in synthesizing data
  • High proficiency maneuvering private, federal & state fee schedules as well as supporting guidelines in a nationwide setting for all payor mix types.
  • Familiar with various reimbursement models and methodologies including but limited to: Daily Max, Fee for Service, RBRVS, Medicaid, value-based payment models, escalators, bundled payments & shared savings.
  • Bachelor’s/Masters in Business, Finance, Health Care or related field required
  • Experience with BI tools
  • Advanced Microsoft experience in: Excel, Pivot Tables, Vlookup, etc.
  • Effective project management skills
  • Strong critical and analytical skills, ability to work strategically
  • Excellent oral and written communication skills
  • Proven strong organization, interpersonal and management skills.
  • 5+ years’ experience in health care setting

Nice To Haves

  • EMR experience, Raintree experience a plus

Responsibilities

  • Provide VP with strategic analysis and trend evaluation
  • Translate reimbursement changes & the impact to revenue stream
  • Communicate policy changes cross-functionally
  • Drive initiatives to identify and recoup underpayments
  • Oversee the Payment Compliance & Chargemaster teams
  • Support VP in due diligence for strategic partnerships

Benefits

  • Medical
  • dental
  • vision
  • 401(k)
  • paid time off
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service