Director Reimbursement Analytics
About The Position
This is a full-time, remote position within the Enterprise Corporate Reimbursement department. The Director of Reimbursement Analytics will oversee monthly financial analyses for Advocate Health service lines, including hospitals, medical groups, and continuing care. This role involves assisting leadership with Valuation Allowance accounts, supporting external financial auditors, and developing/forecasting net revenue budgets. The position also includes partnering with Managed Health leadership for Medicare cost report valuation, monitoring reimbursement appeals, managing Medicaid supplemental payment accounting, and leading the explanation of budget to actual variances. The Director will oversee the external financial statement audit process, act as the finance representative for Epic and Net Revenue Projects, and ensure compliance with internal control plans. Continuous process improvement and coordination of auditor requests are also key responsibilities.
Requirements
- Bachelor’s degree in accounting, or bachelor’s degree in finance or related field.
- Typically requires 7 years of experience in health care reimbursement or public accounting with a concentration in hospital auditing that includes extensive auditing of the hospital net patient service revenue area, Medicare, Medicaid, or Blue Cross.
- Includes 3 years of management experience in managing staff and budgets.
- Knowledge, Skills & Abilities Required
Responsibilities
- Overseeing the completion of required monthly financial analyses for Enterprise Advocate Health service lines, including hospitals, medical groups, and continuing care.
- Assisting departmental leadership with Valuation Allowance accounts and supporting calculations with external financial auditors during year-end audits.
- Developing and forecasting Enterprise and Market net revenue budgets, ensuring accurate and timely budgeting for Gross and Net Patient Revenue.
- Partnering with Managed Health departmental leadership for the valuation of Medicare cost report reserves and monitoring reimbursement appeals and cost report settlements.
- Managing Medicaid supplemental payment accounting and ensuring reconciliation of balances with external financial auditors.
- Leading the explanation of budget to actual variances for Enterprise, Region, and Market contractual discounts.
- Overseeing the external financial statement audit process, including audit planning and preparation of audited financial statements.
- Acting as the finance representative for Epic and Net Revenue Projects, managing relationships with Revenue Cycle leadership.
- Ensuring ongoing compliance with Advocate Health’s internal control plan and directing the overall Accounting Operations internal controls.
- Directing departmental continuous process improvement and coordinating internal and external auditors’ requests and queries.
Benefits
- Comprehensive suite of Total Rewards: benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Manager
