Executive Director, Finance and Revenue

Cape Cod Healthcare•Hyannis, MA

About The Position

1. Provide executive leadership and strategic oversight of CCHC’s revenue, reimbursement, accounting, and financial reporting functions in partnership with the CFO and Controller 2. Direct and oversee revenue and reimbursement accounting and reporting in accordance with GAAP, including third-party reimbursement, and ensure the timely delivery of accurate internal and external financial and operating reports 3. Ensure the integrity, consistency, and governance of financial data across all assigned entities, including the Hospitals, HCI, and consolidated operations 4. Establish and promote effective collaboration and communication across Finance, Operations, Business Intelligence, IT, and external stakeholders 5. Provide leadership over staffing strategy, including hiring, development, performance management, and succession planning for revenue and reimbursement functions 6. Establish, evaluate, and continuously improve departmental policies, procedures, and internal controls to support operational excellence and compliance 7. Provide executive oversight of all internal and external financial and reimbursement reporting, including Medicare and other cost reports, CHIA filings, and required governmental submissions 8. Maintain competency in reimbursement by keeping knowledge of current developments at state and federal level through continuing education and interpret and estimate projected financial impact of changes in regulations on net patient service revenue 9. Leads external audits, intermediary reviews, and regulatory examinations related to revenue and reimbursement 10. Directs and owns net patient service revenue methodology, reserve estimation frameworks, and revenue recognition practices 11. Coordinate with appropriate finance and organizational departments to prepare net revenue budget for all CCHC entities 12. Partner with executive leadership to assess reimbursement risk, regulatory changes, and strategic financial impacts 13. Lead cross-functional coordination and preparation of net revenue budgeting, forecasting, and long-range financial planning 14. Provide strategic guidance on pricing, reimbursement optimization, service line profitability, and financial feasibility analyses 15. Evaluates the need and benefit of outsourcing activities, determining if resources can be leveraged from within the organization, or recommends continuation of vendors’ services 16. Monitor and assess vendor performance over timelines as it impacts the organization, understanding the existing and future needs of CCHC Revenue Cycle respective areas 17. Analyzes, consolidates, and interprets various billing software accounts receivable and financial data for Cape Cod Healthcare entities 18. Reconciles various receivables, reserves, and revenue accounts to the general ledger 19. Prepares reconciliations, schedules, and other materials for auditors 20. Serve as a senior financial advisor and subject matter expert to executive leadership committees, and the Board as appropriate 21. Champion a culture of continuous improvement, accountability, and compliance across revenue and reimbursement functions 22. Represent CCHC externally with auditors, regulators, consultants, and industry organizations 23. Perform other executive-level responsibilities as assigned

Requirements

Experience in GAAP accounting, reimbursement, cost-reporting, net revenue modeling, and accounting
7-10 years related experience, preferably in an acute care hospital/healthcare organization
Experience with relational databases and large ERP systems – experience with PeopleSoft highly desirable
Advance proficiency with MS Office applications and related accounting and finance software programs
History of goal-oriented achievement and project management experience
Previous experience supervising staff with the ability to coach, motivate and engage employees in a finance function
Excellent analytical and communication skills with the ability to convey complex information clearly and concisely to all levels of management
Strong organizational and time management skills, with the ability to meet deadlines and deliver outcomes in a fast-paced, busy environment
Ability to use sound judgment to effectively solve problems within the scope of the position
Ability to respond to inquiries and requests from financial institutions and auditors
Strong analytical, organizational, communication and interpersonal skills
Demonstrates goal-oriented thinking, leadership ability, and strong interpersonal, operational and organizational skills
Excellent communication skills, including listening, writing, and relationship development

Nice To Haves

Bachelor’s degree (or higher) in Accounting, Finance or related background or concentration (Preferred)
CPA and/or Master’s in Business Administration (MBA)

Responsibilities

Provide executive leadership and strategic oversight of CCHC’s revenue, reimbursement, accounting, and financial reporting functions in partnership with the CFO and Controller
Direct and oversee revenue and reimbursement accounting and reporting in accordance with GAAP, including third-party reimbursement, and ensure the timely delivery of accurate internal and external financial and operating reports
Ensure the integrity, consistency, and governance of financial data across all assigned entities, including the Hospitals, HCI, and consolidated operations
Establish and promote effective collaboration and communication across Finance, Operations, Business Intelligence, IT, and external stakeholders
Provide leadership over staffing strategy, including hiring, development, performance management, and succession planning for revenue and reimbursement functions
Establish, evaluate, and continuously improve departmental policies, procedures, and internal controls to support operational excellence and compliance
Provide executive oversight of all internal and external financial and reimbursement reporting, including Medicare and other cost reports, CHIA filings, and required governmental submissions
Maintain competency in reimbursement by keeping knowledge of current developments at state and federal level through continuing education and interpret and estimate projected financial impact of changes in regulations on net patient service revenue
Leads external audits, intermediary reviews, and regulatory examinations related to revenue and reimbursement
Directs and owns net patient service revenue methodology, reserve estimation frameworks, and revenue recognition practices
Coordinate with appropriate finance and organizational departments to prepare net revenue budget for all CCHC entities
Partner with executive leadership to assess reimbursement risk, regulatory changes, and strategic financial impacts
Lead cross-functional coordination and preparation of net revenue budgeting, forecasting, and long-range financial planning
Provide strategic guidance on pricing, reimbursement optimization, service line profitability, and financial feasibility analyses
Evaluates the need and benefit of outsourcing activities, determining if resources can be leveraged from within the organization, or recommends continuation of vendors’ services
Monitor and assess vendor performance over timelines as it impacts the organization, understanding the existing and future needs of CCHC Revenue Cycle respective areas
Analyzes, consolidates, and interprets various billing software accounts receivable and financial data for Cape Cod Healthcare entities
Reconciles various receivables, reserves, and revenue accounts to the general ledger
Prepares reconciliations, schedules, and other materials for auditors
Serve as a senior financial advisor and subject matter expert to executive leadership committees, and the Board as appropriate
Champion a culture of continuous improvement, accountability, and compliance across revenue and reimbursement functions
Represent CCHC externally with auditors, regulators, consultants, and industry organizations
Perform other executive-level responsibilities as assigned