Finance Reimbursement Assistant Director

The Ohio State University • City of Niagara Falls, NY

8d • Hybrid

About The Position

Under the supervision of the Senior Director of Accounting, the Finance Reimbursement Assistant Director plays a strategic and hands-on role in managing the hospital’s third-party reimbursement activities. This includes the annual filing of Medicare and Medicaid cost reports for a large academic medical center with over 600 GME/IME FTEs, $23 million in Medicare DSH reimbursement, and a PPS-Exempt Cancer Hospital. The Assistant Director provides high-level analytical and regulatory support across all reimbursement functions, including audits, appeals, DSH, 340(b), wage index, and uncompensated care reporting. This role requires a deep understanding of healthcare reimbursement methodologies and financial reporting systems, as well as the ability to lead complex projects and collaborate with senior leadership.

Supervisory Responsibility: This position directly supervises two manager-level employees, both of whom are responsible for Finance Reimbursement.

Reporting Structure: This position reports to the Senior Director of Accounting.

Requirements

• Bachelor’s degree in Business Administration, Accounting, Finance, or a related field (required)
• Minimum 10 years of progressive hospital reimbursement experience, specifically in: Medicare and Medicaid cost report preparation Financial analysis within a healthcare setting Leadership experience in healthcare finance, preferably within large health systems or academic medical centers
• Hands-on experience preparing cost reports
• Expertise in: PPS-Exempt Cancer Hospital reimbursement Medicare DSH reimbursement GME/IME reporting Wage Index and Uncompensated Care reporting 340(b) program compliance and reporting
• Deep knowledge of healthcare reimbursement methodologies and related regulations
• Advanced financial analytical skills, especially in forecasting, variance analysis, and reconciliation of third-party liabilities
• Project management expertise in leading complex reimbursement projects
• Highly detail-oriented, especially with regulatory reporting and audit documentation
• Strong technical skills in financial reporting systems and data analysis
• Collaborative leadership style; ability to coach, train, and build a cohesive, effective team
• Effective communicator, comfortable working with senior leadership and cross-functional teams
• Deadline-driven with a strong sense of accountability
• Strategic mindset paired with a hands-on approach to operational execution
• Problem-solving skills in navigating audits, appeals, and regulatory challenges

Nice To Haves

• CPA certification preferred

Responsibilities

• Responsible for preparing and filing information with various third-party payers, including but not limited to: Cost reports Surveys and questionnaires Special CMS requests
• Manages audits conducted by third-party payers, such as Medicare, Medicaid, Champus, and State Medicaid Programs.
• Develops and maintains expertise in reimbursement processes and financial reporting systems.
• Prepares reimbursement-related reports and analyses to support the reimbursement team.
• Performs monthly analysis of all contractual and settlement accounts.
• Oversees general ledger accounts related to third-party payers on both the balance sheet and the statements of revenues and expenses (including HCAP, UPL, HAP).
• Provides hospital leadership with analyses on the financial impact of proposed and finalized regulations.
• Serves as a subject matter resource on reimbursement topics.
• Actively shares professional and technical expertise to support the development of the reimbursement team.
• Monitors the status of appeals and assists with the preparation and filing of appeals to Medicare and Medicaid programs.
• Practices within the medical center’s policies and procedures.
• Adheres to the Mission and Values statements as demonstrated through positive patient/guest relations, positive and effective interactions with staff and by formulating and meeting developmental goals.

Benefits

• An array of retirement plan options, each with a generous employer contribution.
• Affordable health insurance options, including dental, vision and prescription coverage that begin on day one.
• Paid vacation and sick leave, including short and long-term disability and paid parental leave.
• Get the most out of the Public Service Loan Forgiveness program.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees