Director of Reimbursement
This role is for a senior reimbursement leader within a newly merged healthcare organization, tasked with bringing leadership and optimization expertise to a historically under-supported function. The position focuses on maximizing financial recovery and compliance through cost reporting, Medicare/Medicaid regulations, and 340B program management. The organization seeks a highly experienced financial professional who is adept at both technical analysis and stakeholder relationship building.
This is a strategic, high-autonomy opportunity that offers the chance to shape the direction of reimbursement functions across multiple systems. It comes with a competitive salary, relocation support, and the option for hybrid or remote work, though limited to a specific geographic footprint.
Duties
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Leadership & Strategic Direction:
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Establish the reimbursement function in a post-merger environment with no prior dedicated leadership.
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Build key relationships across finance, clinical operations, and administrative leadership.
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Navigate and harmonize reimbursement processes across merged entities.
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Financial Oversight & Optimization:
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Analyze and improve current processes for contractual allowances and reserve analysis.
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Lead cost reporting preparation, ensuring compliance with federal and state regulations.
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Oversee optimization of 340B programs and other government reimbursement initiatives.
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Develop annual assumptions for contractual allowances, charity care, and bad debt.
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Team & Relationship Management:
- Manage a small team (2–3 direct reports), possibly including reimbursement analysts and an accounting manager.
- Engage in high-level communication with fiscal intermediaries and auditors.
- Translate complex financial data for diverse stakeholders to support informed decision-making.
Must Have Qualifications
- Ten years plus experience in healthcare finance; critical access hospital/rural health system reimbursement within an integrated healthcare system
- Proven track record of reimbursement optimization in healthcare settings (340B programs and optimization)
- In-depth expertise in cost reporting preparation and compliance with federal/state laws
- Experience with Medicare and Medicaid reimbursement processes and regulations
- Demonstrated ability to analyze financial data related to revenue, contractual allowances, and settlements
- Bachelor's degree in accounting, finance, or related field
Desired
- CPA certification
- Experience with 340B programs and optimization
La Crosse, WI WI
Hybrid
Other
5/05/2025