Beth Israel Lahey Health - Non Executive
Director, Reimbursement and Cost Reporting
Beth Israel Lahey Health - Non Executive, Boston, Massachusetts, us, 02298
Job Type:
Regular
Time Type:
Full time
Work Shift:
Day (United States of America)
FLSA Status:
Exempt
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
The Director, Revenue Finance and Reimbursement, will be a core member of the Revenue Finance leadership team of Beth Israel Lahey Health (BILH). BILH is a new integrated health system with ~$6 billion in revenues and includes academic medical centers, acute and specialty hospitals, outpatient facilities, physician groups, performance networks, and community partners. As part of the leadership team, the Director will assist the VP and AVP to integrate BILH’s six separate revenue valuation and reimbursement units to form a unified, enterprise-level department aligned around shared goals.
Responsibilities include:
Deliver high quality net revenue valuation and related finance models based on transparent and efficient methodologies.
Produce data and analytics that deliver actionable business insights to BILH hospital, physician, and system leaders.
Provide strategic solutions that optimize reimbursements by applying a deep knowledge of both government and commercial payment systems.
Provide Medicare, Medicaid, and payment system expertise in support of BILH provider and system strategic and operational objectives.
Reporting to the AVP of Revenue Finance and Analysis, the Director will lead a team of 4-5 individuals with expertise in both government reimbursement and net revenue analysis. The Director will develop long- and short- term Medicare, Medicaid, and other government reimbursement revenue strategies, oversee preparation and submission of all regulatory filings, and provide system-wide guidance on revenue enhancement opportunities and regulatory requirements.
The Director will also be responsible for net revenue valuation and analytics for a core set of BILH facilities, including overseeing net revenue and third-party valuations, annual net revenue budgeting, audit support, and other month and year-end net revenue activities.
Essential Duties & Responsibilities:
Communicate the department’s vision and goals and ensure employees can relate them to their team and individual goals. Provide day-to-day management including creating departmental goals and objectives, developing performance standards, and motivating and engaging the team to achieve goals.
Oversee all aspects of net revenue valuation and analysis for BILH facilities, ensuring adequate reserve levels and promoting adherence to enterprise-wide policies & procedures.
Develop and implement a methodology to identify, standardize, and produce high value and high volume reports and/or data resources.
Produce and/or review monthly, annual, and other reserve estimates, journal entries, general ledger account reconciliations, variances analyses, etc.
Prepare and present to department and hospital leadership the monthly net revenue estimates and analysis.
Direct, oversee, and review the patient accounts receivable reserve calculation process.
Oversee the completion of the annual net revenue budget and assist with forecasting processes.
Serve as a contact to support all third-party audits.
Identify and design strategic reimbursement initiatives.
Design processes and tools to optimize appropriate transplant program and medical education reimbursements.
Review and assist in the preparation and filing of the Medicare and Medicaid cost reports.
Manage all aspects of the Massachusetts 1115 waiver and HSN program.
Develop a dashboard of all key Medicare and Medicaid metrics.
Foster teamwork, effective communication, and cohesiveness in support of BILH’s patients, caregivers, and administrative teams.
Education:
Bachelor’s Degree in Accounting or Finance or related fields.
Experience:
10+ years of progressively increasing experience in healthcare; including demonstrated focus in revenue finance related areas.
7-10+ years of managerial experience.
Demonstrated experience in developing methodologies to standardize and optimize data tools.
Skills, Knowledge & Abilities:
Must be able to handle multiple, complex tasks and priorities.
Requires superior interpersonal skills.
Must be a highly self-motivated individual.
Must have strong analytical skills.
Must be able to effectively mentor staff.
Must have superior computer skills on various software products.
Must be a dedicated team player.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.Equal Opportunity Employer/Veterans/Disabled
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Regular
Time Type:
Full time
Work Shift:
Day (United States of America)
FLSA Status:
Exempt
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
The Director, Revenue Finance and Reimbursement, will be a core member of the Revenue Finance leadership team of Beth Israel Lahey Health (BILH). BILH is a new integrated health system with ~$6 billion in revenues and includes academic medical centers, acute and specialty hospitals, outpatient facilities, physician groups, performance networks, and community partners. As part of the leadership team, the Director will assist the VP and AVP to integrate BILH’s six separate revenue valuation and reimbursement units to form a unified, enterprise-level department aligned around shared goals.
Responsibilities include:
Deliver high quality net revenue valuation and related finance models based on transparent and efficient methodologies.
Produce data and analytics that deliver actionable business insights to BILH hospital, physician, and system leaders.
Provide strategic solutions that optimize reimbursements by applying a deep knowledge of both government and commercial payment systems.
Provide Medicare, Medicaid, and payment system expertise in support of BILH provider and system strategic and operational objectives.
Reporting to the AVP of Revenue Finance and Analysis, the Director will lead a team of 4-5 individuals with expertise in both government reimbursement and net revenue analysis. The Director will develop long- and short- term Medicare, Medicaid, and other government reimbursement revenue strategies, oversee preparation and submission of all regulatory filings, and provide system-wide guidance on revenue enhancement opportunities and regulatory requirements.
The Director will also be responsible for net revenue valuation and analytics for a core set of BILH facilities, including overseeing net revenue and third-party valuations, annual net revenue budgeting, audit support, and other month and year-end net revenue activities.
Essential Duties & Responsibilities:
Communicate the department’s vision and goals and ensure employees can relate them to their team and individual goals. Provide day-to-day management including creating departmental goals and objectives, developing performance standards, and motivating and engaging the team to achieve goals.
Oversee all aspects of net revenue valuation and analysis for BILH facilities, ensuring adequate reserve levels and promoting adherence to enterprise-wide policies & procedures.
Develop and implement a methodology to identify, standardize, and produce high value and high volume reports and/or data resources.
Produce and/or review monthly, annual, and other reserve estimates, journal entries, general ledger account reconciliations, variances analyses, etc.
Prepare and present to department and hospital leadership the monthly net revenue estimates and analysis.
Direct, oversee, and review the patient accounts receivable reserve calculation process.
Oversee the completion of the annual net revenue budget and assist with forecasting processes.
Serve as a contact to support all third-party audits.
Identify and design strategic reimbursement initiatives.
Design processes and tools to optimize appropriate transplant program and medical education reimbursements.
Review and assist in the preparation and filing of the Medicare and Medicaid cost reports.
Manage all aspects of the Massachusetts 1115 waiver and HSN program.
Develop a dashboard of all key Medicare and Medicaid metrics.
Foster teamwork, effective communication, and cohesiveness in support of BILH’s patients, caregivers, and administrative teams.
Education:
Bachelor’s Degree in Accounting or Finance or related fields.
Experience:
10+ years of progressively increasing experience in healthcare; including demonstrated focus in revenue finance related areas.
7-10+ years of managerial experience.
Demonstrated experience in developing methodologies to standardize and optimize data tools.
Skills, Knowledge & Abilities:
Must be able to handle multiple, complex tasks and priorities.
Requires superior interpersonal skills.
Must be a highly self-motivated individual.
Must have strong analytical skills.
Must be able to effectively mentor staff.
Must have superior computer skills on various software products.
Must be a dedicated team player.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.Equal Opportunity Employer/Veterans/Disabled
#J-18808-Ljbffr