Description
THE ROLE
The Director Reimbursement, Regulatory Analytics (Reimbursement, Regulatory Analytics) is responsible for overseeing analytics and implementation support of major reimbursement initiatives and evaluating the impacts of regulatory changes. Areas of work include but are not limited to: CMS rulemaking, federal & state legislative activity, wage index strategies, provider fee analysis, various cost-based reimbursement strategies, and any reimbursement methodology related to Medicare and Medicaid that have reimbursement implications. The Director also oversees data and analytics support for other Reimbursement areas. The Director is responsible for ensuring efficient processes, tools, and data infrastructure are in place to accurately prepare needed analytics. This includes developing the overall Reimbursement data strategy and coordinating with Healthcare Intelligence, FP&A Analytics, and other related areas. The Director is responsible for understanding all government reimbursement regulations and pursuing strategies that are compliant with all relevant regulations. The Director is also responsible for the efficient operation of the functional team, including supervision and review of staff, assessing current workloads, and providing adequate oversight and prioritization of reimbursement related projects. The incumbent performs all duties in a manner that promotes PSJH mission, values, and philosophy. In all aspects, the incumbent serves as a role model for the values and mission of the organization.
ESSENTIAL FUNCTIONS
Oversees and coordinates the analysis of state and federal rulemaking. Coordinates with Director, Regulatory Strategy to develop response.
Develops and oversees implementation of Reimbursement data strategy.
Develops tools to evaluate regulatory strategies such as wage index.
Supports the budget and long-range planning process by developing assumptions and scenarios for government payer revenue.
Develops reporting and analytics to help operations understand drivers and impacts of reimbursement programs.
Directs planning and reconciliation activities related to state Provider Tax programs.
Continuously monitors workload and methodologies used to achieve results, making recommendations to improve efficiency and/or achieve cost savings whenever possible.
Plans functional team workload and manages such that all reports, projects, etc., are completed timely, efficiently, and with a high degree of accuracy. Responsible for review and evaluation of staff in accordance with PSJH system policies.
Collaborates with other stakeholders around the system to probe, evaluate, synthesize, and articulate complex subject matter to facilitate needed improvements.
Performs reviews, research and other duties independently or as requested by the VP Head of Reimbursement.
QUALIFICATIONS
Bachelor's Degree in Accounting or Finance; or equivalent educ/experience
Upon hire: CPA (preferred)
Upon hire: CHFP (preferred)
10 or more years of demonstrated experience in the reimbursement field and expert knowledge of current reimbursement and reporting rules and regulations
8 years of leadership experience, including supervisory/management experience
Work experience in consulting, in a multi-hospital system, or MAC (preferred)
Proven skills in communicating complex, technical information to executive levels, and to external customers
Demonstrates strong written and oral communication skills
Listens with sensitivity and openness
Actively seeks constructive feedback and remains open and receptive to it
Anticipates the information needs of others
Models' customer service within the work group
Individually, anticipates and takes personal responsibility for customer satisfaction
Consistently goes out of the way to listen, understand, and support the needs of others in a sensitive manner
Anticipates problems and takes proactive, corrective action
Sets challenging team objectives and works against defined standards of excellence to continually improve personal performance
Demonstrated planning and project oversight/management skills
Proven ability to implement strategy
Reviews and moves forward effective solutions to defined problems
Demonstrated management skills and ability to work effectively to build relationships with colleagues, customers, and executive management through positive interaction
Proven ability to organize multiple projects, schedules, demand and to meet shifting priorities
Demonstrated ability to study, understand, adapt and respond effectively to a constantly changing environment.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Requisition ID:
310720
Company:
Providence Jobs
Job Category:
Analytics/Business Intelligence
Job Function:
Information Technology
Job Schedule:
Full time
Job Shift:
Day
Career Track:
Leadership
Department:
4004 SS SYS FIN 4
Address:
WA Renton 1801 Lind Ave SW
Work Location:
Providence Valley Office Park-Renton
Pay Range:
$77.96 - $127.07
#J-18808-Ljbffr
