This job oversees, coordinates, and participates in the Reimbursement Department's financial analysis, accounting, managed care analysis, and reimbursement activities, including preparation and analysis of monthly net revenue results, quarterly forecasts, and annual budgets, in accordance with Generally Accepted Accounting Principles (GAAP). Conducts analysis to support managed care contract negotiation, evaluates payer performance and contract compliance, and oversees recurring and non-recurring special projects. Serves as resource to hospital management on managed care reimbursement-related matters and keeps abreast of new and proposed health care laws and regulations.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education: Required - Bachelor's degree in accounting. Work Experience: Required - 5 years of progressively increasing responsibility as a healthcare auditor/consultant or comparable experience in a hospital environment. 3 years of supervisory/management experience with project related responsibilities over a professional staff. Certifications: Preferred - Certified Public Accountant (CPA) license. Knowledge Skills and Abilities (KSAs): Computer skills and proficiency with Windows-style applications and various software packages specific to role. Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. Proficiency in Generally Accepted Accounting Principles and ability to conduct healthcare financial analysis, produce financial reports and effectively engage in third party reimbursement accounting. Excellent leadership, supervisory, organizational and project management skills including ability to be self-directed, prioritize, organize and coordinate multiple work assignments to achieve expected results within internal and external deadlines without supervision. Excellent analytic and problem-solving skills and ability to use creative insight to develop unique financial analyses and research complex regulatory issues. Excellent interpersonal skills and ability to promote positive work relationships with fiscal intermediary, auditors, consultants and legal advisers. Ability to travel throughout and between facilities and work a flexible work schedule. Job Duties: Prepares and analyzes monthly net revenue results, quarterly forecasts and annual budgets in accordance with Generally Accepted Accounting Principles (GAAP). Conducts analysis to support managed care contract negotiation, evaluates payer performance and contract compliance, and oversees recurring and non-recurring special projects. Serves as resource to hospital management on managed care reimbursement-related matters and keeps abreast of new and proposed health care laws and regulations. Ensures quality and internal/external satisfaction. Conducts people and workforce development. Maintains operational profitability and coordinates growth and physical and technological infrastructure. Performs other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
#LI-SF1 About Ochsner Health: Ochsner Health is a system that delivers health to the people of Louisiana, Mississippi and the Gulf South with a mission to Serve, Heal, Lead, Educate and Innovate. Ochsner Health is a not-for-profit committed to giving back to the communities it serves through preventative screenings, health and wellness resources and partnerships with innovative organizations that share our vision. Ochsner Health healed more than 876,000 people from across the globe in 2019, providing the latest medical breakthroughs and therapies, including digital medicine for chronic conditions and telehealth specialty services. Ochsner Health is a national leader, named the top hospital in Louisiana and a top children's hospital by U.S. News & World Report. As Louisiana's leading healthcare educator, Ochsner Health and its partners educate thousands of healthcare professionals annually. Ochsner Health is innovating healthcare by investing in new technologies and research to make world-class care more accessible, affordable, convenient and effective. Ochsner's team of more than 26,000 employees and 4,500 providers are working to reinvent the future of health and wellness in the region. To learn more about Ochsner Health, please visit To transform your health, please visit
