Div Director Reimbursement

• Overview* CommonSpirit was created by the alignment of Catholic Health Initiatives and Dignity Health as a single ministry in early 2019. More than 150,000 physicians, nurses, caregivers, and other staff are employed by CommonSpirit Our hospitals and care centers cover 21 states. CommonSpirit has the size and ability to scale best-in-class clinical service lines; recruit and retain top talent; standardize operations to improve quality and reduce the cost of care; and advocate more effectively for all people, especially those who are poor and vulnerable. For more information, please visit our website at www.commonspirithealth.org. You can also follow us on Twitter and Facebook.
• Responsibilities*
• Job Summary
• Provides leadership, management, and coordination related to the government reimbursement services of assigned division(s). Ensures timely and accurate financial and governmental reporting by managing the reimbursement program according to relevant policy terms and conditions. Identifies and implements strategies, policies, procedures and programs for all aspects of reimbursement management practices. Monitors and communicates federal and state regulatory proposals and changes regarding healthcare reimbursement and provides effective solutions to address reimbursement service needs. Oversees, evaluates and improves productivity and performance.
• Manages the healthcare organization's reimbursement activities and initiatives, to ensure timely and accurate financial reporting.
• Identifies and implements strategies, policies, procedures and programs for all aspects of reimbursement management practices.
• Monitors and communicates federal and state regulatory proposals and changes regarding healthcare reimbursement and providing effective solutions to address reimbursement issues.
• Manages the productivity and performance of reimbursement staff members.
• Qualifications* Experience Minimum of five (5) years of intensive experience with Medicare and Medicaid reimbursement, two (2) years of net revenue experience and minimum of two (2) years of management experience.

Education Bachelor's Degree in Accounting, Finance, Business Administration or related field.

Financial Analysis, Knowledge of tools and approaches of financial analysis; ability to read, interpret and draw accurate conclusions from financial and numerical material.

Managing People, Projects and/or Tasks Manages collaboratively and coaches others to achieve optimal performance; delegates effectively; praises/rewards contributions; defines clear roles and responsibilities; sets goals and leads initiatives; adjusts plans as necessary.

Patient/Customer Focus Ensuring that the patient/customer perspective is a driving force behind our actions and business decisions; crafting and implementing service practices that meet patients'/customers' and own organization s needs. (Focus also includes internal and external customers.)

Empowerment and Delegation Sharing authority and responsibility with others to move decision making and accountability downward through the organization enabling individuals to stretch their capabilities and accomplish the business unit s strategic priorities.

Building Trust Interacting with others in a way that gives them confidence in one s intentions and those of the organization.

Leading Through Mission, Vision & Values Keeping the organization s mission, vision and values at the forefront of associate decision making and action.

Technical Competence Demonstrates breadth and/or depth of professional/technical skills and capabilities required for position; shares knowledge; sets or contributes to the Company s direction within area of expertise.

Third Party Audits Knowledge of healthcare industry audit processes conducted by external organizations or agencies; ability to prepare for the entire audit process.

• Functional Competency Details
• Financial Reporting Knowledge of processes, methods, and tools of financial reporting; ability to create and maintain accurate and thorough financial reports.

Conflict Management Understanding of how to anticipate, recognize, and deal effectively with existing or potential conflicts at the individual, group, or situation level; ability to apply this understanding appropriately to diverse situations.

Accounting Knowledge of accounting methods, processes, and tools; ability to use these to maintain and prepare financial statements and reports.

Healthcare Regulatory Environment Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with these in healthcare practices and activities.

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