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- Tasks: Lead reimbursement strategies and manage departmental budgeting for optimal healthcare revenue.
- Company: MaineHealth is a collaborative healthcare organisation focused on community impact and professional growth.
- Benefits: Enjoy flexible work policies, paid parental leave, student loan assistance, and well-being resources.
- Why this job: Join a team that values collaboration and offers opportunities for personal and professional development.
- Qualifications: MBA or CPA preferred; 10+ years in reimbursement with hospital management experience required.
- Other info: Contact Philip R. Ellis for inquiries about this exciting leadership opportunity.
The predicted salary is between 54000 - 84000 £ per year.
Works with the Vice President, Reimbursement, in departmental planning and budgeting to achieve departmental goals and supervision. Responsible for coordinating top-level review and approval for submission of Medicare, Medicaid, and other governmental payer cost reports. Develops rate structures and monitors compliance with federal and state regulatory programs. Coordinates the monitoring of implications of all proposed governmental and third-party reimbursement changes. Prepares, reviews, and approves local health system Net Patient Service Revenue Budgets. Manages internal system-level project requests, coordinating with Decision Support, Contract Management, System Development, Planning, the Central Billing Office, and Finance, both locally and system-wide.
Supervises, mentors, and evaluates the effectiveness of Directors and Managers of reimbursement. Trains staff and educates leadership on higher-level reimbursement concepts and their effects on the system. Communicates revenue recognition, prior year settlements, and reimbursement changes impacting net operating revenue to local health system and corporate leadership. Ensures equitable distribution of large enrollment projects among reimbursement personnel and timely completion. Coordinates with the Vice President to ensure MaineHealth achieves optimal reimbursement under existing regulations and prepares for proposed regulation changes.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
- Education: MBA degree or HFMA or CPA certification preferred.
- Experience: Over ten years of experience in reimbursement and Medicare/Medicaid cost reporting, with at least five years in hospital management.
- Interpersonal Skills: High level necessary to handle complex situations with internal and external personnel and to present fact-based information to groups, including regulatory agencies.
- Technical Knowledge: Advanced accounting and reimbursement principles, typically acquired through a Bachelor's degree in Accounting, Finance, Business Administration, or a related field.
- Problem-Solving Skills: High level required to develop and implement new procedures, techniques, and prepare reports and analyses.
At MaineHealth, you will work alongside healthcare professionals who value collaboration and community impact. We offer benefits supporting your current needs and future planning, including paid parental leave, flexible work policies, student loan assistance, training, education, and well-being resources. MaineHealth is committed to investing in our care team and fostering an inclusive environment where you can thrive and reach your full potential. If you are interested in building a career where teamwork delivers top-tier care, apply today.
For questions about this role, contact Philip R. Ellis at philip.ellis@mainehealth.org
Senior Director - Reimbursement employer: MaineHealth
Contact Detail:
MaineHealth Recruiting Team
philip.ellis@mainehealth.org
StudySmarter Expert Advice 🤫
We think this is how you could land Senior Director - Reimbursement
✨Tip Number 1
Network with professionals in the healthcare reimbursement field. Attend industry conferences or local meetups to connect with individuals who may have insights into the role and can provide valuable referrals.
✨Tip Number 2
Stay updated on the latest changes in Medicare, Medicaid, and other governmental payer regulations. This knowledge will not only help you in interviews but also demonstrate your commitment to the field.
✨Tip Number 3
Prepare to discuss your leadership style and experience in managing teams. Highlight specific examples of how you've mentored others and improved departmental performance in previous roles.
✨Tip Number 4
Familiarise yourself with MaineHealth's mission and values. Tailor your conversations during interviews to reflect how your personal values align with theirs, showcasing your potential fit within their culture.
We think you need these skills to ace Senior Director - Reimbursement
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights relevant experience in reimbursement and Medicare/Medicaid cost reporting. Emphasise your management experience and any specific achievements that align with the responsibilities outlined in the job description.
Craft a Compelling Cover Letter: Write a cover letter that addresses the key skills and experiences mentioned in the job description. Discuss how your background in hospital management and reimbursement can contribute to MaineHealth's goals, and express your enthusiasm for the role.
Highlight Leadership Skills: Since the position involves supervising and mentoring others, be sure to include examples of your leadership experience. Describe situations where you successfully managed teams or projects, and how you communicated complex information effectively.
Showcase Problem-Solving Abilities: Provide specific examples of how you've developed and implemented new procedures or techniques in your previous roles. This will demonstrate your problem-solving skills and your ability to adapt to changes in regulations, which is crucial for this position.
How to prepare for a job interview at MaineHealth
✨Showcase Your Leadership Experience
As a Senior Director, you'll need to demonstrate your ability to lead and mentor others. Be prepared to discuss specific examples of how you've successfully managed teams, developed talent, and navigated complex situations in previous roles.
✨Understand Regulatory Changes
Given the focus on Medicare, Medicaid, and other governmental payer cost reports, it's crucial to stay updated on current and proposed regulatory changes. Research recent developments in reimbursement policies and be ready to discuss their implications during the interview.
✨Highlight Your Problem-Solving Skills
This role requires a high level of problem-solving skills. Prepare to share instances where you've developed and implemented new procedures or techniques that improved efficiency or compliance within your organisation.
✨Communicate Effectively
Strong communication skills are essential for this position. Practice articulating complex reimbursement concepts clearly and concisely, as you may need to explain these to both internal teams and external regulatory agencies during the interview.
