Memorial Hermann Health System · 16 hours ago
AVP, Government Reporting
Houston, TX
Full-time
Onsite
Director/Executive
10+ years expMemorial Hermann Health System is dedicated to delivering high quality, efficient care while creating exceptional experiences for every member of the community. The AVP, Government Reporting is responsible for overseeing and innovating the Government Reporting functions, ensuring accurate tracking and recording of financial items related to government programs, and managing audit and appeals processes.
Health CareNon Profit
Responsibilities
Define and execute the strategic vision for government reporting and reimbursements including process optimization, application maintenance, change management, automation adoption and project success
Serve as a thought leader on supplemental program evolution
Collaborate with executive leadership to align reimbursement strategy with overall company objectives
Maintain and execute a strategic roadmap to drive innovation, efficiency, and scalability
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences
Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues
Plan, develop, supervise and evaluate daily work activity in the Government Reporting Department
Develop and implement tailored optimization strategies to accelerate reimbursement and improve KPIs
Plan, develop, and update the recorded contractual adjustments for pass-through dollars and work closely with other departments (Accounting, NPR, CBO, Internal Audit, Hospitals) to ensure that contractual adjustments and settlements with respect to Medicare/Medicaid/Champus and other agencies are accounted for appropriately
Oversee all change management activities impacting cost reimbursement and supplemental funding functions
Ensure seamless integration report preparation applications with Epic applications including training and change management
Acts as resource contact with local, state, and national professional societies, correspond with, and work with the government relations department to protect System’s interest in evolving legislation
Develop rates and supplemental payment budgets for contractual allowances related to governmental programs and provide monthly budget to actual variance analysis for use by administration and appropriate operating units
Provides consultation and education materials on governmental and third-party reimbursement requirements and issue to departments and Senior Management
Oversee, review and prepare the Medicare/Medicaid/Champus cost reports for MHHS and MHCCC within the appropriate time frames and in accordance with regulations
Works closely with other departments (Accounting, CBO, and Internal Audit) in preparing year-end schedules for MHHCS external auditing firm. Explain to the auditors the accounting of all supplement-related contractual adjustments, settlement accounts receivable allowances and cost report receivable/payables
Works closely with Corporate Compliance on Medicare / Medicaid related issues
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor and resources to less experienced staff
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues
All other duties as assigned
Build, lead, and mentor a high-performing team of specialists and analysts to facilitate quality and timely deliverables
Foster a culture of continuous improvement, innovation, and accountability
Manage the selection and delivery of education, training, and resource materials for the team
Assess new technologies and maintain vendor relationships. Create ROI analyses to support investment decisions
Oversee vendor relationships and recommend new technology solutions to revenue cycle leadership
Work closely with Epic Technical Support, Memorial Hermann ISD to influence product development and enhancements
Develop action plans and communicate resolutions to senior leadership
Qualification
Required
Bachelors' degree in Business, Healthcare Administration, Accounting, Finance, or related field required
Ten plus (10+) years of progressive experience in healthcare management in a leadership or strategy role, with at least 7+ years in reimbursement experience in a healthcare system
Strong understanding of RCM operations, payer rules, coding, billing, collections, and compliance
Knowledge and experience regarding compliance with all relevant laws, rules regulations and accreditation standards and requirement in respect to governmental reporting and reimbursement programs
Demonstrated success in leading teams, manage multiple work streams, projects, tasks, goals and programs at scale
Exceptional analytical, strategic thinking, and communication skills
Proven ability to influence cross-functional teams and stakeholders
Preferred
Masters' degree or CPA preferred
Certification in at least one Epic application is strongly preferred
Previous experience with Medicare IME, DGME, DSH and Organ Acquisition preferred
Previous experience with Medicaid Supplemental Payments (Texas 1115 and DDP program experience preferred)
Company
Memorial Hermann Health System
Advancing Health. Personalizing Care.
10001+ employees
H1B Sponsorship
Memorial Hermann Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (10)
2024 (6)
2023 (11)
2022 (6)
2020 (3)
Funding
Current Stage
Late StageTotal Funding
$5MKey Investors
The John M. O'Quinn FoundationBlue Cross and Blue Shield of Texas
2022-08-02Grant· $5M
2022-07-07Grant
Leadership Team
Michael Roussos
SVP, President of Academic Hospitals and CEO, Memorial Hermann-Texas Medical Center Campus
David Wong, MD
Director, Virtual Health Product Management
Recent News
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