Senior Director Reimbursements @ Providence Health Plan | Jobright.ai
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Providence Health Plan ยท 1 day ago

Senior Director Reimbursements

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Responsibilities

Oversees and coordinates the analysis of state and federal rulemaking. Coordinates with Director, Regulatory Strategy and/or VP Reimbursement 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 communication, 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 works with managers on the team to manage 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.

Qualification

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Reimbursement data strategyLeadership experienceCPA certificationCHFP certificationProject managementMulti-hospital system experienceConsulting experienceTeam objective setting

Required

Bachelor's Degree in Accounting or Finance; or equivalent educ/experience
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
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.

Preferred

CPA (preferred)
CHFP (preferred)
Work experience in consulting, in a multi-hospital system, or MAC (preferred)

Benefits

401(k) Savings Plan with employer matching
Health care benefits (medical, dental, vision)
Life insurance
Disability insurance
Time off benefits (paid parental leave, vacations, holidays, health issues)
Voluntary benefits
Well-being resources

Company

Providence Health Plan

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Providence Health Plan is a nonprofit organization that offers commercial and individual health insurance coverage.

Funding

Current Stage
Late Stage

Leadership Team

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Cheryl Morrison Bornstein
Chief Operating Officer
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Laurel C. Soot
Chief Medical Officer
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Company data provided by crunchbase
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