Director of Reimbursement and Financial Analysis

York, PA | Professional | Tracking Code: 65823

Remote applications will be considered for this role. 

 

Job Description

 

Under the general direction of the Vice President-Financial Planning and Professional Services, and in conjunction with objectives set by the Senior Vice President-Finance, manages and participates in the annual completion of the Health System’s Medicare and Medical Assistance cost reports, participates in the development of financial planning analysis, and participates in the identification of organizational business opportunities. Keeps current, analyzes and communicates the impact of federal and state reimbursement regulation changes, develops organizational strategic responses related to reimbursement regulation changes, provides financial counsel to health system management on current and developing reimbursement issues, interacts with Medicare fiscal intermediary and external auditors on cost report and reimbursement issues and supervises and participates in the completion of the contractual allowances and third party payer reserves as part of the monthly financial statement close and annual budgeting process. Manages, supervises and develops reporting staff.

 

Duties and Responsibilities

 

Coordinates staff and participates in the preparation of the Health System’s multiple cost reports on an annual basis, including the Medicare and Medical Assistance cost reports for the Hospitals and the VNA.

Monitors governmental reimbursement regulation changes and works with the VP of Financial Management and Planning (VP-FMP) to ensure organizational compliance with payer regulations to enable the organization to prepare for reimbursement changes and to optimize payments as appropriate.

Provides reimbursement counsel to Health System managers that may, through their department operations, influence or affect government reimbursements, including such areas as residency programs, inpatient bed management and patient administrative services.

Supervises and participates in the completion of the contractual allowances and third party payer reserves as part of the monthly financial statement close and annual budgeting process. This includes preparing and reviewing the work prepared by staff analyzing the Hospitals’ budget variances with the expected third party payer realization rates and evaluating and maintaining the third party payer financial reserve balances.

Works with the VP-FMP to proactively evaluate strategies and processes to strategically position the organization, as appropriate, to optimize reimbursement from governmental payers.

Coordinates and works with Medicare fiscal intermediaries and other government auditors during cost report audits. Works with the Health System’s external financial auditors regarding contractual allowances and other third party payer accounts.

Participates in the System's business development process, which includes working with service line management, key clinical department management and industry information to identify and assess emerging clinical technology and service development trends as potential business development opportunities.

Provides technical assistance and financial analysis guidance and support to departments and service lines, when appropriate, in the financial evaluation/assessment of new programs/services and material capital equipment or project requests.

Participates as the financial counsel and contact for the completion of the Apple Hill Surgical Center budget or other entities as assigned.

Participates in various financial analysis projects as assigned.

 

 

Qualifications

 

Minimum 8 years progressive experience in health care finance, including specialized experience with reimbursement regulations and the preparation of Medicare cost reports.

Bachelor's Degreen Required. 

Master's degree preferred

Medicare cost report preparation, governmental reimbursement regulations, health care finance

CPA

Ed Pritchard
Ed Pritchard
Sr. Talent Acquisition Consultant
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Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Welcome. Respect. Value.

Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more — within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)