Opportunity

Emory Healthcare, a premier $7.6B academic health system serving the Atlanta and Georgia region, is seeking a hands-on finance leader as its next Corporate Director of Reimbursement.

A newly elevated position reporting directly to the system VP Financial Operations/Corporate Controller, this significant leadership role oversees the financial reporting associated with governmental reimbursements (half of Emory’s net patient revenue) and required cost reporting compliance. Key priorities include (1) training the team to drive operational and financial effectiveness for all aspects of cost reports and compliance with CMS, federal, and state regulations; (2) partnering with managed care, revenue cycle, clinical leaders, and government affairs on reimbursement analysis and trends; and (3) developing long range models for emerging governmental reimbursement impacts.

Position Summary

• Identifies, develops, and implements methods for improving reporting efficiency; identifies requirements to develop reports required by state and federal agencies and ensures compliance; and ensures accurate and timely revenue recognition and calculating the estimated reimbursements for Emory Healthcare.
• Oversees analysis and reporting for governmental reimbursements for Emory Healthcare and valuation of the accounts receivable across Emory Healthcare for all hospital and physician billing operations.
• Responsible for reviewing cost reports, monitoring compliance with CMS regulations, attestations, and preparing to report on all supplemental federal and state reimbursement matters.
• Coordinates Medicare and Medicaid audits and assists with preparation of all supporting work papers and documentation across Emory Healthcare; identifies trends to develop insights to improve governmental reimbursements.
• Responsible for Medicare Administrative Contractor (MAC) correspondence and interim rate setting to ensure accurate reimbursement and compliance with regulations.
• Reviews and coordinates preparation of the annual State of Georgia, DCH Reports, including Disproportionate Share Hospital (DSH), Graduate Medical Education (GME), Hospital Financial Survey (HFS), and Indigent Care Trust Fund Survey (ICTF), as well as potential future funding opportunities.

Position Requirements

• Bachelor's degree in accounting, business, finance, economics, math, or a related field is required.
• Certified Public Accountant (CPA) is a plus.
• Seven or more years of directly related experience.
• Six or more years of experience in revenue/accounts receivable financial analysis, claims or billing analysis, decision support, or economics in a healthcare setting.
• Six or more years of experience in preparing cost reports and reimbursement analysis.
• Five years of leadership or management experience preferred.
• Experience with complex academic healthcare and transplants preferred.

Compensation

An attractive compensation and benefits package will be offered commensurate with the candidate’s experience.