Job Information
Providence St. Joseph Health Senior Director Reimbursements in Renton, Washington
Description THE ROLE The Senior Director Reimbursement, Regulatory Analytics is responsible for overseeing analytics and implementation support of major reimbursement initiatives and evaluating the impacts of regulatory changes. Areas of work include but are not limited to: CMS rulemaking, federal & state legislative activity, wage index strategies, provider fee analysis, various cost-based reimbursement strategies, and any reimbursement methodology related to Medicare and Medicaid that have reimbursement implications. The Senior Director also oversees data and analytics support for other Reimbursement areas. The Senior Director is responsible for ensuring efficient processes, tools, and data infrastructure are in place to accurately prepare needed analytics. This includes developing the overall Reimbursement data strategy and coordinating with Healthcare Intelligence, FP&A Analytics, and other related areas. The Senior Director is responsible for understanding all government reimbursement regulations and pursuing strategies that are compliant with all relevant regulations. The Senior Director is also responsible for the efficient operation of the functional team, including supervision and review of staff, assessing current workloads, and providing adequate oversight and prioritization of reimbursement related projects. The incumbent performs all duties in a manner that promotes PSJH mission, values, and philosophy. In all aspects, the incumbent serves as a role model for the values and mission of the organization. ESSENTIAL FUNCTIONS 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. QUALIFICATIONS Bachelor's Degree in Accounting or Finance; or equivalent educ/experience Upon hire: CPA (preferred) Upon hire: CHFP (preferred) 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 Work experience in consulting, in a multi-hospital system, or MAC (preferred) 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 sa