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Director of Reimbursement | Medicaid & Medicare Cost Reporting

Remote · USA Full-time New today

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you. Make a Difference The Director of Reimbursement is responsible for leading and overseeing critical financial and regulatory functions within our organization. This role provides strategic direction and operational leadership for Government Regulatory Reporting and Audit, Government Reimbursement Advisory Services, and will assist with Accounts Receivable Valuation Management. What You’ll Do

  • Ensure timely and accurate preparation of Medicare, Medicaid, and Champus cost reports, wage index surveys, and compliance with federal and state regulations.
  • Monitor regulatory changes, assess financial impacts, and develop optimization strategies for public payer reimbursement programs.
  • Assists with financial reporting, analysis, and budgeting for accounts receivable, contractual allowances, uncompensated care, and third-party settlement estimates.
  • Serve as a key member on internal and external committees, collaborating with leadership to drive compliance and financial performance.

Exceptional Skills and Qualifications

  • The ideal candidate will bring deep expertise in healthcare reimbursement programs and a proven ability to manage complex financial and compliance initiatives.
  • Bachelor’s Degree in a related field is required.
  • Eight (8) or more years of healthcare experience with strong knowledge of governmental reimbursement programs is required.
  • Two (2) or more years of management or leadership experience is preferred.
  • Expertise in hospital payment systems and reimbursement methodologies.
  • Strong analytical, strategic planning, and financial management skills.
  • Ability to lead and develop high-performing teams.
  • Excellent communication and relationship-building abilities.

Community Caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida, and Texas. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date. Why Community At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here. Apply tot his job Apply To this Job

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