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The Director of Reimbursement & Finance is responsible for overseeing the government revenue reporting and reimbursement processes within the organization. This role involves ensuring compliance with regulatory and accounting requirements and optimizing reimbursement strategies to maximize revenue. The Director will collaborate with a team of finance professionals and collaborate with various departments to support the organization's financial health and strategic goals.  The Director may be involved in the following: government net patient revenue modeling, evaluating coordinating preparation of cost reports, audits, appeals, establishing best practices for government revenue realization from third party payers, evaluating adequacy of third-party contractual allowances while being compliant with program rules and regulations in both the public and private sectors.

General Duties

• Financial Reporting: Oversee, prepare, and present accurate and timely financial reports to senior management and stakeholders; Ensure adherence to accounting principles and regulatory requirements.

• Reimbursement Management: Oversee the reimbursement processes for government programs (e.g., Medicare, Medicaid); Coordinate the preparation, including as a preparer, cost reports for assigned facilities; facilitate the development of a standardized system reporting and analytical models, Monitor regulatory changes and ensure compliance with government payer policies and reimbursement rules considering wage index, geographic classification, GME/IME, etc.

• Licensure and 340B Liaison:  Remain current on CMS and LDH licensure requirements as they relate to reimbursable vs non-reimbursable operations; Participate in hospital specific licensure meetings to understand operational strategies, evaluate the impact to the hospital cost report and coordinate operational updates to the appropriate cost report team; Serve as 340B Liaison for the LCMC Corporate 340B Team regarding new site licensure. site re-licensure and HRSA audit activities.      

• Regulatory Monitoring:  Serve as a key leader to monitor government updates (including both the Federal Register and Louisiana Register) for pending and/or final regulations that impact the LCMC System either operationally or financially, including but not limited to pharmacy/340B, licensure requirements, new government surveys, major changes in reimbursement methodologies that impact monthly accounting/annual cost reports/patient, etc. accounting systems.

• Strategic Initiatives: Partner with senior management to identify and pursue opportunities for financial growth and efficiency; Lead special projects and initiatives related to financial improvement and reimbursement optimization; Represent the finance function in cross-departmental projects and initiatives.

• Team Leadership and Development: Lead, mentor, and develop members of the reimbursement & finance team, fostering a culture of high performance and continuous improvement; Set performance goals and conduct regular performance evaluations; Provide training and development opportunities to enhance the skills and capabilities of the team.

Experience Qualifications

• 6 (Six) plus years of increasingly responsible positions in Third Party Reimbursement, GAAP, Governmental and Not-for profit accounting and financial reporting

Education Qualifications

• Minimum: Bachelor’s degree in finance, Accounting, or a related field.
• Preferred: MBA or CPA

Licenses and Certifications

• CPA preferred

WORK SHIFT:

Days (United States of America)

LCMC Health is a community. 

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

• Deliver healthcare with heart. 
• Give people a reason to smile. 
• Put a little love in your work. 
• Be honest and real, but with compassion.  
• Bring some lagniappe into everything you do. 
• Forget one-size-fits-all, think one-of-a-kind care. 
• See opportunities, not problems – it’s all about perspective. 
• Cheerlead ideas, differences, and each other. 
• Love what makes you, you - because we do

You are welcome here. 

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities.  LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

 

Simple things make the difference. 

1.    To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 

2.    To ensure quality care and service, we may use information on your application to verify your previous employment and background.  

3.    To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 

4.    To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.