[Hiring] Assistant Vice President, Government Reimbursement @Ensemble Health Partners

Role Description

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

• Serve in a consultancy capacity, advising clients, large health systems, in managing and optimizing healthcare reimbursement processes.
• Focus on Medicare, Medicaid, Disproportionate Share Hospital (DSH) programs, Medicaid Directed Payment programs, and 340B drug pricing and reimbursement.
• Provide key support in the preparation and analysis of Medicare cost reports, ensuring compliance with federal regulations and maximizing financial performance for healthcare providers.

Qualifications

• Expert-level knowledge of state and federal healthcare reimbursement policies.
• Ability to assist healthcare providers in navigating reimbursement complexities.
• Strong analytical skills to identify trends and areas for improvement in the reimbursement process.
• Experience in providing guidance and training to client staff on reimbursement regulations and best practices.

Requirements

• Assist in gathering and analyzing data for the preparation of Medicare cost reports.
• Provide expert advice on reimbursement strategies for governmental lines of business, including Medicaid and Tricare.
• Support 340B program compliance, eligibility, and ensure correct billing processes.
• Analyze hospital eligibility for DSH payments and assess financial impact.
• Monitor Medicaid Directed Payment programs, optimizing revenue opportunities for participating providers.
• Build and maintain strong relationships with payers, government agencies, and other stakeholders.

Benefits

• Comprehensive benefits package designed to support physical, emotional, and financial health.
• Professional development opportunities, including earning a professional certification and tuition reimbursement.
• Quarterly and annual incentive programs for employees who excel.