Bachelor's degree in Business Administration, Finance, Accounting, or related field required.
MBA or MHA preferred for advanced knowledge.
CPA preferred for enhanced credibility and expertise.
5-7 years of finance/accounting experience, ideally in healthcare.
Proficiency in Microsoft Office Suite, particularly Excel and Access.
Strong communication skills, both verbal and written.
Ability to manage multiple projects and deadlines with independence.
Responsibilities
Direct the financial planning processes, including budget development and financial analysis.
Oversee reimbursement compliance and decision support initiatives.
Negotiate, coordinate, and evaluate managed care contracts.
Lead documentation and revenue integrity department activities.
Ensure concurrent clinical documentation review and manage medical necessity denials.
Benefits
Healthcare benefits, supporting wellness and medical needs.
Opportunity for professional development and continuing education.
Dynamic work environment within a healthcare setting.
Full Job Description
JOB DESCRIPTION DETAILS
Job Summary:
Directs the financial planning processes, including annual budget development, financial analyses reporting, reimbursement compliance, and decision support. Directs the negotiation, coordination, and evaluation of managed care contracts for Calvert Health System, including CalvertHealth Medical Center, CalvertHealth Outpatient Rehabilitation, and CalvertHealth Medical Group. Additional responsibilities include direct leadership of the documentation and revenue integrity department ensuring appropriate concurrent clinical documentation review and medical necessity denial management.
Education:
Bachelor's degree in Business Administration, Finance, Accounting, or related business field required. MBA or MHA, preferred.
Registration/Certification/Licensure:
CPA, preferred.
Experience:
Position requires 5-7 years' experience in finance and/or accounting with all or a portion of the experience in a hospital or healthcare environment.
Other Requirements:
Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements.
Demonstrated proficiency of computer skills necessary to effectively complete position requirements, specifically Microsoft Word, Excel, PowerPoint, Outlook, and Access.
Ability to communicate professionally, verbally and in writing, and to promote a positive service atmosphere.
Ability to work independently, prioritize concurrent projects, meet deadlines, follow through with deliverables, and produce quality work.
