DIR FIN PLANNING & REIMBURSEMENT

Calvert Health System

$100K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Business Administration, Finance, Accounting, or related field required
  • MBA or MHA preferred
  • 5-7 years of experience in finance/accounting, preferably in a hospital or healthcare setting
  • CPA preferred
  • Proficiency in Microsoft Office Suite, especially Word, Excel, PowerPoint, Outlook, and Access
  • Strong professional communication skills, both verbal and written
  • Ability to manage multiple projects independently and meet deadlines.

Responsibilities

  • Direct the financial planning processes including budget development and financial analysis
  • Lead negotiation and evaluation of managed care contracts for multiple health system entities
  • Oversee documentation and revenue integrity department activities
  • Ensure compliance with reimbursement standards and manage denial processes
  • Facilitate decision support through financial analyses and reporting

Benefits

  • Professional development opportunities
  • Comprehensive health insurance options
  • Retirement savings plans
  • Generous paid time off and holiday policies
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.

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