Vice President, Corporate ReimbursementJob Overview: The Vice President of Corporate Reimbursement leads the strategic and operational functions that determines, protects, and improves reimbursement revenue across the enterprise. The position is accountable for interpreting complex federal, state, and payer reimbursement regulations; evaluating reimbursement implications of business decisions; overseeing Medicare, Medicaid and other third-party reimbursement activities; and advising senior leadership on risks, opportunities, and financial impacts. This leader serves as a trusted advisor on reimbursement strategy and ensures that corporate reimbursement practices align with organizational objectives, applicable laws, payer requirements, and industry best practices. The role requires a high degree of technical expertise, executive presence, analytical judgment, and the ability to influence complex decisions across a matrixed organization.
Reports to: - The Vice President, Corporate Reimbursement reports directly to the Senior Vice President, Corporate Reimbursement.
Qualifications- Bachelor's Degree required
- 10 years of healthcare reimbursement experience
- Experience with Medicare/Medicaid Acute Care Hospital Cost Reporting and Medicare & Medicaid Reimbursement Methodologies
Essential Functions- Translate regulatory and financial complexity into clear recommendations that guide executive decision-making, operational planning, and enterprise performance improvement.
- Serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies across all RWJBarnabas Health hospitals and service lines. This includes planning, preparing and reviewing of the annual Medicare/Medicaid cost reports filings.
- In partnership with the Senior Vice President of Office of Reimbursement, the Vice President will manage the completion of DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification projects.
- Assess, track, and monitor participation in state level supplemental payments programs and will be asked to assist with regulatory research.
- Work closely with finance department personnel at system facilities and will oversee the accurate determination of third-party receivables/payables, ensuring revenue and receivables reporting complies with GAAP.
- Possess an advanced level of knowledge of government payment regulation, third party revenue accounting practices, and have excellent communication/staff management skills. Furthermore, promotes a positive atmosphere and maintains a high degree of customer service orientation to include proactive interaction with staff and managers.
Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
