Director, Reimbursement-Financial Analysis Reimbursement-Corporate 42nd Street-Full-Time-Days

<br><b>Description</b><p><strong><u>Director, Reimbursement-Financial Analysis Reimbursement-Corporate 42nd Street-Full-Time-Days</u></strong></p><p>The Director is responsible for direction and management responsibility over the business and operational activities of a department (overall department management or a specific area within a department), or medical care unit.</p><p> </p><br><b>Responsibilities</b><ul><li>Provides superior customer service to internal and external clients, customers, and patients as referenced in the Service Excellence Standards.    </li><li>Oversees the preparation and submission of all regulatory reports.    </li><li>Performs direct development and implementation of all NPSR, HSN, and governmental revenue activities including accruals, reserves, and settlements at the hospital levels.      </li><li>Plans, coordinates, and prepares year end audits with public accounting firms and third party auditors as they relate to AR operations.    </li><li>Mediates and resolves conflicts regarding public accounting firms, third party auditors, and investigative parties.    </li><li>Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third party payers.    </li><li>Collaborates with other leaders with Steward, external agencies, vendors, and partner organizations to achieve improved financial outcomes.    </li><li>Acts as primary contact for all reimbursement issues and advises the financial management team about changes in reimbursement environment and suggest courses of action.</li><li>Trains all new employees about reimbursement issues and system usage.    </li><li>Evaluates of all medical education reimbursement calculations, which includes scrutinizing all roll forward calculations, affiliation agreements, and residency caps.      </li><li>Reviews all Medicaid and Medicare data to determine Medicare disproportionate share reimbursement.</li><li>Reviews all third-party settlements to ensure their accuracy and standardize their presentation.    </li><li>Oversees the preparation and review of each hospital's monthly net revenue modeling and helps to evaluate variances to budget.</li><li>Oversees all audits performed by external firms and/or governmental agencies.      </li><li>Prepares responses to both internal and external questions involving various reimbursement matters to ensure a timely and accurate resolution to all issues.    </li><li>Interacts with division directors and departmental heads to obtain all data necessary to comply with various regulatory requirements.</li><li>Takes the lead role in reviewing the annual Medicaid RFA to evaluate its impact and coordinate the system's response.   </li><li>Assists with the evaluation and resolution of various compliance matters involving federally funded insurers like Medicare and Medicaid.</li><li>Oversees the process to identify Medicare + Choice plan discharges so that Medicare senior plan IME billing takes place timely.</li><li>Participates in the evaluation of all managed care proposals to ensure that all proposals will enable the system to cover costs and can be administered effectively.</li><li>Completes annual evaluations for all direct reports.</li><li>Develops the departmental annual operating and capital budgets.</li><li>Creates new policies and procedures resulting from system and/or operational changes.     </li><li>Makes all decisions governing hiring, promoting, demoting, and terminating staff.      </li><li>Oversees the creation of standardized reports and analyses used to evaluate all RFPs.</li></ul><br><b>Qualifications</b><ul><li><strong><u>Education:</u></strong> Bachelor's degree in either business or financial related field.  A Master's degree in business, finance, or health care related field is preferred.</li><li><strong><u>Experience:</u></strong> 7 years of experience in health care finance or administration; experience in strategic planning and execution, formulating policy, building and developing financial plans, managing resources and leading successful teams. Big 4 experience a plus. CPA a plus<br> </li></ul><p> </p><p><strong>Compensation Statement</strong></p><p> </p><p>The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $153,723.00 - $230,584.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.</p><p>Non-Bargaining Unit, 536 - Reimbursement - MSH, Mount Sinai Hospital</p><br><b>Employer Description</b><p class=