Manager of Reimbursement Strategy, Analysis and Forecasting

Job Description

Job Description

Manager of Reimbursement Strategy, Analysis and Forecasting

• Salary Range : $89,648 - $107578 based on relevant years of experience
• Location : Larimer county, Colorado
• Status : (example full time, 40 hours per week)
• Hours : Monday-Friday

Role Overview :

The Manager of Reimbursement Strategy, Analysis, and Forecasting is a strategic leadership role responsible for data-driven insight, aligning the organization’s operational oversight related to payer reimbursement, revenue modeling, and financial performance. This role is essential to maximizing the organization’s understanding of and responsiveness to evolving reimbursement models, including Medicaid, commercial, grant-funded, and value-based arrangements, and ensures effective participation in risk-based and prospective payment systems. This position plays a key role in analyzing payment methodologies, forecasting revenue, and developing financial strategies that ensure sustainability and support the mission of delivering high-quality behavioral health services. The position works closely with Finance, Clinical Operations, Revenue Cycle, and Executive Leadership to integrate reimbursement intelligence into budgeting, forecasting, and decision-making processes.

Essential Duties :

Serve as the organization’s lead expert on payer reimbursement, including prospective payment systems (PPS), capitation, fee-for-service, and value-based care models.

Financial Planning and Forecasting

Lead multi-year revenue forecasting and financial planning processes, incorporating reimbursement trends and payer dynamics.

Decision Support and Revenue Modeling

Design and maintain financial models and dashboards to inform leadership on the financial impact of reimbursement policies, service mix, and operational performance.

Cross-Functional Collaboration and Leadership

Work closely with the CFO, Executive and Senior Leadership Teams to align financial planning with organizational goals and funding environment.

Stakeholder Engagement and Advocacy

Liaise with state Medicaid agencies, managed care organizations, associations (e.g., CBHC), and external consultants on payment model developments.

Required :

Preferred Qualifications :

Total Rewards

At SummitStone Health Partners, we are proud to offer a comprehensive and competitive benefits package designed to support the well-being of our team members. Eligibility and pro-rated benefit levels are based on FTE (full-time equivalent) status.

Below are some of the benefits we offer :

Reach Out

SummitStone will provide persons with disabilities with reasonable accommodations. If reasonable accommodation is needed to participate in the job application or selection process, please let your recruiter know.

Questions? Please email us at hiring@summitstonehealth.org.

This position will be open for a minimum of three days and / or until a top candidate is identified.