Talent.com
Director, Net Revenue

Director, Net Revenue

Beth Israel Lahey HealthCharlestown, MA, US
30+ days ago
Job type
  • Full-time
Job description

Director, Revenue Finance And Reimbursement

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

The Director, Revenue Finance and Reimbursement, will be a core member of the Revenue Finance leadership team of Beth Israel Lahey Health (BILH). BILH is a new integrated health system with ~$6 billion in revenues and includes academic medical centers, acute and specialty hospitals, outpatient facilities, physician groups, performance networks, and community partners. As part of the leadership team, the Director will assist the VP and AVP to integrate BILH's six separate revenue valuation and reimbursement units to form a unified, enterprise-level department aligned around shared goals and a commitment to :

  • Deliver high quality net revenue valuation and related finance models based on transparent and efficient methodologies;
  • Produce data and analytics that deliver actionable business insights to BILH hospital, physician, and system leaders;
  • Provide strategic solutions that optimize reimbursements by applying a deep knowledge of both government and commercial payment systems; and,
  • Provide Medicare, Medicaid, and payment system expertise in support of BILH provider and system strategic and operational objectives.

Reporting to the AVP of Revenue Finance and Analysis, the Director will lead a team of 4-5 individuals with expertise in both government reimbursement and net revenue analysis. Working with the VP and AVP, the Director will develop long- and short- term Medicare, Medicaid, and other government reimbursement revenue strategies, oversee preparation and submission of all regulatory filings, and will provide system-wide guidance on revenue enhancement opportunities and regulatory requirements. The Director will also be responsible for net revenue valuation and analytics for a core set of BILH facilities. Responsibilities include overseeing the net revenue and third-party valuations, annual net revenue budgeting, audit support, and other month and year end net revenue activities. In this role, the Director will be responsible for supporting and educating health systems' finance and operational leadership, establishing open lines of communication with hospital CFOs and other facility leadership, and ensuring alignment between System Revenue Finance and hospital and health system goals and objectives.

Job Description :

Essential Duties & Responsibilities including but not limited to :

  • Communicate the department's vision and goals and ensure employees can relate them to their team and individual goals. Provide day to day management including creating departmental goals and objectives, developing performance standards, and motivating and engaging the team to achieve goals.
  • Oversee all aspects of net revenue valuation and analysis for BILH facilities. Demonstrate and apply an in-depth understanding of the net revenue reserve and other valuation methodologies to : (1) ensure adequate reserve levels, (2) identify and communicate insights and trends to hospital and executive leadership, and (3) promote adherence to enterprise-wide policies & procedures.
  • Develop and implement a methodology to identify, standardize, and produce high value and high volume reports and / or data resources. Success will be built upon a collaborative approach that engages both internal and external customers to identify and appropriately scope opportunities. Examples include standardizing data to support Medicare, Medicaid and other regulatory filings, supporting financial and government auditor data requests, and servings as a liaison to the System & Analytics Optimization department.
  • Specific Duties :

  • Produce and / or review monthly, annual, and other reserve estimates, journal entries, general ledger account reconciliations, variances analyses, etc. for hospital and professional entities.
  • Prepare and present to department and hospital leadership the monthly net revenue estimates and analysis with a focus on providing actionable insights.
  • Direct, oversee, and review the patient accounts receivable reserve calculation process for BILH hospitals and professional entities.
  • Oversee the completion of the annual net revenue budget and assist with forecasting processes for net revenue projections for hospital and professional business units
  • Serve as a contact to support all third party audits including Financial and Government Audits, etc.
  • Identify and design strategic reimbursement initiatives including Medicare & Medicaid DSH, GME, UC, bad debt reimbursement, and wage index reclassifications
  • Design processes and tools to optimize appropriate transplant program and medical education reimbursements, with a focus on harmonizing across BILH as appropriate.
  • Review and assist in the preparation and filing of the Medicare and Medicaid cost reports, surveys, and questionnaires, assuring the timeliness and accuracy of each.
  • Manage of all aspects of the Massachusetts 1115 waiver and HSN program.
  • Develop a dashboard of all key Medicare and Medicaid metrics and monitor threshold critical to determining payment levels.
  • In all interactions, foster teamwork, effective communication, and cohesiveness in support of BILH's patients, caregivers, and administrative teams.
  • Education : Bachelor's Degree in Accounting or Finance or related fields. Licensure, Certification & Registration : n / a Experience :

  • 10+ years of progressively increasing experience in healthcare; including demonstrated focus in revenue finance related areas, such as net revenue, government reimbursement, revenue cycle, etc.
  • 7-10+ years of managerial experience, including a demonstrated ability to communicate a vision and motivate teams to achieve common goals.
  • Demonstrated experience and interest in developing methodologies to standardize and optimize data tools and reporting requirements to achieve effective and efficient solutions.
  • Skills, Knowledge & Abilities :

  • Must be able to handle multiple, complex tasks and priorities
  • Requires superior interpersonal skills to effectively supervise staff and work and communicate with all levels of management
  • Must be a highly self-motivated individual with the ability to function in a fast-paced environment with limited supervision and direction
  • Must have strong analytical skills
  • Must be able to effectively mentor staff and foster a supportive and growth-oriented environment
  • Must have superior computer skills on various software products and systems including MS Office, HFS, EPIC, and Crowe (not required)
  • Must be a dedicated team player with the willingness and desire to learn and grow within the organization
  • As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.

    More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

    Equal Opportunity Employer / Veterans / Disabled

    Create a job alert for this search

    Director Revenue • Charlestown, MA, US

    Related jobs
    • Promoted
    Lead Director Network Platform Solutions

    Lead Director Network Platform Solutions

    CVS HealthBoston, MA, United States
    Full-time
    At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading h...Show moreLast updated: 30+ days ago
    • Promoted
    Regional Director / VP Sales, Americas

    Regional Director / VP Sales, Americas

    Barclay MeadeCambridge, MA, United States
    Full-time
    Our client, a renowned leader in the Defence & Security industry, is seeking a highly skilled and motivated Regional Director / VP Sales, Americas to join their team. Key skills required for this ro...Show moreLast updated: 3 days ago
    • Promoted
    Director, Revenue Recognition

    Director, Revenue Recognition

    Lantheus BrandBedford, MA, US
    Full-time
    Lantheus is headquartered in Bedford, Massachusetts with offices in Canada, and Sweden.For more than 60 years, Lantheus has been instrumental in pioneering the field of medical imaging and has help...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Director, US HCP Marketing Indication Lead

    Senior Director, US HCP Marketing Indication Lead

    argenxBoston, MA, US
    Full-time
    Senior Director, Us Hcp Marketing Indication Lead.Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. Argenx is preparing for multi-dimension...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Account Engagement Marketing, Rare Diseases

    Director, Account Engagement Marketing, Rare Diseases

    SanofiCambridge, MA, US
    Full-time
    Director, Account Engagement Marketing, Rare Diseases.We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, rare diseases and blood d...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Distribution Revenue Requirements

    Director, Distribution Revenue Requirements

    EversourceWestwood, MA, US
    Full-time
    Distribution Regulatory Strategy Lead.Lead the Company's distribution regulatory strategies to ensure full recovery and protect against loss for the operating companies located in Massachusetts, Co...Show moreLast updated: 3 days ago
    • Promoted
    Regional Director, Sites

    Regional Director, Sites

    Iterative HealthCambridge, MA, US
    Full-time
    Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. The Iterative Health Site Network is a premier network ...Show moreLast updated: 30+ days ago
    Senior Director, Revenue Operations

    Senior Director, Revenue Operations

    BeviBoston, MA, US
    Full-time
    Quick Apply
    Bevi is on a mission to transform how beverages are delivered and consumed.Our smart hydration systems eliminate the need for single-use bottles and cans—making it easy, fun, and sustainable to sta...Show moreLast updated: 30+ days ago
    • Promoted
    Director of Revenue Cycle

    Director of Revenue Cycle

    Ophthalmic Consultants of BostonPlymouth, MA, US
    Full-time
    Join a Leader in Eye Care : Director of Revenue Cycle & Billing at Ophthalmic Consultants of Boston.Are you a strategic, hands-on leader ready to take charge of high-volume, multi-department healthc...Show moreLast updated: 30+ days ago
    • Promoted
    Director of IT, Corporate Solutions

    Director of IT, Corporate Solutions

    Lantheus BrandBedford, MA, US
    Full-time
    Director Of IT, Corporate Solutions.Lantheus is headquartered in Bedford, Massachusetts with offices in Billerica as well as in Canada and Sweden. For more than 60 years, Lantheus has been instrumen...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Enterprise Sales

    Director, Enterprise Sales

    FireworkDorchester, MA, US
    Full-time
    Join Firework Where Innovation Meets Impact.Firework is revolutionizing connected commerce with the world's most advanced and largest AI-powered video commerce platform, trusted by global brands a...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Global Technology Alliances (US Remote)

    Director, Global Technology Alliances (US Remote)

    AnomaliBoston, MA, US
    Remote
    Full-time
    Director, Global Technology Alliances (US Remote).Anomali is headquartered in Silicon Valley and is the Leading AI-Powered Security Operations Platform that is modernizing security operations.At th...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Investor Center Partnership

    Director, Investor Center Partnership

    Fidelity Investments Inc.Boston, MA, United States
    Full-time
    Director, Investor Center Partnerships.The Investor Center Partnerships is part of Fidelity Real Estate Company and encompasses the firm’s retail portfolio which includes 217 branches, spans across...Show moreLast updated: 26 days ago
    • Promoted
    Director of Online Operations

    Director of Online Operations

    More Than WordsBoston, MA, US
    Full-time
    More Than Words (MTW) is a social enterprise that empowers youth, ages 16-24, who are in the foster care system, court involved, homeless, or out of school to take charge of their lives by taking c...Show moreLast updated: 13 days ago
    • Promoted
    Associate Director, Discovery IT Portfolio Lead

    Associate Director, Discovery IT Portfolio Lead

    EisaiCambridge, MA, United States
    Full-time
    At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission.We're a growing pharm...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Client Development

    Director, Client Development

    Barry-Wehmiller Companies Inc.Boston, MA, United States
    Full-time
    Your data will be processed by Barry-Wehmiller for recruitment purposes.Further information can be found in the.The notice (English version only) also references the California Consumer Privacy Act...Show moreLast updated: 30+ days ago
    • Promoted
    Sr. Regional Director, Enterprise (East)

    Sr. Regional Director, Enterprise (East)

    SmartsheetBoston, MA, US
    Full-time
    Regional Director, Enterprise (East).For over 20 years, Smartsheet has helped people and teams achievewell, anything.From seamless work management to smart, scalable solutions, we've always worked ...Show moreLast updated: 14 days ago
    • Promoted
    Director, Client Development

    Director, Client Development

    Barry WehmillerBoston, MA, US
    Full-time
    BW Design Group is a fully integrated architecture, engineering, construction, system integration, and consulting firm committed to helping our clients realize their most critical goals from Strate...Show moreLast updated: 30+ days ago