AVP, Government Reporting

AVP, Government Reporting

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

The AVP, Government Reporting is a strategic executive leader responsible for overseeing, optimizing and innovating the Government Reporting functions for Memorial Hermann Healthcare System (MHHS). Reporting to the SVP, Chief Revenue Officer, this leader develops systems and policies to ensure that the related financial items are tracked and recorded accurately. This scope includes the Medicare, Medicaid, Champus and other governmental programs cost and supplemental program funds flow and reimbursements for all MHHS facilities inclusive of report preparation, audit, appeal and inquiry response. The responsibilities extend to completing the annual State Uncompensated Care and Disproportionate Share Surveys for all relevant operating units. This role also assists with annual facility budgeting process for contractual allowances for Medicare and Medicaid Supplemental Programs. This leader coordinates and administers all Audit and Appeals for both Federal and State filings. The work includes the oversight of supplemental and cost reporting consultants and vendors to insure proper handling of all funds and accounting entries.

Job Description

Minimum Qualifications

Education : Bachelors' degree in Business, Healthcare Administration, Accounting, Finance, or related field required, Masters' degree or CPA preferred.

Licenses / Certifications : (None)

Experience / Knowledge / Skills :

• Ten plus (10+) years of progressive experience in healthcare management in a leadership or strategy role, with at least 7+ years in reimbursement experience in a healthcare system.
• Strong understanding of RCM operations, payer rules, coding, billing, collections, and compliance.
• Certification in at least one Epic application is strongly preferred.
• Previous experience with Medicare IME, DGME, DSH and Organ Acquisition preferred.
• Previous experience with Medicaid Supplemental Payments (Texas 1115 and DDP program experience preferred).
• Knowledge and experience regarding compliance with all relevant laws, rules regulations and accreditation standards and requirement in respect to governmental reporting and reimbursement programs.
• Demonstrated success in leading teams, manage multiple work streams, projects, tasks, goals and programs at scale.
• Exceptional analytical, strategic thinking, and communication skills.
• Proven ability to influence cross-functional teams and stakeholders.

Principal Accountabilities

Strategic Leadership & Vision

Operational Excellence & Process Optimization

Team Leadership

Vendor & Technology Management