Finance Reimbursement Assistant Director

Position Summary

Under the supervision of the Senior Director of Accounting, the Finance Reimbursement Assistant Director plays a strategic and hands-on role in managing the hospital’s third-party reimbursement activities. This includes the annual filing of Medicare and Medicaid cost reports for a large academic medical center with over 600 GME/IME FTEs, $23 million in Medicare DSH reimbursement, and a PPS-Exempt Cancer Hospital.

The Assistant Director provides high-level analytical and regulatory support across all reimbursement functions, including audits, appeals, DSH, 340(b), wage index, and uncompensated care reporting. This role requires a deep understanding of healthcare reimbursement methodologies and financial reporting systems, as well as the ability to lead complex projects and collaborate with senior leadership.

Supervisory Responsibility

This position directly supervises two manager-level employees, both of whom are responsible for Finance Reimbursement.

Reporting Structure

This position reports to the Senior Director of Accounting.

Duties and Responsibilities

• 65% – Third-Party Payer Filings & Reimbursement Reporting
  • Responsible for preparing and filing information with various third-party payers, including but not limited to: cost reports, surveys and questionnaires, special CMS requests.
  • Manages audits conducted by third-party payers, such as Medicare, Medicaid, Champus, and State Medicaid Programs.
  • Develops and maintains expertise in reimbursement processes and financial reporting systems.
  • Prepares reimbursement-related reports and analyses to support the reimbursement team.
• 15% – Financial Analysis of Reimbursement Accounts
  • Performs monthly analysis of all contractual and settlement accounts.
  • Oversees general ledger accounts related to third-party payers on both the balance sheet and the statements of revenues and expenses (including HCAP, UPL, HAP).
• 10% – Regulatory Impact & Team Development
  • Provides hospital leadership with analyses on the financial impact of proposed and finalized regulations.
  • Serves as a subject matter resource on reimbursement topics.
  • Actively shares professional and technical expertise to support the development of the reimbursement team.
• 5% – Appeals Oversight
  • Monitors the status of appeals and assists with the preparation and filing of appeals to Medicare and Medicaid programs.

Organizational Expectations

Practices within the medical center’s policies and procedures. Adheres to the Mission and Values statements as demonstrated through positive patient/guest relations, positive and effective interactions with staff and by formulating and meeting developmental goals.

Qualifications

• Bachelor’s degree in Business Administration, Accounting, Finance, or a related field (required)
• Minimum 10 years of progressive hospital reimbursement experience, specifically in: Medicare and Medicaid cost report preparation, Financial analysis within a healthcare setting
• Leadership experience in healthcare finance, preferably within large health systems or academic medical centers
• CPA certification preferred
• Hands-on experience preparing cost reports
• Expertise in: PPS-Exempt Cancer Hospital reimbursement, Medicare DSH reimbursement, GME/IME reporting, Wage Index and Uncompensated Care reporting, 340(b) program compliance and reporting

Skills & Attributes

• Deep knowledge of healthcare reimbursement methodologies and related regulations
• Advanced financial analytical skills, especially in forecasting, variance analysis, and reconciliation of third-party liabilities
• Project management expertise in leading complex reimbursement projects
• Highly detail-oriented, especially with regulatory reporting and audit documentation
• Strong technical skills in financial reporting systems and data analysis
• Collaborative leadership style; ability to coach, train, and build a cohesive, effective team
• Effective communicator, comfortable working with senior leadership and cross-functional teams
• Deadline-driven with a strong sense of accountability
• Strategic mindset paired with a hands-on approach to operational execution
• Problem-solving skills in navigating audits, appeals, and regulatory challenges

How to Apply

Please visit this job posting link to find out more and apply online for job opening R127038. Applicants should submit the following: An up-to-date and detailed resume. A letter of interest that includes: Your interest in the Finance Reimbursement Assistant Director role. How your experience makes you a strong candidate for the role. Why this is the right time for you to pursue this opportunity. All inquiries and nominations should be submitted to Shannon Rice at Rice.724@osu.edu.