What are the responsibilities and job description for the Healthcare Finance Specialist position at Center for Nonprofit Management?
Job Summary:
Pursue a rewarding career with the Center for Nonprofit Management as a Senior Director, Payer Relations. In this pivotal role, you will serve as a trusted resource and expert advisor to our member hospitals, providing in-depth research, support, education, and advocacy on complex healthcare finance and reimbursement issues.
About the Role:
This is an exceptional opportunity to join our team as a Senior Director, Payer Relations. As a key member of our organization, you will work closely with hospital executives, revenue cycle leaders, and compliance officers to address pressing issues related to managed care, commercial payers, Medicare Advantage, Medicaid, and workers' compensation. Your expertise will be instrumental in negotiating solutions to common issues, educating members on changes, and advocating for their interests.
Responsibilities:
- Provide in-depth research, support, education, and advocacy for members around healthcare finance and reimbursement issues.
- Serve as a resource and respond to member inquiries on these issues in a timely and effective manner.
- Work with hospitals to identify, research, and negotiate solutions to or mitigate the impact of common issues they encounter with payers.
- Communicate regularly with hospital members around current developments impacting reimbursement, providing education on changes and receiving input on their concerns.
Requirements:
- Bachelor's degree in accounting, finance, or a related field required.
- Minimum of five years' experience in healthcare, preferably in revenue cycle management or managed care operations.
- Detailed knowledge of hospital revenue cycle and/or managed care, including reimbursement methodologies, financial analysis, legal/contractual issues, investigation and resolution of payment errors, operational issues, and measuring contract performance.
- Experience managing or conducting reimbursement analysis/negotiation, contractual language, identifying and resolving issues involving reimbursement, hospital operations, and healthcare compliance, building and managing relationships with managed care payers/outside entities.
Pursue a rewarding career with the Center for Nonprofit Management as a Senior Director, Payer Relations. In this pivotal role, you will serve as a trusted resource and expert advisor to our member hospitals, providing in-depth research, support, education, and advocacy on complex healthcare finance and reimbursement issues.
About the Role:
This is an exceptional opportunity to join our team as a Senior Director, Payer Relations. As a key member of our organization, you will work closely with hospital executives, revenue cycle leaders, and compliance officers to address pressing issues related to managed care, commercial payers, Medicare Advantage, Medicaid, and workers' compensation. Your expertise will be instrumental in negotiating solutions to common issues, educating members on changes, and advocating for their interests.
Responsibilities:
- Provide in-depth research, support, education, and advocacy for members around healthcare finance and reimbursement issues.
- Serve as a resource and respond to member inquiries on these issues in a timely and effective manner.
- Work with hospitals to identify, research, and negotiate solutions to or mitigate the impact of common issues they encounter with payers.
- Communicate regularly with hospital members around current developments impacting reimbursement, providing education on changes and receiving input on their concerns.
Requirements:
- Bachelor's degree in accounting, finance, or a related field required.
- Minimum of five years' experience in healthcare, preferably in revenue cycle management or managed care operations.
- Detailed knowledge of hospital revenue cycle and/or managed care, including reimbursement methodologies, financial analysis, legal/contractual issues, investigation and resolution of payment errors, operational issues, and measuring contract performance.
- Experience managing or conducting reimbursement analysis/negotiation, contractual language, identifying and resolving issues involving reimbursement, hospital operations, and healthcare compliance, building and managing relationships with managed care payers/outside entities.
