Assistant Director, Reimbursement

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. For the fourth consecutive year, Vizient Inc. ranked NYU Langone No. 1 for quality care in the nation and U.S. News & World Report recently placed 12 of its clinical specialties among the top 10 in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

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Position Summary:
We have an exciting opportunity to join our team as a Assistant Director, Reimbursement.

In this role, the successful candidate with uUnder the guidance of the Senior Director of Government Reimbursement & Policy Analysis, the Assistant Director of Reimbursement will be responsible for assisting in the overall planning, organization, direction and control of the Reimbursement department. This will include interacting with hospital administration and department heads to facilitate financial planning, assist in decision-making processes and clarifying/resolving financial issues as well as overseeing the development and direction of personnel and the processing of financial information.

Job Responsibilities:

• Develops a partnership between finance and the other operational departments to improve the reporting of information. Identifies and coordinates resources to meet customer needs and deadlines. Communicates clearly and concisely with all customers. Maintains open communication with internal and external customers, and healthcare agencies.
• Prepares data for and assists with audits of both internal and external auditors. Provides support for documentation requested by auditors in a timely manner. Directs and supervises the annual Medicare audit.
• Responsible for the preparation of Medicare cost report, NYSICR and other regulatory reports. Directs, coordinates and reviews all submissions to governmental agencies - cost reports, budgeted capital, DSH Cap, and other regulatory reports.
• Reviews statistics to ensure accurate cost allocations. Reviews completion of routine surveys.
• Responsible for the preparation and completion of the wage index and occupational mix reports.
• Maintains Medicare and Medicaid enrollments.
• Maintains third party rate accounts. Reviews third party payment rates. Reviews PIP account analysis and other third party retro receivable accounts analysis. Performs and reviews various analyses and calculations for the monthly revenue accrual.
• Coordinates the responsibility for explaining variances on financial and statistical information. Reviews the various statistical reports distributed.
• Responsible for understanding relevant financial and operational issues. Understands decision support technology and cost accounting methodologies. Possesses an extensive knowledge of current regulatory and reimbursement issues. Ensures that compliance and regulatory requirements are adhered to and up to date. Possesses a good understanding of reimbursement rate methodologies.
• Facilitates a positive work atmosphere within finance and respective departments. Interacts with administration, peers, general staff, and other Medical Center personnel in a courteous and professional manner. Assists department directors and managers with any financial questions and guide them in use of various financial reports they receive. Demonstrates a spirit of cooperation and support for cross departmental objectives. Displays a positive outlook and pleasant demeanor.
• Demonstrates trustworthiness, integrity and initiative. Respects and maintains confidentiality of all information within the Hospital. Demonstrates initiative by taking on new tasks or responsibilities. Takes ownership of responsibility and outcomes. Exhibits a strong work ethic. Possesses a wide range of skill and abilities to meet continual challenges.
• Identifies financial opportunities and threats proactively and communicate findings in a timely and effective manner. Demonstrates creative thinking for developing solutions.
• Redesigns internal processes and uses technology to provide quality information on a timely basis. Assesses time required for completion of required work (individual and team). Delegates projects to the manager, and analysts, and monitors completeness and timeliness. Manages multiple tasks and projects.
• Directs, manages and oversees the development of the Reimbursement Department. Reviews work performed by direct reports. Conducts staff performance appraisals. Provides leadership and direction by supporting and motivating staff. Directs the hiring and training of managers, financial analysts and staff. Effectively assigns tasks to personnel with appropriate skill sets. Develops, implements and monitors adherence to departmental policies, procedures and budgets. Prioritizes work projects to ensure all filing deadlines are satisfied.
• Collects, analyzes and presents complex data from multiple sources to assist in the decision making process. Ensures quality and integrity of data collection and presentation. Efficiently organizes tasks and assigns appropriate resources. Performs ad hoc analysis to support the decision making processes of departments. Directs the preparation of tables, graphs, spreadsheets, narratives and other materials necessary to effectively communicate the financial health of the Hospital. Coordinates activities with MIS in obtaining special reports.

Minimum Qualifications:
Bachelors degree in Accounting, Finance, Economics, Healthcare Administration, Data Science, Actuarial Science, or a related field.
Supervisory experience is necessary.
At least 7 years of experience in healthcare finance, reimbursement, policy analysis, with significant experience in healthcare finance, reimbursement or policy analysis, or a related field
Expertise in Medicare and Medicaid reimbursement methodologies, state and federal healthcare policy, and budgetary impacts
Ability to translate complex policy and financial analyses into clear, actionable insights for leadership
Strong communication and presentation skills, with experience preparing executive-level reports and presentations

Preferred Licenses: Certified Public Accountant

Preferred Qualifications:
Masters degree in Health Administration (MHA), Public Health (MPH), Business Administration (MBA - with a focus on healthcare finance or analytics), Public Policy (MPP), Economics, Business, or a related field, or CPA/equivalent experience
Direct experience with government payment models, managed care contracting, or value-based reimbursement strategies
Currently working in a hospital reimbursement department with extensive knowledge of governmental reimbursement
Familiarity with CMS regulatory filings, state Medicaid payment programs, and commercial payer reimbursement methodologies
Experience working within a large health system, hospital finance department, payer, or consulting firm specializing in healthcare reimbursement
Advanced proficiency with data visualization tools and predictive analytics techniques
Knowledge of financial planning processes and hospital budgeting methodologies

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View Know Your Rights: Workplace discrimination is illegal.

NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $121,792.21- $$169,388.51Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here