Assistant Vice President Reimbursement

Shift: Day
Schedule: Full - Time Regular

Ardent Health Services invests in people, technology, facilities and communities, producing high-quality care and extraordinary results. Based in Nashville, Tennessee, Ardent’s subsidiaries own and operate 31 hospitals in seven states with more than 25,000 employees including 1,150 employed providers. Ardent facilities exceed national averages in Overall Hospital Quality Star Rating as ranked by the Centers for Medicare & Medicaid Services; 89 percent of its hospitals received a three-star rating or above in comparison with 73 percent of all hospitals ranked. Seven of the company's hospitals were recognized by Modern Healthcare as "Best Places to Work" in 2017 – more than any other system in the country.

We have an exciting opportunity for an Assistant Vice President, Reimbursement to join our Reimbursement team.

The Assistant Vice President, Reimbursement is responsible for, but not limited to, overseeing preparation and review of annual Medicare, Medicaid and other third-party cost reports in full compliance of federal and state regulations and company policies and procedures; cost report audits and appeals; leading special reimbursement project (Medicare Bad Debt, S-10, etc.); providing technical and analytical support on reimbursement related issues; research and impact analysis of current and future regulations and reporting requirements; month-end and annual reviews of current and prior cost reporting period retroactive settlement accounts; and technical and analytical support during annual forecasting process.

Primary Duties and Responsibilities

Assists the VP, Reimbursement with the following functions:

  • Plans, organizes and directs Ardent’s reimbursement function, to support accurate financial reporting and ensure Medicare / Medicaid regulatory compliance.
  • Recommends policies and procedures to senior management, to support accurate financial reporting and Medicare / Medicaid regulatory compliance.
  • Assists in recruiting personnel to support Ardent’s reimbursement department and ensures appropriate training and development of such personnel.
  • Oversees the reimbursement staff and reimbursement operations, to ensure that objectives of Ardent’s reimbursement function are met.
  • Manages the Medicare cost report appeals process in coordination with outside counsel

Other Responsibilities Include:

  • Maintains appropriate level of expertise in the area of Medicare and Medicaid reimbursement. Monitors regulatory changes in such programs.
  • Provides appropriate assistance to external auditors in their conduct of interim and annual financial audit activities.
  • Represents Ardent via active participation and leadership with selected trade organizations, such as Federation of American Hospitals.
  • Develops and maintains good working relationships with Intermediaries and various governmental agencies.
  • Develops and maintains good working relationships with Ardent Corporate, Group, and  local hospital personnel.
  • Oversees and/or performs special projects as assigned by VP, Reimbursement
  • Performs other duties as assigned.
  • Maintains appropriate level of expertise in the area of Medicare and Medicaid reimbursement. Monitors regulatory changes in such programs.

Education and Work Experience:

BBA or BS in Accounting, Finance or Business

Additional Requirements:

  • 5 - 10 years’ experience in healthcare accounting and/or healthcare analytical experience
  • 5+ years working directly with Medicare cost reports.