Director of Finance & Reimbursement

Job Description We are seeking a Controller to join our team! The Director of Finance & Reimbursement (DFR) is responsible for the financial and administrative operations of the finance department including banking, accounting functions, payroll, budget preparation, patient revenue, fiscal reporting, debt management, accounts payable, contract compliance, procurement, utility billing, internal audit, and treasury functions, as well as the financial activities. DFR works closely with CFO in identifying opportunities to improve the company's overall financial position and sustainability. DFR analysis, maintenance, negotiation and renegotiation all MC contracts with current and prospective third‑party payors. Responsibilities Directs, maintains and monitors all finance systems including accounts payable, accounts receivable, payroll and general ledger. Ensure monthly financial statement and month‑end closing activities are completed accurately. Compile fiscal estimates and prepare monthly fiscal reports for the Senior Executive Management Team. Ensure that all the company's financial practices are in line with statutory regulations and legislation. Assist in analyzing the financial climate and market trends to assist senior executives in creating strategic plans. Interpret complex financial information and provide updates and information as needed. Assist in company‑wide budgetary planning, and preparation of budgets such as FQHC Grant type, CHC Operational Budget and all other assignments. Coordinate and assist in preparation of all financial audits. Assist in the preparation of Universal Data System and Medicare Cost Report. Work in collaboration with Human Resources Director to review benefit plans. Monitor and control all cash transactions. Manage the planning process for all contract renewals and negotiations including assessment of historical performance and issues, identification of payor specific issues as well as opportunities and recommendations. Act as a liaison between the health center and HCN Revenue Billing Cycle Staff. Review, analyze, and evaluate center‑managed care and specialty program contracts to ensure compliance and maximum financial revenue. Oversee, review, and adhere to budgets for each business department. Effectively manage Reimbursement staff overseeing payor reviews and recoupment of underpayment projects to completion, etc. Effectively manage Finance department staff in the facilitation of day‑to‑day operations, including tracking financial data, invoicing, payroll, etc. Ensure protection of patient protected health information by complying with the HIPAA Privacy Rule policies and procedures. Perform all other duties as assigned as needed. Qualifications Minimum Bachelor's Degree required in Business, Healthcare Management, or a similar degree with a minimum of five (5) or more years in a healthcare management leadership role. Master’s degree and/or CPA preferred. Five years healthcare executive operational management and healthcare contract management experience in a non‑profit, federal, and/or state government healthcare program or other complex healthcare environment. Proficiency in Microsoft Suite and other business software. Knowledgeable in financial forecasting, accounting principles, and financial data analysis. Ability to work independently with minimal supervision. Must demonstrate strong written and verbal communication skills. Must be capable of exercising sound judgment when dealing with patients, staff and community at large. Ability to interface effectively with members of a culturally and professionally diverse staff and population. Must demonstrate strong multi‑tasking, organizational, and detail‑oriented skills. The ability to communicate effectively with staff, patients, financial institution, managed care companies, specialty program administrators. Must be capable of exercising sound judgment when dealing with 3rd party payors, patients, staff and community at large. Ability to follow detailed written and oral instruction. #J-18808-Ljbffr 6AM City, LLC