Director of Reimbursement

Overview:

Develops and executes strategies to optimize revenue while ensuring compliance with regulatory requirements. Leads negotiations with payers and government agencies to secure favorable reimbursement rates and contract terms. Oversees analysis of reimbursement trends and policies, collaborating with cross-functional teams to align initiatives with business goals. Manages reimbursement documentation, appeals, and monitors payer performance to minimize denials and delays. Advises senior leadership on reimbursement risks and opportunities is a key aspect of this position to support informed strategic decision-making.

Responsibilities:

Key Responsibilities

• Develops and executes strategies to optimize revenue.
• Ensures compliance with regulatory requirements.
• Leads negotiations with payers and government agencies.
• Secures favorable reimbursement rates and contract terms.
• Oversees analysis of reimbursement trends and policies.
• Collaborates with cross-functional teams to align initiatives with business goals.
• Manages reimbursement documentation, appeals, and monitors payer performance.
• Advises senior leadership on reimbursement risks and opportunities."

Qualifications:

Qualifications

• 8+ years of healthcare reimbursement leadership experience
• Expertise in payer negotiations and revenue cycle management
• Strong analytical and strategic planning skills
• Experience managing reimbursement teams and processes
• Proficient in reimbursement and billing software"