System Director Regulatory Reporting
Bon Secours Mercy Health
On September 1, 2018, Bon Secours Health System and Mercy Health combined to become the United States’ fifth largest Catholic health care ministry and one of the nation’s 20 largest health care systems. Bon Secours Mercy Health serves communities across seven states and Ireland.
SYSTEM DIRECTOR, REGULATORY REPORTING | Work From Home/Remote
Location: WFH/Remote – anywhere in the U.S.
This position is responsible for annual cost report filings and subsequent audit activity for all Bon Secours Mercy Health entities. The System Director is responsible for implementing standardization of reporting and ensures adequacy of internal controls related to areas such as Wage index reviews, Medicare Bad Debt optimization strategies, IME/GME reimbursement, Medicaid Eligible Days reviews, various cost-based optimization strategies, and any reimbursement methodology related to Medicare and Medicaid that have reimbursement implications.
In addition, this role serves as the government reimbursement liaison to market-level finance leadership.
Reimbursement Regulatory Reporting
Oversees and coordinates the submission of annual Medicare and Medicaid cost reports and various other regulatory filings that may be required on behalf of the System.
Ensures that all required statutory filings are timely and accurate.
Coordinates preparation of documents for annual audits, and serves as liaison with external auditors. Responds to audit inquiries.
Oversees the evaluation and preparation of various strategic reimbursement optimization strategies for the System and makes recommendations that positively impact existing reimbursement schemes.
Continuously monitors workload and methodologies used to achieve results, making recommendations to improve efficiency and/or achieve cost savings whenever possible.
Plans functional team workload and manages such that all reports, projects, etc., are completed timely, efficiently, and with a high degree of accuracy. Responsible for review and evaluation of staff in accordance with Mercy Health system policies.
Collaborates with other stakeholders around the system to probe, evaluate, synthesize, and articulate complex subject matter to facilitate needed improvements.
Prepares special net revenue-related reports or studies as deemed valuable by senior leadership.
Leads special projects
Government reimbursement cost reporting, supplemental payment programs and lead point of contact for the ministry
Responsible for all governmental reimbursement related cost and regulatory reporting, monitoring and compliance, including the strategy for audits, appeals and exception requests related to these payers
Prepares impact analysis of existing and proposed regulations related to Medicare, Medicaid and other government payers
Proactively analyzes the reimbursement impact and compliance considerations of proposed and revised regulations, provides effective communication, education, and recommended strategies to ministry leadership and stakeholders.
Establishes and maintains strong relationships with external agencies including Medicare, Medicaid, or other government agencies.
Develops and mentors staff.
Communicates critical or non-compliance issues
– Bachelors Degree in Accounting, Business or Finance
– 5-8 years of senior-level leadership experience in healthcare finance, reimbursement, and finance operations in a multi-system environment
– Experience with monitoring government reimbursement regulations, evaluating impact, and developing strategies to either achieve full reimbursement available or minimize risks of payment reductions
– Masters Degree in Accounting, Business or Finance
– CPA, FHFMA, or CRCR
Instructions for Resume Submission: