Director, Government Reimbursement

Ensemble Health Partners

Remote
Base: $134,000 - $200,000; bonus/equity: not speci...
Fully remote
Medicare, medicaid, dsh programs
340b drug pricing and reimbursement
Medicare cost reports
This role will serve in a consultancy capacity, advising our clients—large health systems—in managing and optimizing healthcare reimbursement processes, focusing on Medicare, Medicaid, Disproportionate Share Hospital (DSH) programs, Medicaid Directed Payment programs, and 340B drug pricing and reimbursement

Job Summary

  • This role will serve in a consultancy capacity, advising our clients—large health systems—in managing and optimizing healthcare reimbursement processes, focusing on Medicare, Medicaid, Disproportionate Share Hospital (DSH) programs, Medicaid Directed Payment programs, and 340B drug pricing and reimbursement.
  • Assist in gathering and analyzing data for the preparation of Medicare cost reports, ensuring accurate reflection of hospital costs for reimbursement optimization.
  • Maintain expert-level knowledge of state and federal healthcare reimbursement policies, ensuring strict compliance with CMS guidelines, Medicaid Managed Care rules, and HRSA 340B program regulations.

Matching Summary

This role will serve in a consultancy capacity, advising our clients—large health systems—in managing and optimizing healthcare reimbursement processes, focusing on Medicare, Medicaid, Disproportionate Share Hospital (DSH) programs, Medicaid Directed Payment programs, and 340B drug pricing and reimbursement.

Salary

Base: $134,000 - $200,000; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Medicare, Medicaid, DSH programs
  • 340B drug pricing and reimbursement
  • Medicare cost reports
  • reimbursement strategies
  • state and federal healthcare reimbursement policies

Nice-to-have

  • customer obsession
  • embracing new ideas
  • striving for excellence
  • AI and team management
  • strategic insights and recommendations

Key Requirements

  • CPA Licensed
  • Demonstrated advanced usage of AI
  • willing and able to travel

Work Rights

Not specified

Tailored Resume

Cover Letter