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Director of Managed Care Reimbursement
Location
Texas
Posted
80 days ago
Salary
$135K - $145K / year
Seniority
Lead
Job Description
Director of Managed Care Reimbursement
U.S. Physical Therapy, Inc.
• Develop strategic initiatives to grow the company’s revenue stream. • Work closely with the Managed Care team. • Report directly to the Vice President of Managed Care Operations. • Provide strategic analysis and trend evaluation.
Job Requirements
- Minimum of five years (5) experience in: Finance, Medical Economics or Revenue Cycle
- Versed in modeling and analytics
- Skilled in synthesizing data
- High proficiency maneuvering private, federal & state fee schedules as well as supporting guidelines in a nationwide setting for all payor mix types.
- Provide VP with strategic analysis and trend evaluation
- Translate reimbursement changes & the impact to revenue stream
- Communicate policy changes cross-functionally
- Familiar with various reimbursement models and methodologies including but limited to: Daily Max, Fee for Service, RBRVS, Medicaid, value-based payment models, escalators, bundled payments & shared savings.
- Drive initiatives to identify and recoup underpayments
- Oversee the Payment Compliance & Chargemaster teams
- Support VP in due diligence for strategic partnerships
- Bachelor’s/Masters in Business, Finance, Health Care or related field required
- EMR experience, Raintree experience a plus
- Experience with BI tools
- Advanced Microsoft experience in: Excel, Pivot Tables, Vlookup, etc.
- Effective project management skills
- Strong critical and analytical skills, ability to work strategically
- Excellent oral and written communication skills
- Proven strong organization, interpersonal and management skills.
Benefits
- Medical
- Dental
- Vision
- 401(k)
- Paid time off
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