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Corewell Health Director Corporate Reimbursement in Grand Rapids, Michigan

Job Summary

Responsible for directing and managing all financial functions that relate to third party reimbursement and bad debt recognition and providing financial reimbursement services required by all internal and external customers. Will act as a subject matter expert on third party reimbursement, advising and educating senior leadership and advocating for Corewell Health. Position reports to Sr. Director Reimbursement.

Essential Functions

  • Oversight of the management and estimation of net patient service revenues related to third party payors and support of balance sheet reserves.

  • Provide leadership and support for all external financial statement audit activity related to third party payor net revenue.

  • Oversight and involvement of all reimbursement related regulatory filings and related audits.

  • Oversight and involvement of the annual budget of third party net patient service revenue.

  • Responsible for the efficient operation of the department along with staff development and training.

  • Provide oversight to external consultants related to specific reimbursement/net revenue related activity.

  • Stays abreast of all commercial regulations and changes that impact net revenue.

  • Communication of key third party reimbursement issues and trends to site operations and executive management.

  • Deep understanding of all aspects of third party reimbursement and bad debt recognition.

Qualifications

Required

  • Bachelor's Degree in Accounting or Finance.

  • 7 years of relevant progressive responsibility experience within reimbursement in a healthcare system.

  • A minimum of 3 years in a leadership role within reimbursement in a healthcare system.

Preferred

  • Medical education experience

Physical Demands

  • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 20 lbs

  • Waist to Waist > 5 lbs: Seldom up to 20 lbs

  • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 20 lbs

  • Waist to Overhead > 5 lbs: Seldom up to 20 lbs

  • Bilateral Carry > 5 lbs: Seldom up to 20 lbs

  • Unilateral Carry > 5 lbs: Seldom up to 20 lbs

  • Pushing Force > 5 lbs: Seldom up to 20 lbs

  • Pulling Force > 5 lbs: Seldom up to 20 lbs

  • Sitting: Frequently

  • Standing: Occasionally

  • Walking: Occasionally

  • Forward Bend - Standing: Seldom

  • Forward Bend - Sitting: Occasionally

  • Trunk Rotation - Standing: Seldom

  • Trunk Rotation - Sitting: Occasionally

  • Reach - Above Shoulder: Seldom

  • Reach - at Shoulder or Below: Seldom

  • Handling: Occasionally

  • Forceful Grip > 5 lbs: Seldom

  • Forceful Pinch > 2 lbs: Seldom

  • Finger/Hand Dexterity: Frequently

  • Visual Acuity ¹[None = No; Seldom = Yes]: Seldom

Primary Location

SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids

Department Name

Reimbursement

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

Variable weekends

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

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