Description

Job Summary

Reporting to the Senior Vice President, Health Finance and Managed Care, the Assistant Director, Health Finance and Revenue Cycle will help GNYHA member institutions navigate a broad range of revenue cycle operations and policy issues. The successful candidate will provide technical assistance and resolve questions about billing and reimbursement for all payer lines of business, including Medicare, Medicaid and commercial health insurance. This role will also support broader advocacy on state and federal insurance and managed care policy issues.

Responsibilities:

• Establish strong working relationships with revenue cycle departments at member hospitals.
• Research and provide guidance on discrete member billing and reimbursement questions and challenges.
• Monitor regulatory developments and evolving reimbursement landscape for all lines of business, including Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, Commercial, Employer, Essential Plan, and Qualified Health Plans.
• Review and analyze proposed and final regulations and policies, identify their member impact, and prepare written and oral communications to ensure membership is aware of new and changing regulatory requirements.  Examples of state and federal laws with revenue cycle implications include Federal No Surprises Act and Hospital Price Transparency, and NYS Hospital Financial Assistance Law.
• Draft policy and operational communications for various audiences including GNYHA member institutions and regulators
• Track technological developments and requirements relevant to the life cycle of a claim, including, for example, regulatory requirements for provider Application Programming Interfaces (APIs).
• Help represent GNYHA and member institutions in policy forums where revenue cycle operations are being shaped.

Required Qualifications:

• Bachelor’s degree in public health, health care administration or a related field.
• Professional experience in hospital finance, reimbursement or operations.
• Knowledge of regulations relevant to hospital billing of government and commercial payers.
• Strong understanding of the health care regulatory framework.
• Superior written and oral communication skills, including the ability to convey technical content in a non-technical manner
• Exceptional critical thinking skills
• Demonstrated ability to analyze regulations and government guidance
• Ability to work independently and collaboratively while managing multiple deadlines and adapting to shifting project priorities.
• Highly organized and detail oriented

Preferred Qualifications:

• Master’s degree in public health, healthcare administration, business, finance or a related field.
• Experience in payer-side revenue cycle operations.

Salary Range: $110,000 - $130,000

The salary range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining exact compensation, several factors may be considered as applicable (e.g., years of relevant experience, education, skills, budget, and internal equity).

Benefits and Perks: Comprehensive benefits package and perks including, but not limited to:

• Defined contribution 401(k) plan with nonelective employer contributions and employer match of employee’s elective contributions
• Paid parental leave
• Health/vision insurance, including options with employer-subsidized health savings account
• Generous paid time off that increases over time and holidays including one annual floating holiday
• Dental insurance
• Company-paid life insurance
• Health advocacy and employee assistance program
• Fully sponsored membership in healthcare professional society
• Tuition reimbursement program
• Employee discount programs
• Commuter benefits program
• Casual dress code

Work Schedule: A hybrid model with the expectation to work physically in our office Tuesdays, Wednesdays, and Thursdays as mandatory in-office days with a fourth in-office day at your discretion, in coordination with your supervisor and in accordance with the business needs of your department. This schedule may be subject to change in GNYHA’s sole discretion. This is a full-time position.

Work Authorization: This position is not eligible for employment visa sponsorship now or in the future. All candidates must be legally authorized to work in the United States without employer sponsorship.

To be considered, applicants must submit a cover letter with their application. If you require reasonable accommodation to complete a job application, pre-employment testing, job interview or to otherwise participate in the hiring process, please contact GNYHA’s Recruitment team at recruiting@gnyha.org.