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Location: Cambridge, MA
Job ID: 173568-1A
Date Posted: Jan 21, 2022
Welcome to Beth Israel Lahey Health. We are a new health care system that brings together academic medical centers and teaching hospitals, community and specialty hospitals, more than 4,000 physicians and 35,000 employees in a shared mission to expand access to great care and advance the science and practice of medicine through groundbreaking research and education.
About the Job
The Vice President of Revenue Analysis and Regulatory Reporting is responsible for the full range of A/R and Net Patient Service analysis, all regulatory reporting and analytical functions: cost reporting, audit, interim rate and settlement calculation, net revenue preparation and analysis, analyst training, and various special projects across all of Beth Israel Lahey Health. This position will supervise, train and develop the staff, manage projects and work closely with all members of the BILH Reimbursement and Revenue Analysis work team, including the BILH EVP/CFO, individual facilities' CFOs and/or VP of Finance, as well as other Finance and Clinical personnel. As a member of the organization's management team, performance includes demonstration of the following leadership competencies: Demonstrates Ownership, Creates Improvement and Innovation, Creates Work Environment Marked by Pride/Joy, Manages Financial Performance, Builds Bridges/Collaborates, Adaptability and Integrity and Trust.
The following statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities and skills required of this position.
1.Lead the team that develops the monthly patient revenue ($5.5B in annual revenue) models and the reporting of monthly accounts receivable balances ($540.0M in total patient A/R) for all of BILH to assure consistent methodologies and assumptions. Manage and monitor all BILH third party liability accounts ($100M). (essential)
2.Lead the team that maintains the budgeted net revenue model for all of BILH to assure accuracy and consistency. On a monthly basis provide senior management with analysis of net revenue variances for applicable entities within BILH. Work closely with the BILH CFO on developing the corporate office operating budget and then work with each applicable business unit/Department. (essential)
3.At year-end work closely with the external audit team on all revenue, AR and third party liability audit review. Work closely with the Corporate Compliance Department on all audit findings. (essential)
4.Lead the team and work closely with internal and external legal support on all regulatory appeals with CMS and the State of MA. (essential)
5.Work closely with MHA on regulatory issues impacting BILH. Provide the financial analysis for each BILH facility and provide commentary when necessary and applicable. (essential)
6.Compilation and assimilation of financial and statistical data and analysis necessary for the completion of state and federal cost reports, rate reviews, audits, and appeals for all BILH facilities. (essential)
7.Assuring accuracy and integrity of all data compiled for external reporting including the Mass State uncompensated care reporting requirements. Maintain thorough understanding of relevant regulatory and legislative requirements and developments. (essential)
8.Use sophisticated and thorough knowledge of reimbursement principles to prepare complex analyses to support BILH decision-making. Provide impact analysis to BILH Management of all regulatory (CMS and State of MA) rate changes (ex: CMS IPPS, CMS OPPS and Medicaid RFA). (essential)
9.1Lead the team that manages the payor contract management systems for all of BILH. Actively participate in BILH system-wide revenue enhancement projects. Lead development of ROI and/or priority based capital budgeting strategy. (essential)
10.Provide financial analysis support for the Chief Integration Officer and the Chief Strategy Officer on projects impacting the BILH System. (essential)
11.Has the responsibility to lead and support managers and directors in developing and improving operations to create optimal performance levels. Direct Reports: More than 7 Indirect Reports: 21-50
12.Has full responsibility for planning, monitoring and managing budgets for a center, institution or vice presidential unit.
1.Bachelor's degree in Accounting or Finance required. Master's degree preferred.
2.More than 10 years related work experience required and More than 10 yrs supervisory/management experience required
3.Minimum of 15 years reimbursement experience and demonstrated high-caliber analytical ability.
4.Healthcare reimbursement experience. Must be able to demonstrate knowledge of all aspects of Medicare reimbursement principles. The candidate must be able to demonstrate knowledge of State reimbursement environment.
5.Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.
Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve. Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health. Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.
Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.