Search for Director roles in Corporate Reimbursement based in Oceanport, NJ, with a focus on Medicare and Medicaid regulations, requiring at least 10 years of experience, for hybrid work settings, and a salary range from $144,000 to $210,000.

Okay, I've searched for Director roles in Corporate Reimbursement located in Oceanport, NJ, focusing on Medicare and Medicaid regulations, requiring 10+ years of experience, with a hybrid work setting and a salary range of $144,000 to$ 210,000. I found 27 positions for you.

Director

Oceanport, NJ

10 years + Experience

Hybrid

$144000+

$210000-

Can you help me to analyze the job description and company culture?

Sure. Here's the analysis:

Job Analysis:

The role of Director of Corporate Reimbursement is pivotal within RWJBarnabas Health, primarily tasked with ensuring the effective management of Medicare and Medicaid reimbursement processes across multiple hospitals within the system. The successful candidate will lead efforts in preparing and reviewing cost reports while developing strategies that optimize revenue from these essential government programs. This is not only a technical role but also one that requires high-level collaboration with finance teams and regulatory agencies, making strong interpersonal skills and a detailed understanding of reimbursement policies critical components of success. Given that the healthcare landscape is constantly changing with evolving regulations, the Director must be adaptable and proactive, continuously monitoring external trends that could impact reimbursement structures. Success in this role will be characterized by the accuracy of reporting, effective management of financial resources, and the ability to foster positive relationships across departments, ultimately supporting the organization’s mission to deliver high-quality healthcare while maintaining financial viability.

Company Analysis:

RWJBarnabas Health operates within the competitive healthcare sector, recognized as a leading health system in New Jersey and noted for its patient-centered approach to high-quality academic medicine. This position is instrumental in supporting the organization's financial health, which is crucial as the system aims to expand its services and enhance community health through improved access to care. The company's culture likely reflects a commitment to innovation, collaboration, and excellence, values that underscore their mission to serve diverse communities. For someone in the Director role, understanding and embodying these values will be vital, as they work not only to optimize reimbursement practices but also to align these financial strategies with larger organizational goals. The hybrid work model indicates a modern approach to work-life balance, suggesting the company values adaptability and respects employees' needs. Strategic alignment for this role is evident as RWJBarnabas Health seeks continual improvement and responsibility in regulatory compliance, indicating a backfill and enhancement strategy in managing healthcare reimbursement in a rapidly changing environment.

Mock up some interview questions based on the job description.

Absolutely. Here are some mock interview questions that could come up:

Tell me about a time when you had to navigate complex Medicare or Medicaid regulations to optimize reimbursement for your organization.
Describe a situation where you had to implement a new reimbursement strategy. How did you go about it, and what was the outcome?
Can you share an experience where you effectively managed a team to meet tight deadlines on crucial financial reporting?
How have you proactively approached the incorporation of regulatory changes within your previous roles?
How would you prepare and present Medicare and Medicaid cost reports to ensure stakeholder understanding and compliance?
What tools or methodologies have you employed in the past to monitor and analyze reimbursement trends?
Describe how you would handle a discrepancy in a cost report that could significantly impact hospital revenue.
Imagine you are faced with conflicting priorities from different department heads regarding reimbursement strategies. How would you address it?
Why are you interested in working at RWJBarnabas Health specifically, and how do your values align with our mission?
What do you believe is the biggest challenge facing organizations in managing Medicare and Medicaid reimbursements today?
Can you explain your approach to building long-term relationships with team members and stakeholders in a complex organization?
What additional resources or support could help you succeed in optimizing reimbursement processes at RWJBarnabas Health?
How do you stay updated on regulatory changes in Medicare and Medicaid reimbursement, and can you give an example of how this has impacted your work?
What opportunities for improvement do you see in current reimbursement practices in healthcare, particularly within New Jersey?

Job Details

Overview Company

Director, Corporate Reimbursement

$144.5k/y-$209.5k/y

Lensa

25 days ago

Highlight

HybridFull-time10+ yearsDirector

Summary

RWJBarnabas Health is seeking a Director, Corporate Reimbursement (Hybrid/Remote) to join their team in Oceanport, NJ. The role involves providing Medicare and Medicaid reimbursement support and implementing government payment strategies across all RWJBarnabas Health hospitals.

About the Role

As the Director, Corporate Reimbursement, you will serve as a key resource to department leadership for Medicare and Medicaid reimbursement support. Responsibilities include planning, preparing, and reviewing annual Medicare/Medicaid cost reports, managing DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification projects, and assessing participation in state-level supplemental payments programs. You will also oversee the accurate determination of third-party receivables/payables, ensuring revenue and receivables reporting complies with GAAP, and promote a positive atmosphere with a high degree of customer service orientation.

About You

Required:

BS/BA in Accounting, Finance, or Health Administration.
Minimum of 10 years of experience interpreting Medicare and Medicaid payment regulations.
Expert level of knowledge of Medicare and Medicaid regulation and payment rules.
Ability to interpret Medicare and Medicaid payment regulations and develop processes to ensure hospitals are reimbursed for all programs and services.
Proficiency in Microsoft Office applications (Excel, Word).

Preferred:

HFMA Certification.

Benefits

Paid Time Off (PTO)
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Retirement Plans
Short- & Long-Term Disability
Life & Accidental Death Insurance
Tuition Reimbursement
Health Care/Dependent Care Flexible Spending Accounts
Wellness Programs
Voluntary Benefits (e.g., Pet Insurance)
Discounts through partners, such as NJ Devils, NJ PAC, Verizon, and more.

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Oceanport, NJ