Accounting Director - Government Reimbursement

We are so glad you are interested in joining Sutter Health!

Organization:

Position Overview:

Job Description

***Please Note: While this position is listed as hybrid, regular in-office attendance is required. Candidates should be prepared to commute to the Sacramento office on a consistent basis to support team collaboration and business needs.***

EDUCATION:

• Bachelor's: Accounting, Finance, Business Administration or related field

TYPICAL EXPERIENCE:

• 12 years recent relevant experience.

PREFERRED EXPERIENCE:

• Extensive experience with Medicare and Medicaid reimbursement methodologies, including cost reporting, wage index strategies, Graduate Medical Education (GME), Disproportionate Share Hospital (DSH), Uncompensated Care, supplemental payment programs, and regulatory reimbursement analysis.
• Experience leading reimbursement strategy for a large integrated healthcare system, multi-hospital health system, academic medical center, or healthcare consulting organization.
• Demonstrated success identifying, quantifying, and implementing reimbursement optimization initiatives resulting in significant financial improvement while maintaining regulatory compliance.
• Experience evaluating federal and state regulatory changes, including CMS proposed and final rules, and translating complex reimbursement requirements into financial impact assessments and executive-level recommendations.
• Proven experience overseeing Medicare and Medicaid cost reporting, regulatory filings, reimbursement audits, appeals, settlements, and governmental agency interactions.
• Experience developing reimbursement analytics, financial models, forecasting methodologies, and decision-support tools used for executive planning and strategic initiatives.
• Experience leading financial due diligence, reimbursement assessments, mergers and acquisitions support, hospital affiliations, service-line evaluations, or other strategic healthcare growth initiatives preferred.
• Prior experience with California healthcare reimbursement programs, HCAI reporting requirements, Medi-Cal reimbursement methodologies, and state-specific healthcare regulatory programs strongly preferred.
• Experience working with healthcare reimbursement consulting firms, governmental agencies, external auditors, legal counsel, and industry associations preferred.

SKILLS AND KNOWLEDGE:

• Working knowledge of accounting and/or finance operations.
• Working knowledge of basic principles and methods of accounting, auditing and financial reporting, including generally accepted accounting principles (GAAP).
• Understands the business and service organization best practices.
• Strategic skills for reviewing processes and strategies to ensure successful alignment with business needs and for identifying improvement opportunities
• Analytical skills with proven ability to resolve issues/problems by leveraging business and functional knowledge and client relationships.
• Ability to manage projects from inception to successful implementation.
• Ability to operate strategically and tactically.
• Demonstrates credible leadership presence, with the ability to respond to questions with logic, clarity, calmness and authority.
• Ability to influence others by persuasion, negotiation, and problem solving, and to move others to recognize and appreciate different points of view and to consider/accept alternative options.
• Collaborative working style to facilitate open sharing of information and cooperation with various project participants and/or stakeholders.
• Demonstrates a proactive approach to identifying and resolving issues to manage/minimize risks.
• Ability to interact and maintain effective working relationships with those contacted in the performance of role’s duties while respecting cultural and linguistic differences and fostering an inclusive work environment.
• Ability to communicate through verbal and written means, and to present concepts and information in a manner that is readily understood by management and employees.
• Organization and planning skills to effectively delegate, manage and/or re-prioritize activities and projects to meet deadlines wihle maintaining a high degree of responsiveness.
• Ability to work effectively in a dynamic and fast-paced environment with changing business priorities.
• Displays integrity and ethics in handling confidential and sensitive information.
• Ability to use essential applications and/or databases associated with the role’s duties and responsibilities.

These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).

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Employee Status:

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.