Regional Manager Pre-Service Access (Central Scheduling-Mid Atlantic)

TL;DR

Regional Manager Pre-Service Access (Central Scheduling-Mid Atlantic): Provides consultation, leadership and managerial direction to the reimbursement function for multiple RHMs exceeding $600 million in net revenue with an accent on net revenue calculations, filing cost reports, third-party audits and reporting. Focus on identifying financial and compliance risks, developing risk management plans, managing projects and building relationships with executive leaders.

Remote within Mid-Atlantic region (Pennsylvania, New York, Delaware). Must be able to travel to hirify.global sites (20%).

Salary Range: $36.3426-$54.5140 (hourly)

Company

hirify.global is a national Catholic health system operating multiple Regional Health Ministries (RHMs).

What you will do

• Manage financial and compliance risks associated with reimbursement function and implement risk management plans.
• Oversee regional and system-wide project initiatives, define plans, monitor team assignments and ensure deliverables.
• Prepare net revenue calculations, budgeted net revenue, cost reports and third-party filings for RHMs.
• Handle third-party audits, resolve issues, support appeals and reconcile general ledger for payments and settlements.
• Provide education, consultation and expertise on reimbursement strategies to staff and represent RHMs with external agencies like CMS.
• Develop relationships with executive leaders, facilitate meetings and prepare operational/financial metrics and reports.

Requirements

• Central Scheduling experience in hospital outpatient scheduling required.
• Call Center operations experience required.
• Bachelor’s degree in Accounting or Finance (Master’s preferred); CPA preferred.
• 7-10 years progressively responsible experience in healthcare reimbursement or general finance, including management.
• Experience researching complex reimbursement issues with strong analytical, problem-solving and project management skills.
• Advanced proficiency in Microsoft Office suite; strong communication, interpersonal and organizational skills.
• Ability to work in matrix structure, travel 20% and handle confidential information.

Nice to have

• Experience with Epic and Cisco call center software.
• Patient Access hospital site operation experience.
• Experience preparing analytical reports and workforce management.

Culture & Benefits

• Incorporate hirify.global Mission, Vision and Values in daily practices.
• Collaborative, shared leadership environment emphasizing honesty, integrity and motivation.
• Equal Opportunity Employer committed to diversity and person-centered care.
• Fast-paced setting with varied hours, changing priorities and office environment.