Northeast Ohio HFMA

Anyone wishing to post a job opening, please send job description and contact information to:

Deborah.slogar@uhhospitals.org

216-844-1856
or
 
 
330-256-5740 
LOCAL JOBS
• Posted: 2/4/2020 - Reimbursement Recovery Analyst

https://pm.healthcaresource.com/cs/southwestgeneral#/job/10279

 

 
Southwest General Health Ctr · Managed Care Contracting

Middleburg Heights, OH

FULL-TIME, Days

POSITION INFORMATION:

Position Summary:

The incumbent will manage the inventory of hospital claim denials. He/she will manage the various sources of denials, including, but not limited to, Recovery Audit Contractors, Commercial payer denials and underpayments, Medicare Target, Probe and Educate. Management includes monitoring of inventory, addressing all new denials and routing them to appropriate party for appeal, initiating level three (3) appeals, and educating appropriate hospital staff on denial avoidance. Incumbent has a high level of understanding in reimbursement guidelines specifically an understanding of DRG payment systems.

MINIMUM QUALIFICATIONS:

Education:

Bachelor’s degree required.

Required Length and Type of Experience:

At least two years of experience in a hospital setting or third party audit/recovery company

Required Licensure, Certification or Registry:

None specifically required, RN and/or coding experience preferred

 
• Posted: 2/6/2020 - Senior Contractor, Managed Care Contracting

https://pm.healthcaresource.com/cs/southwestgeneral/#/job/10447


SENIOR CONTRACTOR, MANAGED CARE CONTRACTING

Southwest General Health Ctr · Managed Care Contracting

Middleburg Heights, OH

FULL-TIME, Days, Days

POSITION INFORMATION:

Position Summary:

Working collaboratively with the Director, this position will be responsible for the health center’s managed care relationships and optimizing revenue realization as part of the Managed Care strategy and the organization’s strategic plan as a whole. Under the direction of the Director, incumbent will provide a key leadership role in all phases of the negotiation process for all hospital, physician provider, and ancillary contracts with a wide variety of managed care organizations and third party payers. Coordinates the administrative, legal, operational and financial issues related to contract negotiations. In addition, individual shall function as the single point-of-contact for all on-going contractual and service issues as needed by other hospital personnel including patient accounting, denial management, service line leaders, and case management.

Possesses strong computer and analytical skills, excellent interpersonal, communication and presentation skills. Knowledge of hospital and managed care finance, third party payer contract terms and legal issues, claims payment methodologies and utilization management procedures.

MINIMUM QUALIFICATIONS:

Education:

4-year bachelor degree

Required Length and Type of Experience:
Minimum 5 Years Related Experience in Healthcare Revenue Cycle or Managed Care Contracting Previous payer or provider contracting experience strongly preferred

Required Licensure, Certification or Registry:

None specifically required, RN and/or coding experience will be preferred


 

 
OUT OF STATE
• Posted: 7/7/2020 - Vice President, Finance

Omaha, NE- Nebraska Medicine in Omaha, Nebraska is seeking an experienced finance executive with strong strategic, business and customer service orientation to serve as the system's first Vice President, Finance. In addition to providing leadership in the areas of budgeting, decision support, the controllership function, treasury, purchasing and reimbursement, the Vice President, Finance will support and lead organizational efforts toward systemness and serve as a key strategic partner to the Chief Financial Officer and other system leaders.

Nebraska Medicine is a $1.6 billion academic and community-based health system with nearly 7,400 FTEs. In addition to the 718-bed academic medical center and a 91-bed community hospital, the organization includes an integrated faculty practice plan of over 1,000 physicians and a large ambulatory platform. Nebraska Medicine enjoys strong philanthropic support, boasts top decile safety outcomes and is embarking upon a nearly $2 billion campus renovation. To ensure the organization can be successful long term, more focused efforts around standardization and efficiency will be required to drive down the overall cost of care.

Reporting to the Chief Financial Officer, the Vice President, Finance is a newly-created position that will function as a number-two finance executive for the organization. The successful candidate will bring solid expertise in all areas of finance and accounting; a system mindset developed within complex, multi-faceted organizations; an understanding of clinical operations in addition to finance; experience with portfolio management, capital allocation and creative financial strategies; a strong commitment to team and talent development and the ability to effectively translate and present information to board members, providers, leadership and other key stakeholders to ensure an appropriate level of understanding and financial acumen across the organization.

The ideal candidate will bring experience in complex integrated delivery systems with large employed or closely-affiliated physician networks, along with an understanding of academic funds flow, grants management and physician compensation arrangements. Other backgrounds will also be seriously considered.

If you have interest or a recommendation of others, please contact Michelle Johnson, Karen Otto, or Megan Welch at 630-575-6904 or NebraskaMedVPFinance@wittkieffer.com.

 

 

 

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