Talent.com
Director, Government Reimbursement
Director, Government ReimbursementEnsemble Health Partners • Wichita, KS, US
Director, Government Reimbursement

Director, Government Reimbursement

Ensemble Health Partners • Wichita, KS, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Consultancy Role In Healthcare Reimbursement

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose :

  • Customer Obsession : Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
  • Embracing New Ideas : Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
  • Striving for Excellence : Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity :

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

This role will serve in a consultancy capacity, advising our clientslarge health systemsin managing and optimizing healthcare reimbursement processes, focusing on Medicare, Medicaid, Disproportionate Share Hospital (DSH) programs, Medicaid Directed Payment programs, and 340B drug pricing and reimbursement. Additionally, this position provides key support in the preparation and analysis of Medicare cost reports, ensuring compliance with federal regulations and maximizing financial performance for healthcare providers.

Essential Job Functions

  • Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
  • Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.
  • Assist in gathering and analyzing data for the preparation of Medicare cost reports, ensuring accurate reflection of hospital costs for reimbursement optimization.
  • Provide expert advice on reimbursement strategies for governmental lines of business, including Medicaid and Tricare
  • Support 340B program compliance, eligibility, and ensure correct billing processes.
  • Analyze hospital eligibility for DSH payments, assess financial impact, and ensure complete and accurate capture of Medicaid days and other considerations.
  • Monitor Medicaid Directed Payment programs, optimizing revenue opportunities for participating providers.
  • Serve as a trusted advisor to clients, offering strategic insights and recommendations on reimbursement-related matters.
  • Maintain expert-level knowledge of state and federal healthcare reimbursement policies, ensuring strict compliance with CMS guidelines, Medicaid Managed Care rules, and HRSA 340B program regulations.
  • Assist healthcare providers in navigating reimbursement complexities, including audits, appeals, and compliance inquiries.
  • Analyze financial data to identify trends and areas for improvement in the reimbursement process.
  • Build and maintain strong relationships with payers, government agencies, and other stakeholders.
  • Provide guidance and training to client staff on reimbursement regulations and best practices.
  • Job Competencies

  • Leadership Decision Making - Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results.
  • Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers.
  • Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement.
  • Executive Communication - Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others' attention (appropriate, impactful, and clear).
  • Program / Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion / implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results.
  • Other Preferred Knowledge, Skills and Abilities

  • Strong analytical, communication, and negotiation skills.
  • Ability to work effectively in a fast-paced and ever-changing environment.
  • CPA Licensed
  • This position pays between $134,000- $200,000 based on relevant years of experience.

    Join an award-winning company

  • Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
  • Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
  • 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
  • Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
  • Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
  • Energage Top Workplaces USA 2022-2024
  • Fortune Media Best Workplaces in Healthcare 2024
  • Monster Top Workplace for Remote Work 2024
  • Great Place to Work certified 2023-2024
  • Innovation
  • Work-Life Flexibility
  • Leadership
  • Purpose + Values
  • Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include :

  • Associate Benefits We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
  • Our Culture Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
  • Growth We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
  • Recognition We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
  • Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

    Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.

    This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.

    serp_jobs.job_alerts.create_a_job

    Director Government • Wichita, KS, US

    Job_description.internal_linking.related_jobs
    Assistant Director of Financial Aid

    Assistant Director of Financial Aid

    Newman University • Wichita, KS, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    The Assistant Director of Financial Aid serves as a key member of the enrollment management team.Responsibilities include overseeing advising students on application procedures, awarding, verifying...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Product Director, Payroll

    Product Director, Payroll

    Remote • Wichita, KS, US
    serp_jobs.job_card.full_time
    This is an exciting time to join Remote and make a personal difference in the global employment space joining our Product team as a Director of Product, Payroll. You'll have a massive impact on our ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Manager, Clinical Services

    Manager, Clinical Services

    Davita Inc. • Wichita, KS, United States
    serp_jobs.job_card.full_time
    N Topeka St, Wichita, Kansas, 67214-3620, United States of America.Describe the primary purpose or scope of the job.What must be accomplished and why it is performed. The primary purpose of the Clin...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Commercial MRB Approval Analysis

    Commercial MRB Approval Analysis

    Spirit AeroSystems • Wichita, KS, United States
    serp_jobs.job_card.full_time
    Spirit AeroSystems designs and builds aerostructures for both commercial and defense customers.With headquarters in Wichita, Kansas, Spirit operates sites in the U. The company's core products inclu...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Manager, Payment Integrity

    Manager, Payment Integrity

    PacificSource • Wichita, KS, US
    serp_jobs.job_card.full_time
    Looking for a way to make an impact and help people?.Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer.All qualified applicants...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    AIM 28 Business Modernization Senior Director

    AIM 28 Business Modernization Senior Director

    McKesson • Wichita, KS, US
    serp_jobs.job_card.full_time
    AIM 28 Business Modernization Senior Director.McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Claims Specialist - Rideshare Commercial Claims PIP and Medical Payment Adjuster

    Claims Specialist - Rideshare Commercial Claims PIP and Medical Payment Adjuster

    Liberty Mutual Insurance Group • Wichita, KS, US
    serp_jobs.job_card.full_time
    At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach optimizes both remote and in-person interactions, enabling you to connect and...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Director of Nursing - Registered Nurse (RN) - R29397

    Director of Nursing - Registered Nurse (RN) - R29397

    Presbyterian Manors of Mid America • Newton, KS, United States
    serp_jobs.job_card.full_time
    Start Your Career Today! Apply Online at www.Inquire with our office at 316-281-4363.Excellent Benefits Listed Below!.This culture starts with our friendly team members. Everything we do is about pr...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Local Contract Emergency Department RN - $45-49 per hour

    Local Contract Emergency Department RN - $45-49 per hour

    Host Healthcare • Wichita, KS, United States
    serp_jobs.job_card.full_time
    Host Healthcare is seeking a local contract nurse RN ED - Emergency Department for a local contract nursing job in Wichita, Kansas. Job Description & Requirements.Host Healthcare Job ID #La1fVJ00000...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Senior Manager, Regulatory Affairs (Biosimilars)

    Senior Manager, Regulatory Affairs (Biosimilars)

    Fresenius Kabi USA, LLC • Wichita, KS, United States
    serp_jobs.job_card.full_time
    The Senior Manager, Regulatory Affairs delivers Regulatory Affairs and compliance guidance and strategic input as a subject matter expert in Biosimilar Development and Life Cycle Management to find...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    DIRECTOR, PATIENT OBSERVATION - HEALTHCARE

    DIRECTOR, PATIENT OBSERVATION - HEALTHCARE

    Compass Group • Wichita, KS, US
    serp_jobs.job_card.full_time
    Director Of Constant Observation.Salary : $75,000-90,000 per year.Schedule : Full time; Monday through Friday.More details are available upon interview. TouchPoint, Support Services, provides customer...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Associate Director - Recovery Home

    Associate Director - Recovery Home

    The Salvation Army USA Central Territory • Wichita, KS, United States
    serp_jobs.job_card.full_time
    The Recovery Home Associate Director will have the opportunity to shape the program and inspire a transformative journey for individuals battling addiction. The Recovery Home Associate Director will...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Physician / Medical Director / Kansas / Locum or Permanent / Medical Director Psychiatrist opportuni

    Physician / Medical Director / Kansas / Locum or Permanent / Medical Director Psychiatrist opportuni

    GO Staffing • Wichita, KS, US
    serp_jobs.job_card.full_time
    A great group in the Wichita, KS area is looking for a Psychiatrist for a Medical Director position!Monday-Friday schedule. Mostly Admin work but may work 1 day of week of patient care.Must be an ex...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Emergency Department RN

    Travel Emergency Department RN

    The Good Life MedStaff • Wichita, KS, US
    serp_jobs.job_card.full_time
    The Good Life MedStaff is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Wichita, Kansas. Job Description & Requirements.The Good Life MedStaff Job ID #34949097....serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Remote Medical Revenue Cycle Manager -Facility

    Remote Medical Revenue Cycle Manager -Facility

    MedHQ, LLC • Wichita, KS, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Hospital / Facility Revenue Cycle Manager Reports to : Director of Facility operations Location : Remote Trajectory RCS joined the MedHQ family in the beginning of 2024 after enjoying 10 years as a wel...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    DIRECTOR, PATIENT OBSERVATION - HEALTHCARE

    DIRECTOR, PATIENT OBSERVATION - HEALTHCARE

    Kansas Staffing • Wichita, KS, US
    serp_jobs.job_card.full_time
    Director Of Constant Observation.Salary : $75,000-90,000 per year Other Forms of Compensation : Bonus eligible! Schedule : Full time. Monday through Friday.More details are available upon interview.To...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Director of Development-South Central Area Command

    Director of Development-South Central Area Command

    Salvation Army Central Territory • Wichita, KS, US
    serp_jobs.job_card.full_time
    Provide development, fundraising, and public relations leadership to the South Central Area Command (SCAC) of The Salvation Army Kansas & Western Missouri Division. Provide business intelligence to ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Health Specialist (Temporary and Remote)

    Health Specialist (Temporary and Remote)

    MAXIMUS • Wichita, KS, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Maximus is looking to fill a limited service (Temp) Health Specialist position.The Health Specialist role is to provide advanced and accurate clinical inquiry responses to health related, disease c...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted