The Corporate Director of Reimbursement is responsible for supporting the strategic and operational functions of reimbursement across PAM Health’s LTACH, IRF, and behavioral health hospitals. This role works closely with the Vice President of Reimbursement to oversee Medicare and Medicaid cost reporting, ensure compliance with CMS payment regulations, and manage reimbursement-related analytics and reporting across the organization.

• Support the preparation and submission of Medicare and Medicaid cost reports for all facilities.
• Ensure reimbursement methodologies comply with CMS regulations, including LTCH PPS, IRF PPS, and IPF PPS.
• Conduct reimbursement impact analyses on program development, census shifts, and case mix changes.
• Prepare financial modeling and analytical support for managed care negotiations and payer performance reviews.
• Coordinate audit responses and data requests from Medicare Administrative Contractors (MACs) and state agencies.
• Monitor regulatory changes impacting reimbursement and assist in implementing necessary changes.
• Develop and maintain reimbursement-related reporting tools and dashboards for executive and operational teams.
• Collaborate with facility finance and operational leadership to provide education and guidance on reimbursement best practices.
• Support the Vice President in special projects, forecasting, and strategic planning initiatives.
• Lead and mentor reimbursement analysts or team members within the department.

• Bachelor’s degree in Finance, Accounting, Healthcare Administration, or related field (Master’s preferred).
• Minimum 5–7 years of experience in healthcare reimbursement, with specific knowledge of LTACH, IRF, and behavioral health payment systems.
• Proficient in Medicare/Medicaid cost reporting and understanding of CMS PPS methodologies.
• Experience with payer contracting and financial impact modeling is preferred.
• Strong analytical and problem-solving skills; highly proficient in Excel and data reporting tools.
• Excellent organizational, communication, and project management skills.