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This position is incentive eligible.Introduction
Do you want to join an organization that invests in you as a(an) Division Director Reimbursement? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
BenefitsHCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Division Director Reimbursement like you to be a part of our team.
Job Summary and QualificationsAssist hospitals to obtain appropriate reimbursement from the Medicare and Medicaid programs by analyzing new service opportunities. Responsible to assure that hospitals understand data requirements for Medicare cost reporting and accounting. Serves as a resource to hospital and the Division Office operations for reimbursement and government program questions. May require visiting hospitals to gather information related to 855 filings, provider based attestations, site of service Masterfile maintenance, training new finance employees on exhibit preparation, assisting in the monthly close process, assisting hospitals in the budget preparation of contractuals and meetings with MAC and state auditors who perform periodic hospital audits. Will attend state Medicaid meetings and other task force meetings as a representative of HCA and/or the hospitals within the particular state. Keep apprised of Medicaid reimbursement policy and insure any state survey or application used to distribute Medicaid DSH and/or Supplemental payments is filed accurately and timely.
GENERAL RESPONSIBILITIES
Perform feasibility analysis and/or due diligence related to Medicare/Medicaid reimbursement for syndications, purchase/sales and mergers of hospitals, establishment of skilled nursing facilities and establishment of distinct part units. Implement or coordinate the implementation of third party accounting system and ensure it is maintained and identify documentation necessary for completion of annual cost report for all new hospitals.
Provide hospital management teams with education related to new inpatient units and other outpatient entities. Coordinate geographic reclassifications along with the filing of Provider Based Attestations. Evaluate profitability of hospital operations and single service lines. Communicate with the Reporting Directors and coordinate any changes in operations that could have a material effect on conversion factors. Assist hospital and Division CFO in review of contractual adjustment budgets. Assist with month end close as needed.
The Division Director will also be responsible for completion of Various HCA Home Office Pooled and functional workpaper sets as assigned by the Managing Director.
Meet with outside CPA firms who are now required to render independent audits on a yearly basis of hospital data utilized in the state DSH programs for comparison to state DSH HSL limits. Provide assistance to hospital management team and Parallon SSC in filing and completing the Medicaid Provider Enrollment renewals.
Federal regulations are rapidly changing in areas dictated by the rules under the Accountable Care Act and other changes occurring in Medicare regulations such as DSH, ACO’s and value based purchasing. The Division Directors of Reimbursement are responsible for educating the hospitals and working with the Divisions to implement the ACA requirements along with determining the financial effects of the regulations.
Monitor all changes in Medicaid and Tricare reimbursement and communicate to hospitals, division office and cost report preparation staff.
Reimbursement takes an active role in state Medicaid committees representing proprietary hospitals. Generally, Reimbursement personnel are located in cities that allow them quick access to committee meetings held with state healthcare officials.
Division Directors assist with Medicaid DSH and other supplemental payment application submissions and audits.
File geographic reclassifications. Ensure that the hospitals are maintaining the documentation and statistical information for completion of their annual cost report.
Assist with Hospital Hi-Tech Audits.
The Division Director works with GME program directors and the reimbursement Managing Director of GME to insure FTE’s are properly counted, Resident faculty contracts are properly signed, affiliation agreements are in place by July, 1st of each program year and make sure all residents are counted in their proper program category and resident year for cost reporting purposes.
Education & Experience
7 years of related work experience required
Bachelors degree required
The Reimbursement Division Director is generally located in their respective Division office but is not considered division operations personnel.
HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Division Director Reimbursement opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
