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Director, Reimbursement and Financing

Director, Reimbursement and Financing

Connecticut Hospital Association

Wallingford, CT - United States

WittKieffer is proud to partner with the Connecticut Hospital Association (CHA) to conduct the national search for its next Director, Reimbursement and Financing. This is an exciting opportunity to join an organization dedicated to providing state and national advocacy for its more than 100 institutional members.

CHA is one of the most diverse and respected hospital associations in the nation and has earned a reputation for innovation in advancing statewide patient safety, quality, and community and health equity initiatives. From its Wallingford, Connecticut location, CHA’s staff of approximately 50 dedicated professional employees provide a wide range of services to its members.

Reporting to the Vice President, System Innovation and Financing, the Director, Reimbursement and Financing will work directly with senior health system financial executives in finance, policy, and reimbursement discussions. Additionally, they are charged with building relationships with member hospitals and engaging with them regularly, one-on-one, as a member of an internal team, and in committee meetings. They will develop and validate the numbers and respond quickly to member questions and deal effectively with a broad range of issues including wage index, occupational mix, rate appeals, and hospital taxation.

The successful Director, Reimbursement and Financing candidate will:

Serve as subject matter expert and primary resource person for CHA membership on a broad range of federal and state financial and reimbursement policy issues including IPPS, OPPS, IPF, IRF, etc.
Provide guidance and day-to-day assistance to member hospitals/health systems with coding/billing, reimbursement, rate appeal, financial reporting, government and third-party audits, managed care, and compliance issues and support the VP, System Innovation and Financing on initiatives related to the Healthcare Financing Committee of the CHA Board and various subcommittees.
Identify and recommend risk-reduction actions related to regulatory practices or insurance practices that would negatively impact hospital reimbursement, e.g. practices that exclude or limit coverage when a hospital is the site of service, facility fee/surprise billing issues, uncompensated care calculation, etc.
Work closely with CHA staff to guide and educate those engaged in analyzing and implementing advocacy strategy and initiatives; work with Government Relations and ChimeData teams to respond to needs for financial information and analyses needed for annual Legislative Session.
Research and analyze proposals for potential healthcare policy changes; interpret the potential impact of various health reform issues on members; e.g. alternative payment models, horizontal/vertical integration of health systems, transparency and accountability, hospital/health system taxation, etc.

The preferred candidates will possess a Master’s degree with a specialization in a discipline related to hospital/health system finance, healthcare administration, or other relevant healthcare discipline. Additionally, a minimum of 6-8 years of healthcare experience, including direct experience working in a hospital or health system.

Please direct all applications, inquiries, and nominations to Tom Quinn or Ethan Robles using the WittKieffer Candidate Portal by clicking the buttons below or via email, at: [email protected]. The Candidate Portal is a secure, easy way to nominate a colleague, express interest, or apply for a position.

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