Senior Director Hospital and Professional Revenue Recognition and Governmental Reimbursement
Core
Provides enterprise-wide strategic leadership for patient service revenue recognition and governmental reimbursement across hospitals, physician practices, and specialty businesses.
Role type
Senior Director, Revenue Recognition and Governmental Reimbursement
Builds
Enterprise revenue strategies, regulatory compliance frameworks, and advanced analytics tools for financial insights.
Domain
Healthcare Finance / Governmental Reimbursement
Deliverable
production ML models | dashboards & analysis | client delivery
Required skills
Strategic leadership, GAAP compliance, advanced analytics, regulatory interpretation, team development, financial modeling, merger/acquisition due diligence
Preferred skills
Master's degree, advanced modeling platforms expertise
Technologies
Automation tools, predictive modeling platforms, dashboarding tools
Responsibilities
Ensure integrity of net patient service revenue and third-party settlement estimates per GAAP; Lead development of advanced analytics for revenue trends and denial drivers; Monitor evolving federal/state reimbursement regulations and translate into strategy; Synthesize regulatory changes into executive-level insights; Oversee third-party cost reports and payer interactions including audits and appeals; Provide guidance on graduate medical education reimbursement; Advise on regulatory/legislative changes and policy influence; Build high-performing teams via talent management and succession planning; Champion adoption of revenue analytics technologies; Provide expertise on reimbursement implications for M&A and new business models.
Seniority
Senior Director, strategic leadership & team management