Senior Director of Reimbursement | PAM Health Corporate
PAM Health Corporate Office
Enola, PA
Permanent
Full-time
2 hours ago
Overview: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. Responsibilities:
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.
Qualifications:
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.
About PAM Health:PAM HEALTH (PAM) based in Enola, Pennsylvania, provides specialty healthcare services through more than 80 locations, as well as wound clinics and outpatient physical therapy locations, in 17 states. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. Its mission is to serve people by providing compassionate, expert care, and to support recovery through education and research. Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program. We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at for a comprehensive look at how we're able to positively impact our local communities.PAM Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.