Vanderbilt Univ Medical Center - Nashville, TN
posted 3 months ago
The primary purpose of this position is to lead the most advanced analysis of strategic and financial matters related to Revenue and Reimbursement Strategy at Vanderbilt University Medical Center (VUMC). This role is crucial in managing projects that involve both hospital and professional business, requiring interaction with all levels of institutional personnel. The candidate will need a robust technical knowledge base that includes hospital and/or professional financial analysis, third-party reimbursement, federal and state mandatory reporting, and gross and net revenue compilation, including contractual allowance and deduction modeling. The position also emphasizes reimbursement analytics, which is essential for the financial health of the institution. In the Reimbursement Strategy domain, the individual will provide recommendations and leadership for operational and strategic changes that support federal, state, or other third-party reimbursement initiatives. This includes leading or supporting the design and operational implementation of reimbursement-focused projects and procedures across the institution. The candidate will be responsible for recommending changes in operating practices, data collection, and information systems structures that will yield reimbursement benefits through data analysis and regulatory changes. Additionally, the role involves managing the production work related to various regulatory reporting, such as the Tennessee Joint Annual Report and IRS Form 990 Schedule H, and serving in roles such as preparer, coordinator, or reviewer. The position also requires managing the production aspects of Medicare and state reimbursement, including completing mandatory reporting and defending the hospital's position during audits. The candidate will need to provide support to the State Financial Reporting Department and operationalize changes in practices and data collection that result in reimbursement benefits. Furthermore, the role involves compiling, analyzing, and reviewing data for financial reporting of gross and net revenues, budgeting, forecasting, and monthly close processes. In terms of reimbursement analytics, the candidate will lead extensive qualitative and quantitative analyses, including revenue/reimbursement analysis, financial analysis, cost analysis, and market analysis related to patient care reimbursement. The role requires proficiency in hospital/professional financial and patient care decision support database tools, as well as the ability to design complex SQL queries and perform data extraction over large datasets. The candidate will also be responsible for project leadership and management, providing simultaneous leadership on multiple projects, educating leaders and physicians on reimbursement matters, and supervising the work of employees assisting with these tasks.