Project Director, Acute Care Reimbursement

Overview

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Position Details

• Entity: Medical University Hospital Authority (MUHA)
• Worker Type: Employee
• Worker Sub-Type: Regular
• Department: CC MUHA | CORP - Reimbursement Services
• Pay Rate Type: Salary
• Pay Grade: Health-34
• Scheduled Weekly Hours: 40

Job Description Summary

The Project Director of Acute Care Reimbursement is responsible for the overall strategy and management as it relates to multiple Medicare and Medicaid cost reports in order to optimize overall acute care hospital reimbursement, pass through payments, medical education payments, cost based pass through payments, wage index filings, hospital status classifications and all other related items that impact on the acute care hospitals’ reimbursement levels. The Project Director will develop systems to provide quick and timely documentation necessary to meet federal and state audit requirements, and manage a team of subject matter experts to meet these objectives. MUSC Health operates five hospitals, multiple rural health clinics and two skilled nursing facilities that require annual Medicare and Medicaid cost reports. In addition, the system is required to file a home office cost statement. The main hospital operates a medical education program including allied health programs and is a certified organ transplant center. MUSC Health’s Medicare and Medicaid cost reports support over $500 million in payments annually.

Responsibilities

Responsible for the management and coordination of all tasks associated with large programs of high complexity and risk, including enterprise or multi‑agency programs. Positions in this class assume highly complex, expert‑level program management responsibilities. Incumbents direct or provide program management consultation for all aspects of the design, development, and implementation of programs.

Qualifications

• Bachelor's degree in a related field and a minimum of seven years of work experience in a management role with overall healthcare billing experience.
• Master’s degree preferred.
• Experience at a senior manager or director level preferred.
• Direct experience with reimbursement in a multi‑hospital system with a variety of provider types.
• Previous experience in a multi‑hospital system including academic medical center, ASC, Imaging Center, Free Standing ER, Rehab, and SNF environment preferred.
• Strong leadership, consultative, analytical, interpersonal and communication skills.
• Advanced computer skills: MS Word, PowerPoint, Access, Excel and other business intelligence and analytical tools.
• Ability to work independently with minimal supervision.
• Excellent project management, communication and presentation skills.

EEO Statement

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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