$135,000–$145,000 Per Year
Alliance/Partner Management, Analysis Skills, Business Intelligence Software, Chargemaster, Communication Skills, Cross-Functional, Due Diligence, Economics, Electronic Medical Records, Fee Schedule, Finance, Geography, Healthcare, Healthcare Reimbursement, Interpersonal Skills, Maintain Compliance, Managed Care, Medicaid, Microsoft Excel, Microsoft Product Family, Neurology, Occupational Therapy, Operations Management, Orthopedics, Outpatient Care, Physical Therapy, Pivot Tables, Presentation/Verbal Skills, Preventive Medicine, Project/Program Management, Reimbursement, Resource-Based Relative Value Scale (RBRVS), Sports, Strategic Analysis, Strategic Planning, Team Lead/Manager, Trend Analysis, Vlookups, Writing Skills
Company Description
U.S. Physical Therapy, Inc. ("USPh"), which was founded in 1990, is a publicly held company which operates 780+ outpatient physical and/or occupational therapy clinics in 44 states. The Company''s clinics provide post-operative care for a variety of orthopedic-related disorders and sports-related injuries, treatment for neurologically related injuries, rehabilitation of injured workers and preventative care.
Job Description
We are seeking a highly energetic individual who has a "can do" attitude to join our exciting outpatient healthcare company as a seasoned Director of Managed Care Reimbursement. This position will be housed on the Managed Care team and reports to the Vice President of Managed Care Operations. The primary objective for this role is to develop strategic initiatives to grow the company's revenue stream.
Qualifications
KNOWLEDGE AND SKILLS:
- Minimum of five years (5) experience in: Finance, Medical Economics or Revenue Cycle
- Versed in modeling and analytics
- Skilled in synthesizing data
- High proficiency maneuvering private, federal & state fee schedules as well as supporting guidelines in a nationwide setting for all payor mix types.
- Provide VP with strategic analysis and trend evaluation
- Translate reimbursement changes & the impact to revenue stream
- Communicate policy changes cross-functionally
- Familiar with various reimbursement models and methodologies including but limited to: Daily Max, Fee for Service, RBRVS, Medicaid, value-based payment models, escalators, bundled payments & shared savings.
- Drive initiatives to identify and recoup underpayments
- Oversee the Payment Compliance & Chargemaster teams
- Support VP in due diligence for strategic partnerships
EDUCATION & EXPERIENCE:
- Bachelor's/Masters in Business, Finance, Health Care or related field required
- EMR experience, Raintree experience a plus
- Experience with BI tools
- Advanced Microsoft experience in: Excel, Pivot Tables, Vlookup, etc.
- Effective project management skills
- Strong critical and analytical skills, ability to work strategically
- Excellent oral and written communication skills
- Proven strong organization, interpersonal and management skills. 5+ years' experience in health care setting
Additional Information
All your information will be kept confidential according to EEO guidelines.
The anticipated base salary range for this position is 135,000-145,000. Salary is based on various factors, including relevant experience, knowledge, skills, other job-related qualifications, and geography. Medical, dental, vision, 401(k), paid time off, and other benefits are also available, subject to the terms of the Company''s plan.
U
US Physical Therapy Inc
U.S. Physical Therapy is one of the largest publicly-traded, pure-play operator of outpatient physical and occupational therapy clinics.
The clinics provide pre- and post-operative care for a variety of orthopedic-related disorders and sports-related injuries, rehabilitation of injured workers and preventative care. USPh also manages physical therapy facilities for third parties, including physician groups and hospitals. Each of USPh’s clinics are directed by a licensed physical therapist that drive patient volume via local physicians, former patients and other referral sources. Marketing representatives are used to further augment sales.
USPh has grown its business through a combination of de novo development and strategic acquisitions. The strategic acquisitions has accelerated the Company’s growth, and are structured with significant ownership retained by the practice owners and founders.