INTEGRIS Health, Oklahomas largest not-for-profit health system has a great opportunity for a Director of Strategic Revenue Reimbursement in Oklahoma City, OK. In this position, youll be a part of our Financial Reporting team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.
The Director of Strategic Revenue Reimbursement is a senior leader responsible for driving enterprise-wide reimbursement strategy, regulatory alignment, and revenue optimization across governmental and managed care payers. This role serves as the central point of coordination and decision support for reimbursement-related initiatives, ensuring alignment across finance, revenue cycle, compliance, legal, operations, and IT.
The Director proactively interprets regulatory changes, leads cross-functional workgroups, and ensures that reimbursement implications are fully evaluated and operationalized across the organization. This position moves beyond traditional cost reporting to a strategic, forward-looking function that maximizes reimbursement opportunities while ensuring compliance.
REQUIRED QUALIFICATIONS
EXPERIENCE:
Demonstrated experience with Medicare/Medicaid reimbursement methodologies and cost reporting
EDUCATION:
Knowledge & Expertise
Deep understanding of:
CMS regulations (IPPS, OPPS, provider-based rules)
Medicare and Medicaid reimbursement models
Cost reporting and governmental payment structures
Experience with:
Revenue optimization strategies
Regulatory interpretation and implementation
Cross-functional leadership in complex healthcare systems
Leadership Competencies
PREFERRED QUALIFICATIONS
EDUCATION:
Identify and execute opportunities to enhance reimbursement and protect existing revenue streams.
Lead initiatives related to:
Wage index optimization
Disproportionate Share Hospital (DSH) and Medicaid days strategies
Safety net and supplemental payment programs
Appeals and reimbursement disputes
Provide financial modeling and forecasting for reimbursement impacts across short- and long-term horizons.
Oversee evaluation and implementation of:
Provider-based status determinations
Site-of-service strategy
Facility licensure and enrollment alignment
Ensure compliance with CMS requirements (e.g., location, signage, billing, documentation).
Coordinate with enrollment, compliance, and operational teams to ensure accurate implementation.
Provide strategic oversight of:
Government reimbursement methodologies
Medicare and Medicaid cost reporting
Ensure alignment between cost reporting, operational decisions, and reimbursement strategy.
Partner with internal teams and external consultants to optimize reporting outcomes.
Collaborate with managed care teams to align contract strategy with governmental reimbursement.
Support modeling and negotiation strategies for Medicare Advantage and Medicaid MCOs.
Partner with population health teams on value-based reimbursement and shared savings programs.
Lead reimbursement strategy for acquisitions, affiliations, and expansions.
Develop and maintain regulatory checklists and frameworks for new ventures.
Ensure optimal structuring to preserve or enhance reimbursement (e.g., critical access, safety net status).
Develop dashboards and reporting tools to track reimbursement performance and opportunities.
Present findings and strategic recommendations to executive leadership and board committees.
Quantify financial impact of initiatives and track return on investment.
Build and lead a high-performing reimbursement team (e.g., cost reporting, provider enrollment, analytics).
Develop career pathways in reimbursement to attract and retain talent.
Leverage external consultants strategically while building internal expertise.
Identify and execute opportunities to enhance reimbursement and protect existing revenue streams.
Lead initiatives related to:
Wage index optimization
Disproportionate Share Hospital (DSH) and Medicaid days strategies
Safety net and supplemental payment programs
Appeals and reimbursement disputes
Provide financial modeling and forecasting for reimbursement impacts across short- and long-term horizons.
Oversee evaluation and implementation of:
Provider-based status determinations
Site-of-service strategy
Facility licensure and enrollment alignment
Ensure compliance with CMS requirements (e.g., location, signage, billing, documentation).
Coordinate with enrollment, compliance, and operational teams to ensure accurate implementation.
Provide strategic oversight of:
Government reimbursement methodologies
Medicare and Medicaid cost reporting
Ensure alignment between cost reporting, operational decisions, and reimbursement strategy.
Partner with internal teams and external consultants to optimize reporting outcomes.
Collaborate with managed care teams to align contract strategy with governmental reimbursement.
Support modeling and negotiation strategies for Medicare Advantage and Medicaid MCOs.
Partner with population health teams on value-based reimbursement and shared savings programs.
Lead reimbursement strategy for acquisitions, affiliations, and expansions.
Develop and maintain regulatory checklists and frameworks for new ventures.
Ensure optimal structuring to preserve or enhance reimbursement (e.g., critical access, safety net status).
Develop dashboards and reporting tools to track reimbursement performance and opportunities.
Present findings and strategic recommendations to executive leadership and board committees.
Quantify financial impact of initiatives and track return on investment.
Build and lead a high-performing reimbursement team (e.g., cost reporting, provider enrollment, analytics).
Develop career pathways in reimbursement to attract and retain talent.
Leverage external consultants strategically while building internal expertise.