Vice President of Reimbursement | PAM Health Corporate
Vice President of Reimbursement | PAM Health Corporate
Posted on :
09-05-2025
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1 Vacancy
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Job Description
Overview
The Vice President of Reimbursement at PAM Health is responsible for leading all reimbursement functions across the organizations national network of longterm acute care hospitals (LTACHs) inpatient rehabilitation facilities (IRFs) and behavioral health hospitals. This role ensures accurate cost reporting regulatory compliance and payer strategy to maximize revenue integrity and financial performance in accordance with CMS and commercial payer guidelines.
Responsibilities
- Lead PAM Healths reimbursement strategy across LTACH IRF and behavioral health service lines.
- Oversee preparation accuracy and timely filing of Medicare and Medicaid cost reports; manage audits and appeals.
- Ensure compliance with all relevant CMS reimbursement systems including LTCH PPS IRF PPS and IPF PPS.
- Evaluate and implement reimbursement changes based on federal and state regulatory updates.
- Support managed care strategy by providing financial modeling and reimbursement impact analysis for contracting.
- Monitor performance against expected reimbursement rates; identify risks and recommend corrective actions.
- Partner with finance operations clinical leadership and compliance to align strategies and support growth.
- Lead analysis of case mix length of stay census and program changes on reimbursement outcomes.
- Provide executive leadership with clear insights and forecasts related to reimbursement performance and trends.
- Oversee state reporting requirements
- Track state and federal reimbursement changes
- Oversee state and federal health tax regimes (SHOPP LPPF CHIP etc)
- Oversee impact analysis of proposed rule changes changes in SSI CCRs etc.
Qualifications
- Bachelors degree in Healthcare Administration Finance Accounting or related field (Masters preferred).
- Minimum 10 years of experience in healthcare reimbursement with specific expertise in LTACH IRF and behavioral health settings.
- Strong working knowledge of Medicare and Medicaid payment systems cost reporting and managed care reimbursement structures.
- Proven leadership in a multisite healthcare environment.
- Strong analytical strategic and communication skills with executivelevel presence.
Required Experience:
Chief
Employment Type
Full-Time
Department / Functional Area
Key Skills
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