Overview:
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
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Comprehensive health benefits that start day1
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Student Loan Repayment Assistance & Reimbursement Programs
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Family-focused benefits
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Wellness incentives
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Ongoing mentorship, development, and leadership programs
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And more
Work Location: Atlanta, GA
Description:
Overview:
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Partners directly with the Corporate Director of Government Reimbursement as a strategic operator and project leader, driving complex Federal and State reimbursement initiatives across the enterprise.
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Works horizontally across reimbursement managers, finance leadership, operational departments, and external stakeholders to advance high-priority programs from strategy through implementation.
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Leads transformational initiatives spanning supplemental payment programs, reimbursement optimization, regulatory change, audit strategy, and the transition of outsourced functions to in-house operations.
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Splits time between director-led enterprise projects and manager-supported operational work, deploying subject matter expertise where complexity, risk, or financial impact is highest.
Primary duties and responsibilities:
- Strategic Partnership & Enterprise Leadership
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1. Serve as strategic partner to the Corporate Director, providing surge capacity and subject matter expertise on high-priority enterprise reimbursement initiatives.
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2. Lead cross-functional workgroups spanning finance leadership, operational departments, and external stakeholders to drive complex Federal and State reimbursement projects from strategy through implementation.
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3. Develop executive-level summaries, briefing materials, strategic recommendations, and implementation roadmaps to support leadership decision-making.
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4. Assist in transition planning for reimbursement functions currently supported by external vendors, managing migration to in-house operations.
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Supplemental Payment Programs & State Reimbursement
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1. Provide subject matter expertise on State Medicaid financing mechanisms, waiver programs, directed payment models, and supplemental funding structures, with emphasis on Georgia Medicaid/DCH policies.
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2. Oversee cross-functional workgroups for Disproportionate Share Hospital (DSH) programs, Upper Payment Limit (UPL) reporting, provider tax programs, Graduate Medical Education (GME) funding, and uncompensated care pools.
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3. Coordinate data collection, financial modeling, regulatory documentation, and executive reporting tied to state and federally funded reimbursement streams.
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4. Support regulatory change implementation and monitor evolving DCH policies and state-specific settlement programs.
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Financial Analysis & Reimbursement Modeling
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1. Conduct financial impact analyses related to new business ventures, service line expansions, provider-based arrangements, and organizational integrations to quantify governmental reimbursement implications.
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2. Develop advanced reimbursement models to evaluate the financial impact of regulatory changes, program participation decisions, and optimization opportunities.
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3. Support budget development, audit strategy, appeals preparation, and regulatory correspondence.
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Operational Support & Project Management
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1. Split time supporting Government Reimbursement Managers on high-complexity initiatives, operational escalations, and projects with elevated risk or financial impact.
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2. Manage multiple complex initiatives simultaneously with a high degree of autonomy, aligning stakeholders, mitigating regulatory risk, and ensuring timely execution.
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3. Perform reimbursement impact analysis for new business initiatives and operational changes to inform leadership decisions.
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Additional Duties as Assigned.
- Travel: Less than 10% of the time may be required. Work Type: Remote employee
Minimum Required Qualifications:
- Education - Bachelor's degree in Accounting, Finance, or related field required.
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Experience - Minimum 6 years of governmental reimbursement experience.
Knowledge, skills, and abilities (required):
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Strong experience with State Medicaid reimbursement programs required.
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Demonstrated project leadership and cross-functional coordination experience.
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Advanced analytical and reimbursement modeling skills
Preferred Qualifications:
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Experience in complex academic healthcare systems preferred.
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Experience with EPIC and Strata preferred.
Knowledge, skills, and ability requirements (preferred):
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Georgia Medicaid/DCH experience strongly preferred.
PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs., 0-33% of the work day (occasionally) Lifting 25 lbs. max; Carrying of objects up to 25 lbs.; Occasional to frequent standing & walking, Frequent sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste chemicals/gases/fumes/vapors, Communicable diseases, Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
Additional Details:
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.
PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.
