Skip to main content

Open position

Start a new chapter in your career

Search Jobs Close

Search Jobs

Changing health care
to improve quality of
life for all.

Beth Israel Lahey Health’s roots in providing top-quality health care date back nearly a century. We're fully committed to ensuring our patients receive the care they deserve. As a leading healthcare provider throughout New England, we aim to change the current state of health care for the better and make lasting improvements that guarantee access to our services.

Director of Reimbursement and Cost Reporting

Charlestown, Massachusetts

Organization Facility: Beth Israel Lahey Health - Non Executive Category: Revenue Cycle Performance Management Job ID: JR40229 Date posted: 01/10/2024
Apply Now

Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The Director, Revenue Finance and Reimbursement, will be a core member of the Revenue Finance leadership team of Beth Israel Lahey Health (BILH). BILH is a new integrated health system with ~$6 billion in revenues and includes academic medical centers, acute and specialty hospitals, outpatient facilities, physician groups, performance networks, and community partners. As part of the leadership team, the Director will assist the VP and AVP to integrate BILH’s six separate revenue valuation and reimbursement units to form a unified, enterprise-level department aligned around shared goals and a commitment to:

(1) Deliver high quality net revenue valuation and related finance models based on transparent and efficient methodologies;

(2) Produce data and analytics that deliver actionable business insights to BILH hospital, physician, and system leaders;

(3) Provide strategic solutions that optimize reimbursements by applying a deep knowledge of both government and commercial payment systems; and,

(4) Provide Medicare, Medicaid, and payment system expertise in support of BILH provider and system strategic and operational objectives.

Reporting to the AVP of Revenue Finance and Analysis, the Director will lead a team of 4-5 individuals with expertise in both government reimbursement and net revenue analysis. Working with the VP and AVP, the Director will develop long- and short- term Medicare, Medicaid, and other government reimbursement revenue strategies, oversee preparation and submission of all regulatory filings, and will provide system-wide guidance on revenue enhancement opportunities and regulatory requirements.

The Director will also be responsible for net revenue valuation and analytics for a core set of BILH facilities. Responsibilities include overseeing the net revenue and third-party valuations, annual net revenue budgeting, audit support, and other month and year end net revenue activities. In this role, the Director will be responsible for supporting and educating health systems’ finance and operational leadership, establishing open lines of communication with hospital CFOs and other facility leadership, and ensuring alignment between System Revenue Finance and hospital and health system goals and objectives.

Job Description:

Essential Duties & Responsibilities including but not limited to:

1. Communicate the department’s vision and goals and ensure employees can relate them to their team and individual goals.  Provide day to day management including creating departmental goals and objectives, developing performance standards, and motivating and engaging the team to achieve goals.
2. Oversee all aspects of net revenue valuation and analysis for BILH facilities.  Demonstrate and apply an in-depth understanding of the net revenue reserve and other valuation methodologies to: (1) ensure adequate reserve levels, (2) identify and communicate insights and trends to hospital and executive leadership, and (3) promote adherence to enterprise-wide policies & procedures.
3. Develop and implement a methodology to identify, standardize, and produce high value and high volume reports and/or data resources.  Success will be built upon a collaborative approach that engages both internal and external customers to identify and appropriately scope opportunities. Examples include standardizing data to support Medicare, Medicaid and other regulatory filings, supporting financial and government auditor data requests, and servings as a liaison to the System & Analytics Optimization department.

Specific Duties:

4. Produce and/or review monthly, annual, and other reserve estimates, journal entries, general ledger account reconciliations, variances analyses, etc. for hospital and professional entities.
5. Prepare and present to department and hospital leadership the monthly net revenue estimates and analysis with a focus on providing actionable insights.
6. Direct, oversee, and review the patient accounts receivable reserve calculation process for BILH hospitals and professional entities.
7. Oversee the completion of  the annual net revenue budget  and assist with forecasting processes for net revenue projections for hospital and professional business units
8. Serve as a contact to support all third party audits including Financial and Government Audits, etc.
9. Identify and design strategic reimbursement initiatives including Medicare & Medicaid DSH, GME, UC, bad debt reimbursement, and wage index reclassifications
10. Design processes and tools to optimize appropriate transplant program and medical education reimbursements, with a focus on harmonizing across BILH as appropriate.
11. Review and assist in the preparation and filing of the Medicare and Medicaid cost reports, surveys, and questionnaires, assuring the timeliness and accuracy of each.
12. Manage of all aspects of the Massachusetts 1115 waiver and HSN program.
13. Develop a dashboard of all key Medicare and Medicaid metrics and monitor threshold critical to determining payment levels.
14. In all interactions, foster teamwork, effective communication, and cohesiveness in support of BILH’s patients, caregivers, and administrative teams.

Education: Bachelor’s Degree in Accounting or Finance or related fields. 

Licensure, Certification & Registration: n/a


  • 10+ years of progressively increasing experience in healthcare; including demonstrated focus in revenue finance related areas, such as net revenue, government reimbursement, revenue cycle, etc.
  • 7-10+ years of managerial experience, including a demonstrated ability to communicate a vision and motivate teams to achieve common goals.
  • Demonstrated experience and interest in developing methodologies to standardize and optimize data tools and reporting requirements to achieve effective and efficient solutions.

Skills, Knowledge & Abilities:

  • Must be able to handle multiple, complex tasks and priorities
  • Requires superior interpersonal skills to effectively supervise staff and work and communicate with all levels of management
  • Must be a highly self-motivated individual with the ability to function in a fast-paced environment with limited supervision and direction
  • Must have strong analytical skills
  • Must be able to effectively mentor staff and foster a supportive and growth-oriented environment
  • Must have superior computer skills on various software products and systems including MS Office, HFS, EPIC, and Crowe (not required)
  • Must be a dedicated team player with the willingness and desire to learn and grow within the organization

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Apply Now

Why join Beth Israel Lahey Health?

If you’re looking for a career where you can make a difference and explore your potential, Beth Israel Lahey Health is the place you belong. Our system includes a network of hospitals, physician practices, outpatient centers, and other healthcare facilities and we offer a broad range of careers in direct patient care, environmental services, registration, finance and many other fields. We are focused on providing compassionate and personalized healthcare with a strong reputation for clinical excellence and research and offer diverse opportunities for career growth and development. Conveniently, we have many locations in communities across Eastern Massachusetts and Southern New Hampshire.

At Beth Israel Lahey Health, we see you for all that you are – your experience and your dreams. Explore our open opportunities and find out why so many have already chosen to join our team.

View All Opportunities

Haven't found what you're looking for?
Sign up for our job alerts.

Join our Talent Community and be the first to know about our job openings.

By submitting your information, you acknowledge that you have read our privacy policy and consent to receive email communications from Beth Israel Lahey Health.

Already a member?