Hybrid Southern NH Health System - Director of Revenue and Reimbursement – SNHH - Full Time at SolutionHealth

Come work at the best place to give and receive care!

​Job Description: 

Director of Revenue and Reimbursement – SNHH

About the Job:

The Director of Revenue and Reimbursement will act as the organization's expert on Medicare and Medicaid. This role involves preparing and submitting third-party cost reports, managing monthly financial close entries associated with contractual allowances, charity care, and bad debt, as well as conducting analysis and modeling of the organization's liabilities concerning the New Hampshire Medicaid Enhancement Tax. Additionally, the incumbent will assess the effects of disproportionate share funding on the organization and contribute to the annual budget planning for Southern NH Health System.

What You’ll Do / Key Responsibilities:

• Regulatory Compliance & Policy Development
  Research and interpret complex Medicare and Medicaid regulations to determine their impact on the organization. Ensure full compliance with federal and state reimbursement methodologies across all relevant entities. Develop and implement proactive policies and procedures to capture all eligible reimbursements.
• Revenue Optimization & Contract Management
  Monitor and analyze third-party payor contracts, including Medicare, Medicaid, Blue Cross, and others, to ensure the organization receives maximum reimbursement. Calculate and validate third-party contractual allowances, settlements, and adjustments reflected in the financial statements.
• Financial Analysis & Reporting
  Prepare detailed analysis of payer trends, aging reports, and bad debt. Evaluate actual vs. budgeted revenue performance and provide actionable insights. Lead the preparation and review of data related to the Disproportionate Share Hospital (DSH) program and Medicaid Enhancement Tax (MET), including estimates and final settlements.
• Audit & Budget Support
  Serve as the primary liaison during third-party and independent audits involving reimbursement-related liabilities and balance sheet reserves. Participate in the development of the annual operating budget by generating reports, supporting revenue forecasts, and contributing to financial planning models.
• Enrollment & Compliance Management
  Manage provider enrollment and revalidation for Medicare and Medicaid programs across multiple states, ensuring accuracy, timeliness, and compliance with program requirements.
• Software Implementation & Systems Improvement
  Support the implementation and optimization of financial software that affects reimbursement processes. Provide subject matter expertise during system upgrades and ensure alignment with reimbursement needs.
• Strategic Collaboration
  Actively participate in the Revenue Steering Committee to ensure that revenue strategies align with reimbursement goals. Collaborate with internal stakeholders across departments to support financial integrity and performance.
• Team Leadership & Development
  Supervise and mentor the Reimbursement Financial Analyst, fostering a cross-trained team environment. Ensure secondary coverage for all department functions and promote continuous process improvement.

Who You Are / Requirements:

• Education: Bachelor's degree in Business, Accounting, Computer Science, or equivalent experience.
• Experience: Minimum 3–5 years in Medicare/Medicaid reimbursement; additional 3-5 years healthcare and CMS audit experience preferred.
• Skills: Strong analytical, communication, and Microsoft Office proficiency. Detail-oriented with ability to manage multiple priorities.

Why You’ll Love Us:

• Health, dental, prescription, and vision coverage for full-time & part-time employees
• Short-term, long-term disability, life & pet insurance
• Tuition reimbursement
• 403(b) Retirement savings plans
• Continuous earned time accrual
• Mission-driven environment – be part of a community hospital that’s deeply connected to the people we serve
• Visible impact – your work will directly shape public perception and community trust
• Supportive leadership – a team that values innovation, collaboration, and growth

& So much more!

This is your opportunity to build something meaningful—both for your career and for the community. If you're ready to lead with purpose, connect with heart, and build a brand that matters, we’d love to hear from you!

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

MRP

Work Shift: 

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.