Southwestern Ohio Job Bank

Chief Accounting Officer (CAO)
Spartanburg Regional Healthcare System
Spartanburg, SC
Full-time

Posted 1/18/2024

Apply at https://careers.spartanburgregional.com/jobs/1755481-chief-accounting-officer.

Position Summary:

The Chief Accounting Officer (CAO) is a key financial leader, change agent, and close partner to the Chief Financial Officer (CFO) of Spartanburg Regional Healthcare System (SRHS). The CAO will be responsible for the vision, leadership, strategic direction, and performance of the accounting and treasury functions. The CAO will oversee the design and execution of the financial reporting, regulatory reporting, corporate accounting, tax, payroll, and accounts payable. CAO is responsible for development and implementation of related systems, controls, procedures, and policies for all SRHS business units and related corporations. The CAO will lead accounting policy and ensure compliance with U.S. Generally Accepted Accounting Principles (GAAP), the National Association of Insurance Commissioners’ Statutory Accounting Principles and other applicable rules and laws and will report on and review financial results with SRHS senior leadership. This leader will be responsible for leading a strong operational and business partner-oriented organization and will oversee all accounting data to support management decision-making, ensuring data is accurate and consistent. SRHS seeks a seasoned, hands-on finance executive with the ability to effectively lead and mentor accounting staff. The CAO will work closely with other finance leaders, external and internal auditors, internal customers of finance, and the audit team to develop and implement plans to achieve strong performance in all accounting functions.

Direct reports – Approximately 35 Employees, including an accounting leadership team of two supervisors, two managers, and two directors. The Accounting team includes general accounting, treasury, and net revenue analysts, as well as Payroll and Accounts Payable personnel.

Other key relationships: Executive Management Team Finance, Reimbursement, and Physician Compensation departments Senior Business Leaders External Auditors

Key Responsibilities:

Vision & Strategy Set the strategic direction for the development and deployment of financial and reporting processes that ensure compliance and rigor with U.S. GAAP, Statutory Accounting Principles, and any other local accounting standards and the regulatory environment, thereby mitigating risk for the system. Accounting & Controls Direct and oversee the development, deployment, and implementation of all company accounting methods, procedures, and practices to safeguard the enterprise’s assets and properly reflect its financial results. Be accountable for the accurate and timely interpretation of U.S. GAAP and the accurate incorporation of such interpretations into the company’s financial records. Oversee and control the general accounting activities for the enterprise, including recording company transactions, classifications, and reconciliation of account balances in accordance with U.S. GAAP, Statutory Accounting Principles and company policies. Accounting Operations Oversight of the Payroll and Accounts Payable areas, ensuring that all payroll related, trade payables, and other liabilities are paid accurately, on time, and in compliance with policies and procedures and any appropriate governmental regulations. Oversee the development and maintenance of appropriate internal controls related to accounts payable, payroll, fixed assets, and other disbursement transactions. Ensure applicable payroll and n-payroll tax reporting is handled timely as required by government regulations. Treasury Direct Cash Management and forecasting for SRHS. Ensure internal controls over the approval of wire transfers and other cash transactions. Plan and implement cash and investment policies to ensure the maximization of interest and investment gains. Oversight of the policies and procedures related to Investment Portfolio management. Audit Oversee and be accountable for planning and executing several annual audits for the enterprise, utilizing an external public accounting firm. Function as the enterprise subject matter expert and principal point of interpretation on all matters resulting from dealings with external accountants and auditors. Financial Reporting Be accountable for regulatory financial reporting. Accounting Policy Oversee and direct accounting questions and judgments for the enterprise; direct and control all accounting policies.

Candidate Profile:

The successful candidate will be an experienced, hands-on accounting executive with the excellent technical skills, business acumen and leadership capability to lead the accounting and treasury functions in a critical, high-visibility role. This person will have the agility, resourcefulness, multi-tasking ability and thoughtful presence to drive change and operate effectively across SRHS. This executive should have extremely strong reporting and accounting skills, exhibit a proven team leadership skillset, and be viewed as capable of supporting the continued growth of SRHS.

Minimum Requirements Education:

• Bachelor’s Degree in Accounting or related field Experience
• 15+ years of progressive accounting experience in a healthcare system or healthcare auditing firm.

License/Registration/Certifications:

• CPA Preferred Requirements Preferred Experience
• MBA or Master’s in Accountancy
• 5+ years leading the accounting and treasury functions in a large healthcare system.

Apply:

https://careers.spartanburgregional.com/jobs/1755481-chief-accounting-officer

Contract Administrator – Managed Care
Cincinnati Children’s Hospital Medical Center
Cincinnati, OH
Full-time

Posted 11/20/2023

Position Description:

Expected Starting Salary Range: $85,481.76 – $115,000

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s. Cincinnati Children’s Hospital Has Been Named: The #1 Pediatric Hospital in the Nation- US News and World Report 2023 One of four Medical Centers making the list of the 2022 Glassdoor Best Places to Work An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC) Market Leading Benefits Including: Medical coverage starting day 1 of employment.

View employee benefits here:

• https://www.cincinnatichildrens.org/careers/benefits
• Pension plan and optional 403(b) supplemental retirement plans Tuition reimbursement for continuing education
• Expansive employee discount programs through our many community partners
• Referral bonus program for current staff!
• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL – LGBTQIA Resource Group, Juntos – Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
• Physical and mental health wellness programs

Representative Responsibilities:

• Payor Relations – Coordinate, analyze, and negotiate all financial and operational aspects of contract proposals and arrangements. Assist in coordinating/monitoring third party payor implementation activities, including acting as a resource for internal operations. Prepare correspondence to third party payors and MCPs for purposes of disputing or appealing policies, underpayments, or denials which effectively explain the agreement provisions or regulatory requirements under which they are non-compliant.
• Contract Negotiation – Negotiate all aspects of PHO, hospital, physician, specialty, population health, and COE transplant network contracts, as well as ancillary contracts for home health, home infusion, durable medical equipment, hospice, reference laboratory, behavioral health, vision, dental, pharmacy, and specialty pharmacy. Partner with departmental and facility subject matter experts in focus areas to ensure specialty contracts address specific needs for that discipline. Negotiate single case agreements with non-contracted Medicaid, Medicaid HMO, and commercial plans as well as international cases. Establish and maintain relationships with specific contract negotiators with third party payors.
• Contract Management – In collaboration with Revenue Cycle Compliance maintain and evaluate the effectiveness of the contract management process for all third-party payor contracts and related documents. Ensure all new or renegotiated contracts or amendments and any supporting documents are loaded into contract management information system in a timely basis. Assess the quality of the contract information entered into the contract management system. Maintain contract summaries outlining contract terms for third party payors.
• Financial Modeling and Reporting – Obtain a complete understanding of Cincinnati Children’s managed care contracting strategies and participate in the development of applicable contract strategies as directed by management. Prepare a negotiation strategy for individual payors, assessing the strengths and weaknesses that both Cincinnati Children’s and the payor have in the negotiations. Review proposed contracts to identify issues of importance as applied to hospital operations, revenue, delegated credentialing, legal concerns, and utilization review. Prepare contract comments to negotiate favorable terms in the contract. Apply an understanding of various methods of reimbursement methodology, contract negotiation philosophies, and modeling of financial arrangements to assess impact on Cincinnati Children’s. Develop analytical reports that model and demonstrate the financial impact of proposed arrangements for physician, hospital, and ancillary contracts.
• Communication – Prepare presentations of current and future contracts by keeping logs of arrangements and communicating information to various physicians, business units, and hospital administration. Conduct presentations and market Cincinnati Children’s to third party payors. Provide business units with the tools necessary to effectively administer new contract terms and rates as well as changes in third party payor policies.

Qualifications:

Education/Experience

Required:

• Bachelor’s degree in a related field
• 5 – 7 years of work experience in a related job discipline.

Preferred:

• Masters degree in related field

Unique Skills:

• Excel skills Basic knowledge of reimbursement methodology, hospital revenue cycle
• Multitasking
• Conflict management

Apply:

Cincinnati Children’s is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families (EEO/AA).

https://www.cincinnatichildrens.org/careers

Sr Govt Reimbursement Analyst
Cincinnati Children’s Hospital Medical Center
Cincinnati, OH
Full-time

Posted 11/16/2023

Position Description:

Expected Starting Salary Range: $87,713.60 – $115,000

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s. Cincinnati Children’s Hospital Has Been Named: The #1 Pediatric Hospital in the Nation- US News and World Report 2023 One of four Medical Centers making the list of the 2022 Glassdoor Best Places to Work An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC) Market Leading Benefits Including: Medical coverage starting day 1 of employment.

View employee benefits here:

• https://www.cincinnatichildrens.org/careers/benefits
• Pension plan and optional 403(b) supplemental retirement plans
• Tuition reimbursement for continuing education
• Expansive employee discount programs through our many community partners
• Referral bonus program for current staff!
• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL – LGBTQIA Resource Group, Juntos – Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group Physical and mental health wellness programs

Subfunction Definition:

Support the enterprise in evaluating and responding to policies impacting reimbursement from Medicare, Medicaid, TRICARE, and other government payor. This includes hospital and professional finances, and any contracting and/or other government payor related issue impacting our reimbursement. This individual will serve as the point person for innovation applications related to Medicaid, inclusive of mainly Ohio, Kentucky, and Indiana. This individual will identify and track major trends and developments in publicly-financed pediatric care and develop financial models to understand the enterprise impact as well as impact to patients.

Career Level Summary:

Requires full proficiency through job related training and considerable on-the-job experience to perform range of tasks. Works under limited supervision for routine situations. Non-routine problems are solved by applying precedents and existing processes to new situations. Identifies key issues and patterns from partial/conflicting data. May act as an informal resource for colleague with less experience.

Representative Responsibilities:

Medicaid Policy Trending and Reimbursement Impact – Lead work in conceptualizing, specifying and testing financial models to assess potential financial impacts of government reimbursement (mainly Medicaid) programs and contracts; Identify and track major trends and developments in publicly-financed pediatric care and develop financial models to understand the enterprise impact as well as impact to patients. This is inclusive of impact of changes to various reimbursement methods including DRGs, EAPGs, and Ohio’s Franchise Fee program and Healthcare Assurance Program (HCAP).

Reporting – Develop, produce, monitor and analyze reports related to reimbursement from government payors, inclusive of Medicaid managed care organizations.

Healthcare Systems Analysis and Consultation – Analyze healthcare and hospital system data, government payor policies and contracts, utilize public and private data sets to inform decision making and strategy.

Business Planning and Strategy – Inform and support enterprise stakeholders regarding government payor policies and impact to the business.

Qualifications:

Education/Experience

Required:

• Bachelor’s degree in a related field 5 – 7 years of work experience in a related job discipline.

Preferred:

• Experience with government entity and/or advocacy organization evaluating/implementing reimbursement policies
• Strong Excel skills (PivotTables, vlookups, data modeling, etc)
• Familiarity with SAP BusinessObjects
• Previous analytics experience, ideally with healthcare reimbursement

Apply:

Cincinnati Children’s is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families (EEO/AA).

https://www.cincinnatichildrens.org/careers

Sourcing Specialist
Cincinnati Children’s Hospital Medical Center
Cincinnati, OH
Full-time

Posted 10/6/2023

Position Description:

Expected Starting Salary Range: $85,481.76 – $115,000

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s.

Cincinnati Children’s Hospital Has Been Named:

• The #1 Pediatric Hospital in the Nation- US News and World Report 2023
• One of four Medical Centers making the list of the 2022 Glassdoor Best Places to Work
• An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC) Market Leading Benefits Including:
  • Medical coverage starting day 1 of employment.

View employee benefits here: https://www.cincinnatichildrens.org/careers/benefits

• Pension plan and optional 403(b) supplemental retirement plans
• Tuition reimbursement for continuing education
• Expansive employee discount programs through our many community partners
• Referral bonus program for current staff!
• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL – LGBTQIA Resource Group, Juntos – Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
• Physical and mental health wellness programs

Representative Responsibilities:

• Payor Relations – Coordinate, analyze, and negotiate all financial and operational aspects of contract proposals and arrangements. Assist in coordinating/monitoring third party payor implementation activities, including acting as a resource for internal operations. Prepare correspondence to third party payors and MCPs for purposes of disputing or appealing policies, underpayments, or denials which effectively explain the agreement provisions or regulatory requirements under which they are non-compliant.
• Contract Negotiation – Negotiate all aspects of PHO, hospital, physician, specialty, population health, and COE transplant network contracts, as well as ancillary contracts for home health, home infusion, durable medical equipment, hospice, reference laboratory, behavioral health, vision, dental, pharmacy, and specialty pharmacy. Partner with departmental and facility subject matter experts in focus areas to ensure specialty contracts address specific needs for that discipline. Negotiate single case agreements with non-contracted Medicaid, Medicaid HMO, and commercial plans as well as international cases. Establish and maintain relationships with specific contract negotiators with third party payors.
• Contract Management – In collaboration with Revenue Cycle Compliance maintain and evaluate the effectiveness of the contract management process for all third-party payor contracts and related documents. Ensure all new or renegotiated contracts or amendments and any supporting documents are loaded into contract management information system in a timely basis. Assess the quality of the contract information entered into the contract management system. Maintain contract summaries outlining contract terms for third party payors.
• Financial Modeling and Reporting – Obtain a complete understanding of Cincinnati Children’s managed care contracting strategies and participate in the development of applicable contract strategies as directed by management. Prepare a negotiation strategy for individual payors, assessing the strengths and weaknesses that both Cincinnati Children’s and the payor have in the negotiations. Review proposed contracts to identify issues of importance as applied to hospital operations, revenue, delegated credentialing, legal concerns, and utilization review. Prepare contract comments to negotiate favorable terms in the contract. Apply an understanding of various methods of reimbursement methodology, contract negotiation philosophies, and modeling of financial arrangements to assess impact on Cincinnati Children’s. Develop analytical reports that model and demonstrate the financial impact of proposed arrangements for physician, hospital, and ancillary contracts.
• Communication – Prepare presentations of current and future contracts by keeping logs of arrangements and communicating information to various physicians, business units, and hospital administration. Conduct presentations and market Cincinnati Children’s to third party payors. Provide business units with the tools necessary to effectively administer new contract terms and rates as well as changes in third party payor policies.

Qualifications:

Education/Experience:

Required:

• Bachelor’s degree in a related field
• 5 – 7 years of work experience in a related job discipline.

Preferred:

• Masters degree in related field

Unique Skills:

• Excel skills Basic knowledge of reimbursement methodology, hospital revenue cycle
• Multitasking Conflict management

Apply:

https://www.cincinnatichildrens.org/careers

Cincinnati Children’s is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families (EEO/AA).