Foundation Medicine
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Director, Reimbursement Operations
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Foundation Medicine . 4 days ago Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. About The Job
The Director of Reimbursement Operations develops and implements strategies that ensure service excellence, high-performing team collaboration, and overall operational health. The incumbent leads initiatives to enhance revenue cycle operations and fosters a comprehensive, ROI-driven approach to FMI’s prioritization of revenue opportunities. Key Responsibilities
Manage partnership with third-party vendor to maintain a high-performing revenue cycle team. Collaborate across the Revenue & Access and vendor leadership teams to identify opportunities that impact revenue cycle performance. Manage and oversee the activities supporting the full revenue cycle, including: Commercial Health Plan Credentialing Medicare Provider Credentialing Medicaid claims and payment enrollment at vendor Contract review (redline), set up, and communication to vendor Annual PAMA submission Payer analytics Reimbursement and outcomes ROI activity Model billing fees/annual and long-range planning Invoice review and approval Quarterly write-offs – analysis oversight and approval Participate in team huddles Special projects Develop, implement, and manage metrics to measure and enhance performance. Support field teams with customer meetings. Analyze financial data to identify trends and areas of improvement in the reimbursement process. Manage and develop direct report(s). Other duties as periodically assigned. Qualifications
Basic Qualifications
Bachelor’s degree in Healthcare Information or related fields, or equivalent work experience. 10+ years of professional work experience. 5+ years managerial experience. 5+ years of experience in healthcare and medical billing. Extensive experience with pivot tables to analyze large financial datasets, creating financial models, charts, and visualizations to inform decisions. Preferred Qualifications
Master’s or other Advanced Degree. Experience working within deadline and resource constraints. Prior experience working with intercultural teams. Proven leadership of teams at different career levels. Ability to guide individuals and groups toward outcomes, set high standards, and deliver quality services. Ability to prioritize in fast-paced environments. Work well under pressure maintaining professionalism. Strong analytical, communication, and presentation skills. Interpersonal skills for cross-functional collaboration. Willingness to adapt to changing conditions. Understanding of HIPAA and patient data privacy. Commitment to FMI’s values: passion, patients, innovation, collaboration. Additional Details
Seniority level: Director Employment type: Full-time Job function: Finance and Sales
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Director, Reimbursement Operations
role at
Foundation Medicine . 4 days ago Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. About The Job
The Director of Reimbursement Operations develops and implements strategies that ensure service excellence, high-performing team collaboration, and overall operational health. The incumbent leads initiatives to enhance revenue cycle operations and fosters a comprehensive, ROI-driven approach to FMI’s prioritization of revenue opportunities. Key Responsibilities
Manage partnership with third-party vendor to maintain a high-performing revenue cycle team. Collaborate across the Revenue & Access and vendor leadership teams to identify opportunities that impact revenue cycle performance. Manage and oversee the activities supporting the full revenue cycle, including: Commercial Health Plan Credentialing Medicare Provider Credentialing Medicaid claims and payment enrollment at vendor Contract review (redline), set up, and communication to vendor Annual PAMA submission Payer analytics Reimbursement and outcomes ROI activity Model billing fees/annual and long-range planning Invoice review and approval Quarterly write-offs – analysis oversight and approval Participate in team huddles Special projects Develop, implement, and manage metrics to measure and enhance performance. Support field teams with customer meetings. Analyze financial data to identify trends and areas of improvement in the reimbursement process. Manage and develop direct report(s). Other duties as periodically assigned. Qualifications
Basic Qualifications
Bachelor’s degree in Healthcare Information or related fields, or equivalent work experience. 10+ years of professional work experience. 5+ years managerial experience. 5+ years of experience in healthcare and medical billing. Extensive experience with pivot tables to analyze large financial datasets, creating financial models, charts, and visualizations to inform decisions. Preferred Qualifications
Master’s or other Advanced Degree. Experience working within deadline and resource constraints. Prior experience working with intercultural teams. Proven leadership of teams at different career levels. Ability to guide individuals and groups toward outcomes, set high standards, and deliver quality services. Ability to prioritize in fast-paced environments. Work well under pressure maintaining professionalism. Strong analytical, communication, and presentation skills. Interpersonal skills for cross-functional collaboration. Willingness to adapt to changing conditions. Understanding of HIPAA and patient data privacy. Commitment to FMI’s values: passion, patients, innovation, collaboration. Additional Details
Seniority level: Director Employment type: Full-time Job function: Finance and Sales
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