Executive Director, Finance and Revenue

1.      Provide executive leadership and strategic oversight of CCHC’s revenue, reimbursement, accounting, and financial reporting functions in partnership with the CFO and Controller

2.      Direct and oversee revenue and reimbursement accounting and reporting in accordance with GAAP, including third-party reimbursement, and ensure the timely delivery of accurate internal and external financial and operating reports

3.      Ensure the integrity, consistency, and governance of financial data across all assigned entities, including the Hospitals, HCI, and consolidated operations

4.      Establish and promote effective collaboration and communication across Finance, Operations, Business Intelligence, IT, and external stakeholders

5.      Provide leadership over staffing strategy, including hiring, development, performance management, and succession planning for revenue and reimbursement functions

6.      Establish, evaluate, and continuously improve departmental policies, procedures, and internal controls to support operational excellence and  compliance

7.      Provide executive oversight of all internal and external financial and reimbursement reporting, including Medicare and other cost reports, CHIA filings, and required governmental submissions

8.      Maintain competency in reimbursement by keeping knowledge of current developments at state and federal level through continuing education and interpret and estimate projected financial impact of changes in regulations on net patient service revenue

9.      Leads external audits, intermediary reviews, and regulatory examinations related to revenue and reimbursement

10.   Directs and owns net patient service revenue methodology, reserve estimation frameworks, and revenue recognition practices

11.   Coordinate with appropriate finance and organizational departments to prepare net revenue budget for all CCHC entities

12.   Partner with executive leadership to assess reimbursement risk, regulatory changes, and strategic financial impacts

13.   Lead cross-functional coordination and preparation of net revenue budgeting, forecasting, and long-range financial planning

14.   Provide strategic guidance on pricing, reimbursement optimization, service line profitability, and financial feasibility analyses

15.   Evaluates the need and benefit of outsourcing activities, determining if resources can be leveraged from within the organization, or recommends continuation of vendors’ services

16.   Monitor and assess vendor performance over timelines as it impacts the organization, understanding the existing and future needs of CCHC Revenue Cycle respective areas

17.   Analyzes, consolidates, and interprets various billing software accounts receivable and financial data for Cape Cod Healthcare entities

18.   Reconciles various receivables, reserves, and revenue accounts to the general ledger

19.   Prepares reconciliations, schedules, and other materials for auditors

20.   Serve as a senior financial advisor and subject matter expert to executive leadership committees, and the Board as appropriate

21.   Champion a culture of continuous improvement, accountability, and compliance across revenue and reimbursement functions

22.   Represent CCHC externally with auditors, regulators, consultants, and industry organizations

23.   Perform other executive-level responsibilities as assigned

• Bachelor’s degree (or higher) in Accounting, Finance or related background or concentration
• (Preferred) CPA and/or Master’s in Business Administration (MBA)
• Experience in GAAP accounting, reimbursement, cost-reporting, net revenue modeling, and accounting
• 7-10 years related experience, preferably in an acute care hospital/healthcare organization  
• Experience with relational databases and large ERP systems – experience with PeopleSoft highly desirable
• Advance proficiency with MS Office applications and related accounting and finance software programs
• History of goal-oriented achievement and project management experience
• Previous experience supervising staff with the ability to coach, motivate and engage employees in a finance function
• Excellent analytical and communication skills with the ability to convey complex information clearly and concisely to all levels of management
• Strong organizational and time management skills, with the ability to meet deadlines and deliver outcomes in a fast-paced, busy environment
• Ability to use sound judgment to effectively solve problems within the scope of the position
• Ability to respond to inquiries and requests from financial institutions and auditors
• Strong analytical, organizational, communication and interpersonal skills
• Demonstrates goal-oriented thinking, leadership ability, and strong interpersonal, operational and organizational skills
• Excellent communication skills, including listening, writing, and relationship development