Job Details

The Ohio State University Wexner Medical Center

The Ohio State University Wexner Medical Center is a proud part of one of the nations largest major comprehensive public research universities, serving more than 65,000 undergraduate, graduate and professional students. With nearly 41,000 full-time equivalent employees, Ohio State is Ohios fifth-largest employer.

Part of one of the most comprehensive health sciences campuses in the country, the Ohio State Wexner Medical Center comprises the Ohio State Health System; the College of Medicine and its School of Health and Rehabilitation Sciences; the Office of Health Sciences, including the Ohio State Faculty Group Practice; various research centers, programs and institutes; and The Ohio State University Comprehensive Cancer Center Arthur G. James Cancer Hospital and Richard J. Solove Research Institute. It is one of the largest and most diverse academic medical centers in the country and the only academic medical center in central Ohio. As one of the Midwests leading health care providers, the Wexner Medical Center is committed to continuously setting the standard for world-class care.

The Ohio State Wexner Medical Center offers health care services in virtually every specialty and subspecialty in medicine. Thousands of patients visit each month for treatments and services they cant find elsewhere. Providing access to health care information is central to the research, education and patient care mission. The Wexner Medical Centers seven hospitals and its network of community-based offices and care centers manage more than 3.2 million outpatient visits each year.

In 2024, the Ohio State Wexner Medical Center was named to U.S. News amp; World Reports Best Hospitals list for the 32nd consecutive year. U.S. News consistently ranks Ohio State as the top adult hospital in central Ohio with nationally ranked specialties. Beckers Hospital Review selected Ohio State for its 2024 list of Great Hospitals in America for excellence in quality patient care and clinical research, leadership in innovation and its rankings and awards. And Forbes named us to its 2024 list of Americas Best Large Employers.

The Ohio State University Health Sciences Center with colleges of Medicine, Nursing, Pharmacy, Dentistry, Optometry, Public Health and Veterinary Medicine all in close proximity is adjacent to the tremendous resources and expertise of The Ohio State University campus in Columbus. This proximity fosters collaborations with other university departments, which makes Ohio State unique in the United States in its potential to promote scientific partnerships and the direct translation of research discoveries into new medical therapies and technologies. Such efforts have resulted in the Mathematical Biosciences Institute and the Ohio State Biomedical and Materials Engineering Complex. Dual degree programs such as MD/MBA, MD/JD and MD/PhD have been developed with the Fisher College of Business, the College of Law and the College of Public Health.

Columbus, Ohio
Columbus is one of the fastest-growing major metropolitan areas in the country, with a vibrant blend of arts and culture; inspired culinary, fashion, music and entertainment scenes; exciting collegiate and professional sports; and an open, entrepreneurial spirit. Its diverse population 109 languages are represented makes Columbus a microcosm of America.

Ohios state capital is the 14th largest city in the U.S. and second largest in the Midwest behind Chicago, larger than Charlotte, Seattle, Denver, Boston, Nashville, and Baltimore. The population of the greater Columbus metropolitan area is more than two million. At the same time, the cost of living in Columbus is 10% below the national average.

Intelligent Community Forum named Columbus one of the seven most intelligent communities in the world. The city has more PhDs than the national average and the largest concentration in the Midwest, there are 56 college and university campuses within the Columbus region.

Columbus is within 550 miles of half the nations population. John Glenn Columbus International Airport, 10 minutes from downtown, offers more than 150 daily nonstop departures to 35 airports. During the work week, the average Columbus commute is just 23.3 minutes and can be significantly less. Learn more about Columbus.

Leadership

John J. Warner, MD

Chief Executive Officer, The Ohio State University Wexner Medical Center

Executive Vice President, The Ohio State University

John J. Warner, MD, became chief executive officer of the Ohio State Wexner Medical Center and executive vice president at Ohio State in April 2023. One of the nations foremost leaders in academic medicine, Dr. Warner is advancing Ohio States vision of health care transformation to meet the needs of the growing communities we serve across Ohio and the nation.

Dr. Warner leads the Wexner Medical Centers research, education, and patient care mission across seven hospitals, an expansive and growing network of outpatient care centers, a nationally ranked College of Medicine, more than 20 research institutes, a faculty group practice, an accountable care organization and a health plan.

Position Summary

Under the supervision of the Senior Director of Accounting, the Finance Reimbursement Assistant Director plays a strategic and hands-on role in managing the hospitals third-party reimbursement activities. This includes the annual filing of Medicare and Medicaid cost reports for a large academic medical center with over 600 GME/IME FTEs, $23 million in Medicare DSH reimbursement, and a PPS-Exempt Cancer Hospital.

The Assistant Director provides high-level analytical and regulatory support across all reimbursement functions, including audits, appeals, DSH, 340(b), wage index, and uncompensated care reporting. This role requires a deep understanding of healthcare reimbursement methodologies and financial reporting systems, as well as the ability to lead complex projects and collaborate with senior leadership.

Supervisory Responsibility:
This position directly supervises two manager-level employees, both of whom are responsible for Finance Reimbursement.

Reporting Structure:
This position reports to the Senior Director of Accounting.

Duties and Responsibilities

65% Third-Party Payer Filings amp; Reimbursement Reporting

• Responsible for preparing and filing information with various third-party payers, including but not limited to:
  • Cost reports
  • Surveys and questionnaires
  • Special CMS requests
• Manages audits conducted by third-party payers, such as Medicare, Medicaid, Champus, and State Medicaid Programs.
• Develops and maintains expertise in reimbursement processes and financial reporting systems.
• Prepares reimbursement-related reports and analyses to support the reimbursement team.

15% Financial Analysis of Reimbursement Accounts

• Performs monthly analysis of all contractual and settlement accounts.
• Oversees general ledger accounts related to third-party payers on both the balance sheet and the statements of revenues and expenses (including HCAP, UPL, HAP).

10% Regulatory Impact amp; Team Development

• Provides hospital leadership with analyses on the financial impact of proposed and finalized regulations.
• Serves as a subject matter resource on reimbursement topics.
• Actively shares professional and technical expertise to support the development of the reimbursement team.

5% Appeals Oversight

• Monitors the status of appeals and assists with the preparation and filing of appeals to Medicare and Medicaid programs.

Organizational Expectations

Practices within the medical centers policies and procedures. Adheres to the Mission and Values statements as demonstrated through positive patient/guest relations, positive and effective interactions with staff and by formulating and meeting developmental goals.

Qualifications

• Bachelors degree in Business Administration, Accounting, Finance, or a related field (required)
• Minimum 10 years of progressive hospital reimbursement experience, specifically in:
  • Medicare and Medicaid cost report preparation
  • Financial analysis within a healthcare setting
• Leadership experience in healthcare finance, preferably within large health systems or academic medical centers
• CPA certification preferred
• Hands-on experience preparing cost reports
• Expertise in:
  • PPS-Exempt Cancer Hospital reimbursement
  • Medicare DSH reimbursement
  • GME/IME reporting
  • Wage Index and Uncompensated Care reporting
  • 340(b) program compliance and reporting

Skills amp; Attributes

• Deep knowledge of healthcare reimbursement methodologies and related regulations
• Advanced financial analytical skills, especially in forecasting, variance analysis, and reconciliation of third-party liabilities
• Project management expertise in leading complex reimbursement projects
• Highly detail-oriented, especially with regulatory reporting and audit documentation
• Strong technical skills in financial reporting systems and data analysis
• Collaborative leadership style; ability to coach, train, and build a cohesive, effective team
• Effective communicator, comfortable working with senior leadership and cross-functional teams
• Deadline-driven with a strong sense of accountability
• Strategic mindset paired with a hands-on approach to operational execution
• Problem-solving skills in navigating audits, appeals, and regulatory challenges

How to Apply
Please visit this job posting link to find out more and apply online for job opening R127038.

Applicants should submit the following:

1. An up-to-date and detailed resume.

2. A letter of interest that includes:

• Your interest in the Finance Reimbursement Assistant Director role.
• How your experience makes you a strong candidate for the role.
• Why this is the right time for you to pursue this opportunity.

All inquiries and nominations should be submitted to Shannon Rice at ...@osu.edu.

The university is an equal opportunity employer, including veterans and disability.

Our Comprehensive Employee Benefits Include:

• An array of retirement plan options, each with a generous employer contribution.
• Affordable health insurance options, including dental, vision and prescription coverage that begin on day one.
• Paid vacation and sick leave, including short and long-term disability and paid parental leave.
• Get the most out of the Public Service Loan Forgiveness program.
• And much more!