Director, Reimbursement Consultant

Welcome to Ovation Healthcare!

At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.

We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.

Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.

Summary:
The Director, Reimbursement Consultant, is responsible for leading strategic initiatives related to healthcare reimbursement. This role involves providing expert-level consulting services to clients, including healthcare providers, payers, and other stakeholders. The position requires a deep understanding of reimbursement strategies, regulatory compliance, financial management, and payer relations to optimize revenue cycles and ensure alignment with industry standards.

Duties and Responsibilities:

Client Engagement and Strategy Development:

• Collaborate with clients to assess current reimbursement strategies and identify areas for improvement.

• Develop and implement tailored reimbursement strategies to optimize financial performance.

• Serve as a trusted advisor to clients on regulatory updates and industry best practices.

Regulatory Compliance and Risk Management:

• Stay informed about federal and state regulations affecting reimbursement policies (e.g., Medicare, Medicaid, private payers).

• Ensure client compliance with all relevant laws and guidelines, mitigating risk.

Financial Analysis and Reporting:

• Conduct in-depth financial analyses to evaluate reimbursement performance.

• Provide detailed reports and actionable insights to clients.

Business Development:

• Identify and pursue new consulting opportunities to expand client base and revenue streams.

• Develop proposals, presentations, and other materials to support business growth.

Stakeholder Communication:

• Build and maintain strong relationships with key stakeholders, including healthcare providers, payers, and government agencies.

• Facilitate workshops, webinars, and training sessions to educate clients on reimbursement practices.

Work Experience, Education, and Certifications:

• Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field (Master’s degree preferred).

• Minimum of 8–10 years of experience in healthcare reimbursement, consulting, or related roles.

• Proven track record of leading and managing complex reimbursement projects.

• Experience with regulatory compliance, payer negotiations, and revenue cycle optimization.

• Relevant certifications (e.g., CRCR, HFMA) are preferred.

Knowledge, Skills, and Abilities:

• Strong analytical and problem-solving abilities.

• Excellent communication and interpersonal skills.

• Proficiency in data analysis tools and financial software.

• Leadership and team management capabilities.

• In-depth knowledge of healthcare reimbursement systems and regulations.

• Strategic thinker with a client-focused mindset.

• Ability to navigate complex regulatory environments and deliver innovative solutions.

• Strong organizational and project management skills.

Work Environment:

• Hybrid or remote work flexibility depending on client needs.

• Periodic travel required to meet with clients and attend industry conferences.