Executive Director, Finance and Revenue

Job Description

PURPOSE OF POSITION:

Provides strategic leadership and oversight of system-wide general accounting functions related to revenue, reimbursement, and internal and external financial reporting across all Cape Cod Healthcare (CCHC) hospitals and entities. Oversees reimbursement, regulatory reporting, revenue, and accounts receivable management activities to ensure financial integrity, regulatory compliance, and alignment with organizational strategic objectives.

PRIMARY DUTIES AND RESPONSIBILITIES:

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

EDUCATION/EXPERIENCE/TRAINING:

• 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

Pay Range Details:

The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare’s benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.