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Tennessee Hospital Association

Financial Policy Analyst

Tennessee Hospital Association

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Job Summary

Equal Employment Opportunity Statement

 

The Tennessee Hospital Association (THA) is an equal opportunity employer and does not discriminate against applicants or employees on the basis of race; color; creed; religion; sex; age; national origin; citizenship status; ancestry; pregnancy; sexual orientation; gender identity or expression; genetic information; or past, present or future membership in a U. S. Uniformed Service.  In addition, THA does not discriminate against qualified individuals with physical, visual or mental disabilities.  Also, THA does not discriminate against employees or applicants who inquire about, discuss or disclose their compensation or the compensation of other employees or applicants, however, an exception exists where the employee or applicant makes the disclosure based on information obtained in the course of performing their essential job functions.

 

 

JOB SUMMARY:

The Financial Policy Analyst performs policy and reimbursement research to support policy analysis and advocacy initiatives for the organization.  This position collects, analyzes, and interprets data and information on policy topics to share knowledge of healthcare policy and financial issues to the organization and member hospitals, including, but not limited to, Medicare and TennCare reimbursement.

 

This position assists with the development of corporate and division goals on financial, reimbursement, and federal advocacy issues and the development of programs, education, and other operations to insure effective accomplishment of the association’s goals.

 

 

Job Responsibilities

ESSENTIAL FUNCTIONS OF THE JOB: (listed in order of importance) List your principal accountabilities; identify what you do, what end results you are accountable for, and how you measure your success.

 

  1. The ability to adapt to a changing work environment and meet challenges presented throughout the day.
  2. Collaborates with management in the design, study, and research of information related to policy development and advocacy positions for member hospitals and the organization.
  3. Keeps abreast of current healthcare policy and reimbursement issues affecting hospitals at the state and national levels.
  4. Analyzes the impact of potential changes to regulatory requirements on hospital reimbursement and methodologies, including, but not limited to, Medicare and Medicaid.
  5. Assists management in understanding Medicaid regulatory issues, including reimbursement, Disproportionate Share Hospital (DSH) audits and payments, waiver amendments, program changes, and other hospital-related issues.
  6. Prepares draft letters and position statements for the organization on proposed rules and regulations in representation of THA’s adopted position(s) on proposed healthcare policy and payment system changes to state and federal regulatory agencies, including the Centers for Medicare and Medicaid Services (CMS), the Internal Revenue Service (IRS), TennCare waiver proposals, and others.
  7. Develops and maintains a working knowledge of Medicare reimbursement systems in order to make strategic recommendations for maximizing program benefits, including, but not limited to, the Medicare Inpatient Prospective Payment System (IPPS), the Medicare Outpatient Prospective Payment System (OPPS), and others.
  8. Prepares information for and responds to member requests for assistance on various issues, such as patient accounting, chargemaster, billing compliance, credit and collections, charity policies, and discounts to the uninsured.
  9. Assists in the development of education programs and other resources to support members on financial initiatives.
  10. Maintains a positive relationship with external agencies and governmental entities, including the CMS national and regional offices; the Medicare Administrative Contractors (MACs); and the State Medicaid agency, TennCare.
  11. Provides technical assistance to committees/taskforces related to healthcare policy and reimbursement to support the organization’s policy development of initiatives and goals.
  12. Provides technical assistance to THA management responsible for federal and state lobbying efforts.
  13. Supports and advocates the organization’s communication agenda with timely articles that analyze issues related to hospital finances and policies.
  14. Provides courteous and prompt service to all internal and external clients.
  15. Prioritizes and addresses requests and assignments in a professional manner,
  16. Maintains a high level of confidentiality with member and employee information, as well as political and financial data.
  17. Must be available for out of town travel approximately 10 percent of the time, be able to drive an automobile and maintain a valid driver’s license.
  18. Must be available in the office during regular office hours, unless job responsibilities require otherwise.

 

 

MARGINAL JOB FUNCTIONS

 

Performs other duties as required.

 

 

ORGANIZATIONAL STRUCTURE:  (Positions reporting directly to you, if any, and their areas of responsibility)

 

None

 

 

GUIDANCE & DIRECTION: (Policies, precedents or procedures that guide your work)

 

  1. The primary guidance and direction are provided by the THA VP of Financial Policy and THA Board of Directors to achieve THA mission and goals.
  2. Medicare and Medicaid laws, regulations, program memorandums, transmittals, and the guidance published in the Federal Register.
  3. Laws, rules, and regulations of the State of Tennessee.
  4. Federal laws, rules, and regulations, including the IRS tax code.
  5. Generally Accepted Accounting Principles (GAAP) and the Governmental Accounting Standards Board (GASB) requirements.
  6. Company policies and procedures.

 

THIS COMPANY RESERVES THE RIGHT TO MODIFY, INTERPRET, OR APPLY THIS JOB DESCRIPTION IN ANY WAY THE COMPANY DESIRES. THIS JOB DESCRIPTION IN NO WAY IMPLIES THAT THESE ARE THE ONLY DUTIES, INCLUDING ESSENTIAL DUTIES, TO BE PERFORMED BY THE EMPLOYEE OCCUPYING THIS POSITION. THIS JOB DESCRIPTION IS NOT AN EMPLOYMENT CONTRACT, IMPLIED OR OTHERWISE. THE EMPLOYMENT RELATIONSHIP REMAINS “AT-WILL.”  THE AFOREMENTIONED JOB REQUIREMENTS ARE SUBJECT TO CHANGE TO REASONABLY ACCOMMODATE QUALIFIED DISABLED INDIVIDUALS.

Qualifications

Educational and experience Requirements Needed to Perform the Duties of the Job:

 

Requires either:

 

A minimum of three years of experience in a healthcare finance or related position as well as a Bachelor’s degree in finance or accounting or Certified Public Accountant (CPA)

 

Or

 

A minimum of five years of experience in hospital finance or related position and a Bachelor’s in Business Administration (BBA) or a related field.

 

 

Skills Required to Perform the Duties of the Job:

 

  1. The ability to determine and prioritize the impact of many complex reimbursement issues and provide evaluations in understandable formats.
  2. Independent judgment and organizational and planning skills to prioritize and develop initiatives and programs to meet determined needs.
  3. The ability to determine whether a proposed rule, regulation, or law is of concern to THA members, whether it accomplishes a worthwhile objective, and whether it is unduly burdensome.
  4. The ability to understand and interpret the financial operations of healthcare institutions, the law, rules and regulations in which hospital finance operates in, Medicare and Medicaid payment structures, financial data analysis, and healthcare financial reports, such as Medicare Cost Reports and the Tennessee Joint Annual Report for Hospitals.
  5. The ability to make effective presentations before large groups.
          1. The ability to maintain good working relationships with THA staff and membership and state and federal regulators.
          2. Excellent communication skills, both oral and written.
          3. Extensive computer skills, including Microsoft Word, Excel, PowerPoint, and Outlook.

Additional Information

Benefits

Medical, dental, vision and life insurance

Short- and long-term disability insurance

Paid time off

401(k)

How to Apply

You can apply and submit your resume through https://recruiting.paylocity.com/Recruiting/Jobs/Details/382631.

Details

  • Date Posted: October 27, 2020
  • Type: Full-Time
  • Job Function: Accounting / Financial Management
  • Service Area: Health (Physical, Mental)
  • Working Hours: 38.75 hrs/wk; M-F, 8:00am-4:45pm