Director of Public Healthcare - Payor Compliance

February 6

Apply Now

Receive Emails with Similar Jobs

Kestra Medical Technologies, Inc.

WebsiteLinkedInAll Job Openings

Kestra Medical Technologies, Inc. is a company that appears to offer medical technologies, particularly focusing on the ASSURE system. The company seems to cater to both patients and healthcare providers, suggesting involvement in the healthcare technology space. They have support and contact systems in place for both patients and providers, indicating a service-oriented approach to healthcare solutions.

51 - 200 employees

⚕️ Healthcare Insurance

🧬 Biotechnology

📋 Description

•The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. •Kestra’s solutions combine high quality and technical performance with a wearable design that provides comfort and dignity. •This position is responsible for ensuring compliance with Federal, State and Commercial reimbursement contracts. •Responsible for compliance functions related to Medicare and Medicaid. •Manage and respond to all audits from governmental entities and commercial payors. •Own accreditation activities of KMTS as required by federal and state programs. •Conduct file audits by region and payor and present findings to the Compliance Committee. •Develop a database of payor policy and billing guidelines. •Manage the maintenance of payor contract requirements and regular reporting of contract compliance status. •Oversee submissions and renewals of state Medicaid programs. •Monitor trends in regulatory policies and report findings to management. •Manage all federal, state and commercial payor audits.

🎯 Requirements

•Bachelors degree •At least 15 years of experience in DME Reimbursement field – policy, funding & billing •Advance knowledge/proficiency in government (Medicare/Medicaid) regulations and Commercial Insurance •Contracts, as required. •Strong background in financial management and knowledgeable of federal and state laws and requirements relating to healthcare/governmental regulations. •Proficiency with Bonafide, Microsoft Office Word, Excel, and PowerPoint preferred •Masters degree (Preferred)

🏖️ Benefits

Kestra offers a very competitive benefit package including Medical, Dental, 401K with Match, etc. Pay equity is an important part of Kestra’s Culture. Our compensation ranges are guided by national and local salary surveys and take into consideration experience level and internal equity. Each role is benchmarked based on the job description provided If your qualifications and/or experience level are outside of the posted position, we encourage you to apply as we are growing fast and roles that are coming soon may not be posted. Kestra Medical Technologies is an equal opportunity employer. Kestra Medical Technologies does not discriminate on the basis of race, color, religion, national origin, veteran status, age, sexual orientation, gender identity and/or expression, marital status, disability, physical or mental status or any other characteristic protected by law. We are unable to sponsor or take over sponsorship of employment visas at this time. Applicants must be eligible to work for any employer in the U.S. Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment.