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Sutter Health

Not-for-profit integrated healthcare network managing hospitals

Accounting Director - Government Reimbursement

Financial AccountingConfirmed live in the last 24 hours
Full-timeSacramento, CA, USA$181.9k - $291k /yr

About the Job

Requirements

  • A bachelor's degree in Accounting, Finance, Business Administration, or a related field.
  • Twelve years of recent relevant experience.
  • Working knowledge of accounting and/or finance operations.
  • Working knowledge of basic principles and methods of accounting, auditing, and financial reporting, including generally accepted accounting principles.
  • Understanding of business and service organization best practices.
  • Strategic skills to review processes and strategies for alignment with business needs and identify improvement opportunities.
  • Analytical skills to resolve issues and problems using business and functional knowledge and client relationships.
  • Ability to manage projects from inception through successful implementation.
  • Ability to operate strategically and tactically.
  • Ability to influence others through persuasion, negotiation, and problem solving, and to help others consider different viewpoints and alternative options.
  • Ability to maintain effective working relationships with stakeholders while respecting cultural and linguistic differences and fostering an inclusive work environment.
  • Ability to communicate verbally and in writing, and present concepts and information clearly to management and employees.
  • Organization and planning skills to delegate, manage, and reprioritize activities and projects to meet deadlines while remaining responsive.
  • Ability to work effectively in a dynamic, fast-paced environment with changing business priorities.
  • Integrity and ethical handling of confidential and sensitive information.
  • Ability to use applications and databases associated with the role's duties and responsibilities.

Responsibilities

  • Lead and direct general accounting services for the system, monitor operations, and develop internal controls to ensure activities and transactions comply with generally accepted accounting principles.
  • Work with accounting leaders to manage the presentation of financial information and analysis.
  • Develop performance metrics, policies, procedures, and internal controls.
  • Provide strategic guidance on business issues, recognizing cross-functional and system-wide implications and interdependencies of decisions.

Desired Qualifications

  • Extensive experience with Medicare and Medicaid reimbursement methodologies, including cost reporting, wage index strategies, Graduate Medical Education, Disproportionate Share Hospital, uncompensated care, supplemental payment programs, and regulatory reimbursement analysis.
  • Experience leading reimbursement strategy for a large integrated healthcare system, multi-hospital health system, academic medical center, or healthcare consulting organization.
  • Demonstrated success identifying, quantifying, and implementing reimbursement optimization initiatives that improve financial results while maintaining regulatory compliance.
  • Experience evaluating federal and state regulatory changes, including Centers for Medicare & Medicaid Services proposed and final rules, and translating reimbursement requirements into financial impact assessments and executive-level recommendations.
  • Experience overseeing Medicare and Medicaid cost reporting, regulatory filings, reimbursement audits, appeals, settlements, and governmental agency interactions.
  • Experience developing reimbursement analytics, financial models, forecasting methodologies, and decision-support tools for executive planning and strategic initiatives.
  • Experience leading financial due diligence, reimbursement assessments, mergers and acquisitions support, hospital affiliations, service-line evaluations, or other strategic healthcare growth initiatives.
  • Prior experience with California healthcare reimbursement programs, Health Care Access and Information reporting requirements, Medi-Cal reimbursement methodologies, and state-specific healthcare regulatory programs.
  • Experience working with healthcare reimbursement consulting firms, governmental agencies, external auditors, legal counsel, and industry associations.

About the Company

Sutter Health

Not-for-profit integrated healthcare network managing hospitals

Sutter Health is a not-for-profit, integrated healthcare network serving Northern California. It operates a broad system of medical facilities—including hospitals, outpatient centers, and research institutes—to provide care for everything from routine checkups to complex surgeries. The network uses digital health tools and conducts clinical research to improve patient outcomes, and it reinvests earnings back into community health initiatives, medical research, and facility improvements. Revenue comes from patient services, insurance reimbursements, and government health programs. Its goal is to deliver high-quality, patient-centered care while expanding preventive care and wellness programs to improve long-term community health.

Company size
10,001+
Company stage
Grant
Total funding
$4.2M
Headquarters
Sacramento, CA
Founded
1981

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