Full-Time

Director – Government Reimbursement

Finance Administration

Posted on 9/26/2025

John Muir Health

John Muir Health

1,001-5,000 employees

Not-for-profit health system

Compensation Overview

$194.3k - $291.5k/yr

Walnut Creek, CA, USA

In Person

Category
Accounting (2)
,
Requirements
  • Bachelor’s degree in Finance, Accounting or related area - REQUIRED
  • At least five years experience with state/federal government reimbursement programs specific to medical centers with residency programs and research programs - Required.
  • Excellent knowledge of Medicare, Medi-Cal, and local county regulations.
  • Experience with developing and implementing government reimbursement infrastructure to support a healthcare entity.
  • Knowledge and understanding of generally accepted accounting principles, cost accounting, and government accounting.
  • Excellent leadership skills, with the ability to create and maintain a goal-oriented climate of teamwork and collaboration across departments for effective problem solving, conflict resolution, support for organizational values, and consistent achievement of objectives.
  • Thorough knowledge of healthcare decision support systems and best practices, as well as clinical finance and cost accounting principles.
  • Excellent skills in developing strategic plans, evaluating, and developing staff competencies, organizing operations, and fiscal management.
  • Excellent critical-thinking and business process skills, with the ability to implement effective solutions.
  • Advanced skills to educate management and tailor decision support objectives and goals to meet a broad variety of needs.
  • Excellent interpersonal and communications skills. Excellent ability to motivate, influence, and persuade others, and cultivate a strong commitment to efficiency, functionality, and quality customer service.
  • Knowledge of clinical, financial, and business information technology software, hardware, tools, techniques, and systems.
  • Experience with hospital cost accounting concepts and systems, and familiarity/understanding of hospital and professional patient billing data including healthcare reimbursement concepts.
  • Outstanding project management skills with demonstrated ability to manage multiple projects with overlapping deadlines simultaneously.
  • Knowledge of and experience working with Epic, Workday, and additional associated accounting software.
Responsibilities
  • Oversight and leadership for the strategic planning, analysis, valuation, and integrity of government patient revenue and associated supplemental revenue for all John Muir Health clinical enterprise government reimbursement activities.
  • Provides consultative analytics, guidance and recommendations for potential John Muir Health endeavors including, but not limited to, due diligence and/or return on investment projects.
  • Responsible for oversight, leadership, and integrity of the John Muir Health Chargemaster under the direction of the Chief Financial Officer.
  • Works in collaboration with key stakeholders throughout John Muir Health, as well as Federal, State, and other external agencies.
  • Builds and maintains strong relationships with key stakeholders influencing successful implementation of related health system initiatives.
  • Conducts themselves in a manner that is patient-centered and respectful of all stakeholders and customers.
Desired Qualifications
  • Experience with payer reimbursement methodologies (Commercial and Government) preferred.

John Muir Health is a not-for-profit health system serving the East Bay with over 1,000 primary care and specialty physicians and more than 6,000 employees, including medical centers in Concord and Walnut Creek and a Behavioral Health Center. It provides a full range of services—from primary and specialty care to imaging, emergency, and trauma—through its hospitals and outpatient facilities. Care is coordinated through partnerships with UCSF Health, Tenet/San Ramon Regional Medical Center, and Stanford Children’s Health to offer advanced treatments locally. The organization differentiates itself as locally governed and not-for-profit, home to Contra Costa County’s only trauma center, and uses a team-based, patient-centered culture to help people achieve optimal health across many specialties.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Concord, California

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • 34 minutes daily documentation savings per clinician justifies ROI without increasing patient volume.[6]
  • 44% physician turnover reduction addresses healthcare workforce shortage and retention crisis.[6]
  • $3 million cost savings from reduced turnover and optimized resource utilization demonstrates financial impact.[1]

What critics are saying

  • AutoCDI over-diagnosis suggestions inflate HCC coding, inviting OIG audit and clawbacks.[1]
  • Sutter Health's aggressive Contra Costa expansion threatens 20% of JMH outpatient market share.[1]
  • 164-employee layoffs signal financial distress amid home health division divestiture to Cornerstone.[1]

What makes John Muir Health unique

  • 65% clinician adoption across 15 specialties outpaces competitors struggling with ambient AI uptake.[1]
  • Coding-aware technology generates billing-compliant documentation, surfacing relevant codes at point of care.[1]
  • Epic integration built in two weeks enables seamless read-write access directly within EHR.[2]

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Benefits

Flexible Work Hours

Company News

HIT Consultant
Feb 13th, 2025
John Muir Health Deploys Ambience’S Ai Scribing Platform Across Enterprise

What You Should Know:– John Muir Health (JMH), a health system renowned for its commitment to patient care, today announced the full enterprise rollout of Ambience Healthcare’s AI scribing platform.– The expansion follows a successful pilot program that demonstrated significant improvements in patient experience, clinician well-being, productivity, and financial sustainability.“Coding Aware” Technology Improves Patient ExperienceAmbience’s unique “coding aware” technology sets it apart from other AI solutions. The platform can generate documentation that is compliant with complex billing codes and surfaces relevant codes for clinicians to review at the point of care. This ensures accurate and efficient billing, reducing administrative burden and improving financial performance. Unlike other ambient documentation solutions struggling to achieve widespread adoption, Ambience has seen rapid uptake at JMH, with over 65% of clinicians across 15 specialties actively using the platform.Key benefits of Ambience’s AI platform:Enhanced Patient Experience: Providers using Ambience saw a significant increase in patient satisfaction scores, demonstrating the platform’s positive impact on patient interactions.Providers using Ambience saw a significant increase in patient satisfaction scores, demonstrating the platform’s positive impact on patient interactions. Reduced Clinician Burnout: Ambience contributed to an 11% decrease in clinician burnout and improved work-life balance by reducing after-hours charting.Ambience contributed to an 11% decrease in clinician burnout and improved work-life balance by reducing after-hours charting. Increased Productivity and Efficiency: Clinicians experienced a 24% decrease in time spent on notes and patient instructions, leading to a 21% increase in patient face time.Clinicians experienced a 24% decrease in time spent on notes and patient instructions, leading to a 21% increase in patient face time

Unknown
Jan 17th, 2025
John Muir Health more than doubles footprint at Bishop Ranch - The Business Journals

John Muir Health more than doubles footprint at Bishop Ranch The Business Journals Copyright for syndicated content belongs to the linked Source link

PR Newswire
Nov 25th, 2024
Memorial Hermann Health System Appoints Max Reynolds as Senior Vice President and Chief Legal Officer

Reynolds joins Memorial Hermann from John Muir Health in the San Francisco Bay Area, where he served as Senior Vice President and General Counsel and oversaw legal, compliance, internal audit and information security for the system.

HR Executive
Jul 26th, 2024
How online coaching became a 'game changer' for John Muir Health

Among the solutions, John Muir Health's HR team partnered with the online coaching platform BetterUp to provide a range of coaching opportunities to build resilience in employees and development for leaders.

San Francisco Chronicle
Mar 7th, 2024
Cyber attack on payments processor affects Bay Area health care providers

Kaiser Permanente and John Muir Health are among the health care providers nationwide affected by a cyber attack on Change Healthcare, a widely used payments processing vendor in the health care industry.

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