Director of Strategic Revenue Reimbursement

INTEGRIS Health, Oklahoma’s largest not-for-profit health system has a great opportunity for a Director of Strategic Revenue Reimbursement in Oklahoma City, OK. In this position, you’ll be a part of our Financial Reporting team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.

The Director of Strategic Revenue Reimbursement is a senior leader responsible for driving enterprise-wide reimbursement strategy, regulatory alignment, and revenue optimization across governmental and managed care payers. This role serves as the central point of coordination and decision support for reimbursement-related initiatives, ensuring alignment across finance, revenue cycle, compliance, legal, operations, and IT.

The Director proactively interprets regulatory changes, leads cross-functional workgroups, and ensures that reimbursement implications are fully evaluated and operationalized across the organization. This position moves beyond traditional cost reporting to a strategic, forward-looking function that maximizes reimbursement opportunities while ensuring compliance.

REQUIRED QUALIFICATIONS
EXPERIENCE:

• 8–12+ years of progressive experience in healthcare reimbursement, finance, or revenue cycle

Demonstrated experience with Medicare/Medicaid reimbursement methodologies and cost reporting

EDUCATION:

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field (required)

Knowledge & Expertise

• Deep understanding of:
  • CMS regulations (IPPS, OPPS, provider-based rules)
  • Medicare and Medicaid reimbursement models
  • Cost reporting and governmental payment structures
• Experience with:
  • Revenue optimization strategies
  • Regulatory interpretation and implementation
  • Cross-functional leadership in complex healthcare systems

Leadership Competencies

• Strategic thinker with ability to connect operational decisions to financial outcomes
• Strong collaborator with ability to influence across departments
• Proven ability to lead through ambiguity and organizational change
• Executive presence with strong communication and presentation skills

PREFERRED QUALIFICATIONS

EDUCATION:

• Master’s degree (MBA, MHA) or CPA (preferred)
   

1. Strategic Leadership & Governance

• Serve as the enterprise leader and central decision-support authority for reimbursement strategy.
• Establish governance processes for evaluating new initiatives (e.g., acquisitions, new sites, service expansions).
• Lead cross-functional workgroups to ensure alignment across departments and initiatives.

• Provide recommendations to executive leadership and participate in executive and board-level discussions.

2. Regulatory Monitoring & Interpretation

• Monitor and interpret federal and state regulatory changes (e.g., CMS IPPS/OPPS rules, Medicaid policies).
• Translate regulatory updates into actionable organizational strategies.
• Lead enterprise-wide communication and implementation of regulatory changes.
• Partner with external advisors, industry groups, and advocacy organizations to stay ahead of policy developments.

3. Revenue Optimization & Financial Impact

• Identify and execute opportunities to enhance reimbursement and protect existing revenue streams.
• Lead initiatives related to:
  • Wage index optimization
  • Disproportionate Share Hospital (DSH) and Medicaid days strategies
  • Safety net and supplemental payment programs
  • Appeals and reimbursement disputes
• Provide financial modeling and forecasting for reimbursement impacts across short- and long-term horizons.

4. Cross-Functional Coordination

• Act as the hub across departments, including:
• Finance & Accounting
• Revenue Cycle
• Compliance
• Legal
• Managed Care
• IT / EHR (e.g., Epic build coordination)
• Operations
• Ensure all stakeholders are engaged early in initiative planning to prevent downstream issues.
• Eliminate siloed decision-making by driving collaborative execution.

5. Provider-Based & Structural Strategy

• Oversee evaluation and implementation of:
  • Provider-based status determinations
  • Site-of-service strategy
  • Facility licensure and enrollment alignment
• Ensure compliance with CMS requirements (e.g., location, signage, billing, documentation).
• Coordinate with enrollment, compliance, and operational teams to ensure accurate implementation.

6. Cost Reporting & Government Reimbursement Oversight

• Provide strategic oversight of:
  • Government reimbursement methodologies
  • Medicare and Medicaid cost reporting
• Ensure alignment between cost reporting, operational decisions, and reimbursement strategy.
• Partner with internal teams and external consultants to optimize reporting outcomes.

7. Managed Care & Value-Based Integration

• Collaborate with managed care teams to align contract strategy with governmental reimbursement.
• Support modeling and negotiation strategies for Medicare Advantage and Medicaid MCOs.

• Partner with population health teams on value-based reimbursement and shared savings programs.

• 8. Mergers, Acquisitions & Strategic Initiatives

• Lead reimbursement strategy for acquisitions, affiliations, and expansions.
• Develop and maintain regulatory checklists and frameworks for new ventures.

• Ensure optimal structuring to preserve or enhance reimbursement (e.g., critical access, safety net status).

9. Analytics, Reporting & Executive Communication

• Develop dashboards and reporting tools to track reimbursement performance and opportunities.
• Present findings and strategic recommendations to executive leadership and board committees.

• Quantify financial impact of initiatives and track return on investment.

• 10. Team Leadership & Development

• Build and lead a high-performing reimbursement team (e.g., cost reporting, provider enrollment, analytics).
• Develop career pathways in reimbursement to attract and retain talent.
• Leverage external consultants strategically while building internal expertise.