Director of Public Healthcare & Payor Compliance - Remote

Overview

The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra’s solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life.

In Short

• Responsible for compliance with Federal, State, and Commercial reimbursement contracts.
• Manage compliance functions related to Medicare and Medicaid.
• Conduct file audits and present findings to the Compliance Committee.
• Review payor contracts and ensure compliance with reimbursement requirements.
• Develop a database of payor policy and billing guidelines.
• Oversee submissions and renewals of state Medicaid programs.
• Monitor trends in regulatory policies and report findings to management.
• Develop and maintain reimbursement training programs.
• Manage federal, state, and commercial payor audits.
• Collaborate with product development on coding and funding of new products.

Requirements

• Strong knowledge of compliance and reimbursement processes.
• Experience with Medicare and Medicaid regulations.
• Ability to conduct audits and present findings effectively.
• Excellent collaboration and teamwork skills.
• Strong analytical and problem-solving abilities.
• Ability to manage multiple projects and deadlines.
• Commitment to ethical standards and integrity.
• Experience in training and development.
• Strong communication skills.
• Ability to work independently and as part of a team.

Benefits

• Opportunity to work in a dynamic and innovative environment.
• Collaborative team culture.
• Commitment to continuous improvement and professional development.
• Competitive salary and benefits package.
• Flexible working arrangements.