Healthcare Reimbursement Senior Consultant

Baker Tilly•Columbus, OH

About The Position

Baker Tilly is hiring a Healthcare Reimbursement Senior Consultant to join its healthcare consulting practice. The role works directly with hospitals, health systems, and other healthcare providers on Medicare and Medicaid cost reporting, reimbursement analysis, and related advisory engagements. It combines technical reimbursement knowledge, financial analysis, and client service to help clients address regulatory requirements and reimbursement challenges. The Senior Consultant prepares and reviews cost reports and specialized reimbursement analyses, evaluates financial and operational data, and identifies reimbursement opportunities, compliance considerations, and risks. The role independently manages significant portions of client engagements, communicates with client finance and reimbursement staff, and supports regulatory requests. It also provides day-to-day guidance to junior colleagues, collaborates with senior leaders, and contributes to improved processes and tools. Baker Tilly describes opportunities for career growth, flexibility in how and where employees work, and professional development supported by relationships with clients, colleagues, and leaders. Work location status should be discussed with a talent acquisition professional.

Requirements

Bachelor’s degree in accounting, finance, healthcare administration, business, or a related field.
At least 3 years of relevant healthcare reimbursement, Medicare/Medicaid cost reporting, healthcare finance, or related consulting experience.
Hands-on experience preparing and/or reviewing Medicare hospital cost reports.
Experience preparing and/or reviewing Medicaid or state medical assistance cost reports.
Working knowledge of federal and state healthcare reimbursement regulations and methodologies.
Strong understanding of hospital financial statements, general ledger data, reimbursement statistics, and their relationship to regulatory cost reporting.
Ability to analyze healthcare reimbursement and cost report data and develop meaningful observations and recommendations.
Strong Microsoft Excel skills and proficiency with Microsoft Office.
Strong analytical, problem-solving, organizational, and project-management skills.
Ability to independently manage assigned workstreams and deliver high-quality work in a deadline-driven, multi-client environment.
Strong written and verbal communication skills, including the ability to explain technical reimbursement concepts to clients and colleagues.
Ability to develop effective client relationships and collaborate across engagement teams.
Ability and willingness to coach and support junior team members.
Ability to quickly learn regulations, reimbursement methodologies, technology platforms, and processes.
Commitment to continuous professional development and sharing knowledge across the practice.

Nice To Haves

Experience with hospital Medicare cost reporting, including CMS Form 2552-10.
Experience with reimbursement projects involving wage index, occupational mix, IME/GME, provider-based departments, or special hospital classifications.
Experience interacting with MACs, state Medicaid agencies, or other healthcare reimbursement authorities.
Experience in healthcare consulting, public accounting, hospital reimbursement, or health system finance.
Advanced Excel and healthcare data-analysis capabilities.
Experience with Medicare/Medicaid cost reporting or healthcare reimbursement software.

Responsibilities

Prepare and review Medicare and Medicaid cost reports for hospitals and other healthcare providers, analyzing supporting financial, statistical, reimbursement, and operational data.
Apply Medicare and Medicaid reimbursement regulations, CMS requirements, and state-specific reimbursement methodologies to client engagements.
Analyze cost report data and reimbursement results to identify trends, inconsistencies, opportunities, compliance considerations, and matters requiring further investigation.
Reconcile cost report data to financial statements, general ledger information, patient statistics, and other supporting documentation.
Independently manage significant portions of client engagements, including information gathering, analysis, documentation, and meeting deadlines.
Prepare and review specialized reimbursement analyses and projects, including wage index and occupational mix reviews, IME/GME reimbursement, provider-based services, and special hospital designations.
Assist clients with requests from Medicare Administrative Contractors, state Medicaid agencies, and other regulators related to cost reports and reimbursement matters.
Develop workpapers, analyses, client deliverables, and documentation supporting reimbursement positions and conclusions.
Communicate with client finance, reimbursement, and accounting personnel to obtain information, resolve questions, and share project status and findings.
Identify reimbursement opportunities and risks and communicate observations and recommendations to engagement leaders and clients.
Manage multiple concurrent engagements and priorities while meeting regulatory filing dates and internal deadlines.
Collaborate with senior leaders on complex reimbursement matters and special consulting projects.
Provide day-to-day guidance, technical support, and review assistance to Consultants and other junior team members.
Contribute to improvements in cost reporting processes, analytical tools, templates, and engagement methodologies.
Stay current on CMS regulations, Medicare reimbursement policy, Medicaid reimbursement requirements, and healthcare industry developments, and share relevant knowledge.
Maintain quality, professionalism, confidentiality, and client service while meeting firm engagement and productivity expectations.