Manager Reimbursement

Presbyterian Healthcare Services

1d • Onsite

About The Position

Build your Career. Make a Difference. Presbyterian is hiring a skilled Manager Reimbursement to join our team. The Manager Reimbursement position requires knowledge of Medicare and Medicaid, OPPS, claims, CPT/HCPCS, Revenue codes, and how they function with pricing, along with strong management experience. Health Plan experience with all lines of business including Commercial, Self-Funded, Medicare, and Medicaid is also required. Presbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system comprising nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees, including over 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans. As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. Presbyterian's story is the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper in 1908, the hard work of thousands of physicians, nurses, employees, board members, and volunteers transformed Presbyterian from a tiny tuberculosis sanatorium into a statewide healthcare system, serving more than one in three New Mexicans. We are part of New Mexico's history and committed to its future, continuing to work hard and care deeply to serve New Mexico for years to come.

Requirements

• High School and five to eight years combined experience in management of IT or equivalent experience.

Nice To Haves

• Bachelor s Degree preferred with 2-3 years of experience in management of IT or equivalent experience.

Responsibilities

• Monitors project work plan progress to ensure projected timelines, resources and budget guidelines are on schedule and within budget.
• Provides communications to the appropriate governance process.
• Creates, monitors, and provides required specifications to maintain service level agreements for production systems in order to meet IT standards and customer needs.
• Defines project leadership accountabilities involving clinical or financial management systems

Benefits

• comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being.
• Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees