Reimbursement Manager

PACS
Hybrid

About The Position

Reporting directly to the Assistant Director of Reimbursement, the Reimbursement Manager is a pivotal role combining advanced technical expertise with team leadership. This position is responsible for executing senior-level reimbursement analysis while actively managing a small team. You will coordinate workloads to ensure the flawless and timely delivery of cost reports and audit materials across our multi-state post-acute platform. Additionally, you will act as a strategic partner to our operational leaders, providing ad hoc reporting and critical data models necessary to project and support reimbursement rates.

Requirements

  • 7+ years of dedicated healthcare cost reporting experience, with deep expertise in Skilled Nursing Facility (SNF) or post-acute care regulations.
  • Bachelor’s degree preferred (preferably in Accounting, Finance, Healthcare Administration, or a related field).
  • High-level knowledge of corporate accounting functions and financial modeling. Advanced proficiency in Microsoft Excel (pivot tables, complex formulas, data manipulation) and specialized cost reporting software.
  • Proven ability or strong aptitude for managing direct reports, balancing a team’s workload, and driving collaborative results.
  • Superb analytical capabilities with a sharp eye for identifying trends, anomalies, and optimization opportunities within complex datasets.

Responsibilities

  • Direct, mentor, and manage a small team of reimbursement professionals. Allocate and monitor daily workloads to ensure team goals, cost report deadlines, and audit timelines are met seamlessly.
  • Execute senior-level preparation, review, and final submission of annual Medicare and Medicaid cost reports, ensuring complete regulatory compliance across multiple states.
  • Partner with regional and facility operational leaders to provide ad hoc reporting, data analysis, and financial forecasting to project, justify, and support reimbursement rates.
  • Coordinate the collection and delivery of audit materials for external audits conducted by Medicare Administrative Contractors (MACs) and state Medicaid agencies.
  • Leverage a high-level understanding of corporate accounting functions to perform complex revenue recognition analysis, review contractual allowances, and reconcile reimbursement data with general ledger activity.

Benefits

  • Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
  • PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
  • Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
  • Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
  • Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.
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