Reimbursement Manager

Cascadia Services, LLC • Eagle, ID

11h

About The Position

The glue that connects us all in the healthcare industry is a culture of service and a desire to do good. At Cascadia, we want to be a Force for Good for our residents, our employees and the communities that we serve. We are looking for a reimbursement professional who combines strong financial expertise with a collaborative, solutions-focused mindset. This person is curious, detail-oriented, and takes pride in helping healthcare organizations navigate complex reimbursement requirements while identifying opportunities for improvement.

Requirements

• Bachelor’s degree in Accounting, Finance, or related field. CPA preferred.
• Minimum of 6-8+ years of experience in skilled nursing home reimbursement, with a strong focus on Medicare/Medicaid cost reporting and audits.
• Advanced proficiency in Microsoft Excel and other Microsoft Office applications.
• Experience with Workday, PointClickCare, and business intelligence tools.
• Strong understanding of revenue cycle processes in healthcare environments.
• Excellent analytical, financial modeling, and technical accounting skills.
• Ability to interpret and apply federal and state reimbursement regulations.
• Strong communication, presentation, and interpersonal skills.
• Ability to manage multiple projects under tight deadlines with high attention to detail.

Nice To Haves

• CPA preferred.

Responsibilities

• Lead the preparation, review, and submission of Medicare and Medicaid cost reports, ensuring accuracy, compliance, and timely filing.
• Own audit strategy and execution, including managing external auditor relationships, coordinating responses, and leading appeals and reopening opportunities.
• Serve as the organization’s subject matter expert on federal and state reimbursement regulations, translating requirements into clear operational and financial guidance.
• Analyze reimbursement rates, cost trends, and regulatory changes to identify financial risks and opportunities.
• Lead preparation of supplemental reporting for federal and state agencies (e.g., Wage Index, Contract Labor, Bad Debt, and other required filings).
• Partner with accounting and operations to ensure appropriate cost allocation, expense classification, and reimbursement optimization.
• Support budgeting and forecasting related to net patient revenue and third-party reimbursement.
• Translate audit findings and reimbursement changes into financial impact analyses and executive-level insights.
• Establish and maintain standardized documentation, processes, and controls to ensure audit readiness and consistency across facilities.
• Mentor and support reimbursement staff, fostering technical development and promoting best practices.

Benefits

• Play a key role in supporting the financial health and sustainability of the communities we serve.
• Partner with leaders across finance, operations, and clinical teams to drive meaningful business decisions.
• Apply your expertise in a strategic role that directly influences organizational performance.
• Lead complex reimbursement, audit, and regulatory initiatives in a dynamic healthcare environment.
• Be part of a collaborative team that values accountability, innovation, and continuous improvement.
• Contribute to an organization dedicated to delivering exceptional care and positive outcomes for residents.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager