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PACS

Healthcare Leadership Careers • Administrative Support Services • Management Advisory and Consulting

Reimbursement Manager

Location

United States

Posted

24 days ago

Salary

$110K - $135K / year

Seniority

Lead

No structured requirement data.

Job Description

Reimbursement Manager

PACS

Role Description 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. - 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. Qualifications - 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. Requirements - Primarily sedentary role with extended periods of computer work and intensive data analysis. - Occasional standing, walking, and light lifting (up to 10-20 lbs). - Regular use of hands for typing, 10-key numeric entry, and standard office equipment. - Acute visual depth perception required to read, review, and audit extensive spreadsheets and detailed government compliance documents. - Clear verbal and written communication required. 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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