Director, Reimbursement

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Acts as a pivotal resource, offering support for government reimbursement; devises and executes pertinent payment strategies throughout the network.

• Manages the preparation and evaluation of the annual Medicare/Medicaid cost report submissions.

• Offers guidance regarding engagement in state-level supplemental payment initiatives and aids in regulatory research.

• Brings expertise in DSH, IME, DME, wage index, geographic reclassification, value-based purchasing, and other government payment frameworks.

• Addresses any issues arising from cost report audits and guarantees adherence to Medicare and Medicaid reporting standards.

• Provides constructive feedback to team members while identifying opportunities for learning and job assignments that enhance employee experience.

• Ensures the accurate and prompt preparation of Medicare and Medicaid cost reports along with other governmental data submissions.

• Engages in the preparation of the annual operating budget.

⛳️ Requirements

• Bachelor’s Degree in Accounting, Finance, or Health Administration.

• 10 years of experience in interpreting Medicare and Medicaid payment regulations and maximizing revenue.

• Exhibits the ability to utilize the computer system and all relevant software applications.

• Shows proficiency in Microsoft Office suite.

• Familiarity with Medicare and Medicaid regulations and payment guidelines.

🏝️ Benefits

• Health insurance

• 401(k) matching

• Paid time off

• Flexible work arrangements

• Professional development opportunities