Manager, Governmental Reimbursement & Cost Reporting, Marlton

Virtua Health; Lippincott (PA); On-site; USD 105,000 - 168,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

FSA (Health & Dependent Care)

401(k)/403(b)

Paid time off

Disability insurance

Life insurance

Tuition assistance

Employee assistance program

Job summary

Virtua Health is seeking a Manager of Reimbursement to serve as the health system’s expert for Medicare reimbursement and regulatory requirements. This role will lead Medicare cost reporting, NJ reporting, and related audits within a complex acute care environment.

The ideal candidate will own end-to-end Medicare cost reporting, oversee reimbursement operations, and provide strategic guidance to optimize outcomes. Hybrid work arrangement and competitive salary are offered.

Qualifications

• Five to seven years of Reimbursement experience required with one to three years supervisory experience preferred.
• Must possess knowledge and understanding of the Medicare Cost Report, NJ Acute Care Reporting and other regulatory requirements.
• Ability to work independently to achieve goals and prioritize work assignments.
• Excellent organizational, analytical, problem‑solving, and communication skills.
• Must have a working knowledge of Windows, Word, and Excel.
• Thorough knowledge of general ledger software packages.
• Oracle and/or EPIC experience a plus.
• Bachelor's of Business Administration in Accounting or Finance required.
• Certification as public or managerial accountant or Master's Degree in Business Administration in related field is preferred.

Responsibilities

• Responsible for coordination and completion of the data for the Medicare/Medicaid Cost Reports and all reimbursement surveys and empowers the staff to make recommendations for improvements.
• Coordinates all 3rd party audits with government intermediaries.
• Lead contact person with scheduling audit, gathering all requested information, fielding questions, and analyzing impact of audit adjustments.
• Monitors and trends the impact of Medicare and Medicaid regulations.
• Reviews and analyzes relevant information related to Medicare regulatory compliance issues.
• Provides monthly, quarterly, and special request reports related to patient detailed data for Operational Management through data reporting.
• Implements new systems related to financial controls and assists in matters as they relate to reimbursement operations.
• Serves as System Administrator in various reimbursement systems for IE: Cost report system and other CMS systems.

Skills

Organizational skills

Analytical skills

Communication skills

Independent worker

Prioritization

Education

Bachelor's in Accounting or Finance

MBA preferred

Public/ managerial accounting certification

Master's in Business Administration

Tools

Windows

Word

Excel

Oracle

EPIC

Job description

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that’s wellness and prevention, experienced specialists, life‑changing care, or something in‑between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet‑recognized health system ranked by U.S. News and World Report, we’ve received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we’re committed to the well‑being of the community. That means bringing life‑changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We’re also affiliated with Penn Medicine for cancer and neurosciences, and the Children’s Hospital of Philadelphia for pediatrics.

Location: Lippincott - 406 Lippincott Drive Remote Type: Hybrid Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations:

Job Summary

The Manager of Reimbursement serves as the health system’s primary subject matter expert for Medicare reimbursement, governmental regulations, and complex reimbursement methodologies. This role maintains full ownership for the preparation, review, and submission of the annual Medicare and NJ State cost reports, as well as oversight of related reimbursement and audit activities. The position requires advanced knowledge of acute care hospital reimbursement, New Jersey reimbursement methodologies, and evolving federal and state regulatory requirements. Working closely with Corporate Finance leadership and external regulatory agencies, the Manager of Reimbursement identifies opportunities to optimize reimbursement outcomes, interprets regulatory changes, and provides strategic guidance that supports the organization’s financial performance and long‑term reimbursement strategy. This is a highly specialized reimbursement leadership role. The ideal candidate will possess demonstrated end‑to‑end ownership of Medicare cost reporting and extensive experience in hospital reimbursement within a complex acute care health system environment, i.e.; Chapter 160 cost reports, Wage Index submissions, NJ DSH, Occupational Mix surveys, PPS calculations, IME/GME appeals, and regulatory analysis.

Position Responsibilities

• Responsible for coordination and completion of the data for the Medicare/Medicaid Cost Reports and all reimbursement surveys and empowers the staff to make recommendations for improvements.
• Coordinates all 3rd party audits with government intermediaries.
• Lead contact person with scheduling audit, gathering all requested information, fielding questions, and analyzing impact of audit adjustments.
• Monitors and trends the impact of Medicare and Medicaid regulations.
• Reviews and analyzes relevant information related to Medicare regulatory compliance issues.
• Provides monthly, quarterly, and special request reports related to patient detailed data for Operational Management through data reporting.
• Implements new systems related to financial controls and assists in matters as they relate to reimbursement operations.
• Serves as System Administrator in various reimbursement systems for IE: Cost report system and other CMS systems.

Position Qualifications

• Five to seven years of Reimbursement experience required with one to three years supervisory experience preferred.
• Must possess knowledge and understanding of the Medicare Cost Report, NJ Acute Care Reporting and other regulatory requirements.
• Ability to work independently to achieve goals and prioritize work assignments.
• Excellent organizational, analytical, problem‑solving, and communication skills.
• Must have a working knowledge of Windows, Word, and Excel.
• Thorough knowledge of general ledger software packages.
• Oracle and/or EPIC experience a plus.
• Bachelor's of Business Administration in Accounting or Finance required.
• Certification as public or managerial accountant or Master's Degree in Business Administration in related field is preferred.

Salary

Annual Salary: $104,613 - $167,938 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data. This position is eligible to participate in one of Virtua’s annual incentive compensation plan (AICP). The amount is subject to the terms and conditions of the plan document.

Benefits

• medical/prescription, dental and vision insurance;
• health and dependent care flexible spending accounts;
• 403(b) (401(k) subject to collective bargaining agreement);
• paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long‑term disability, colleague and dependent life insurance and supplemental life and AD&D insurance;
• tuition assistance, and an employee assistance program that includes free counseling sessions.

Additional Company Information

Be Well, Get Well and Stay Well That’s our mission. We’re dedicated to offering the best quality care through our extensive range of services and facilities. Our doctors, clinical practitioners, and administrative staff are a respectful, caring team of professionals committed to providing world‑class quality healthcare. We continually work to be your premier choice of health and wellness in South New Jersey.