Manager, Healthcare Reimbursement - GME Operations

Forvis Mazars US; Nashville (TN); On-site; USD 70,000 - 90,000; Full time

Job summary

Forvis Mazars US is seeking a GME Operations Consultant to lead and support accreditation processes, manage residency program developments, and provide operations support for Graduate Medical Education programs in Nashville, TN. The ideal candidate will have a Bachelor's Degree and 5+ years of relevant experience in GME operations. Responsibilities include coordinating accreditation, program organization, and aligning operations with Medicare reimbursement objectives. Join us to optimize financial performance and enhance operational efficiency.

Qualifications

• 5+ years of experience in GME operations or administration.
• Demonstrated experience leading ACGME accreditation and program development efforts.
• Experience managing projects and collaborating with cross-functional stakeholders.

Responsibilities

• Lead and support ACGME accreditation and program application processes.
• Manage new residency program development and documentation.
• Coordinate GME organizational structure initiatives for health systems.
• Provide operational coordination and project management support for residency programs.
• Serve as a hands-on GME operations resource for client engagements.
• Align GME program operations with Medicare reimbursement objectives.

Skills

Experience leading ACGME accreditation

Project management

Collaboration with cross-functional stakeholders

Understanding of GME organizational structures

Working knowledge of GME finance

Education

Bachelor's Degree

Tools

Residency management software platform

Job description

The Healthcare Consulting Reimbursement team delivers specialized consulting services to support Graduate Medical Education (GME) programs across strategic planning, implementation, and ongoing operations. With deep expertise in Medicare GME reimbursement, including Direct GME (DGME) and Indirect Medical Education (IME), the team partners with sponsoring institutions and teaching hospitals to create GME program strategies, guide new program development and expansion, and operationalize compliant, sustainable processes. From resident cap management and program structuring to cost reporting and ongoing regulatory compliance, the team leverages advanced analytics, proprietary methodologies, and extensive regulatory experience to optimize financial performance and strengthen operational efficiency to support the long‑term success of GME programs.

What You Will Do

• Lead and support ACGME accreditation and program application processes by driving key phases of ACGME accreditation, including program application preparation, site visit coordination, and ongoing documentation activities. Help interpret ACGME requirements, develop timelines, and organize materials to facilitate efficient accreditation efforts.
• Manage new residency program development (planning, documentation, accreditation readiness) by supporting health systems in the planning activities, drafting documentation, and coordinating accreditation readiness efforts. Contribute to feasibility inputs, program materials, and readiness through gap assessments and mock reviews to help clients prepare for submission and review processes.
• Coordinate GME organizational structure initiatives for health systems by assessing existing GME governance and operational models and assisting in developing recommendations aligned with organizational priorities. Help design frameworks, reporting approaches, and coordination processes that enhance program organization and consistency.
• Provide operational coordination and project management support for residency programs by assisting with day‑to‑day operational initiatives, including timeline tracking, stakeholder coordination, and deliverable management. Support efficient program operations through organization, communication, and process improvement efforts.
• Serve as a hands‑on GME operations resource for client engagements by providing day‑to‑day support for client GME operations and working closely with program administration. Assist with resolving operational needs, supporting administrative activities, and contributing to the execution of ongoing GME initiatives.
• Align GME program operations with Medicare reimbursement objectives by supporting resident FTE tracking, cost reporting inputs, and cap optimization considerations.

Minimum Qualifications

• Bachelor's Degree
• 5+ years of experience in GME operations or administration
• Demonstrated experience leading ACGME accreditation and program development efforts
• Strong understanding of GME organizational structures within health systems
• Experience managing projects and collaborating with cross‑functional stakeholders
• Working knowledge of GME finance
• Experience with residency management software platform

Preferred Qualifications

• TACGME certification
• Prior consulting or advisory experience

Forvis Mazars, LLP is an equal opportunity/affirmative action employer in accordance with applicable law. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, gender identity, or other protected classifications.