Manager, Reimbursement and Cost Reporting

Hackensack Meridian Health Inc.; Woodbridge Township (NJ); Vor Ort; USD 110.000 - 150.000; Vollzeit

Zusammenfassung

Hackensack Meridian Health seeks a Manager, Reimbursement and Cost Reporting to lead preparation of Medicare and NJDOH cost reports, conduct reimbursement studies, and provide strategic financial analysis for the network.

The role includes supervising staff, coordinating audits, and ensuring timely monthly reconciliations, with regional responsibility for cost reporting and data-driven reimbursement insights.

Qualifikationen

• Bachelor's degree in Accounting/Finance.
• 4+ years of reimbursement experience in a large health network and/or academic medical center.
• Advanced proficiency in Microsoft Office (Excel, Outlook, etc.), Axiom and PeopleSoft Financials System.
• Strong interpersonal, team and organizational skills.
• Proven record of progressive professional growth and responsibility.
• Strong analytical and problem solving skills.
• Excellent written and verbal communication skills.

Aufgaben

• Prepare advanced sections of Medicare and NJDOH cost reports.
• Conduct reimbursement studies and models (PPS Rate calculations, IME/GME, APC Rate calculations).
• Coordinate audits and supervise/train staff.
• Perform monthly Medicare reconciliation and assist in monthly third party reviews.
• Coordinate reimbursement analyses, strategic modeling and big data analytics for the network.
• Oversee cost reporting for a dedicated region.

Kenntnisse

Analytical skills

Communication skills

Team leadership

Problem solving

Ausbildung

Bachelor's degree in Accounting/Finance

Tools

Microsoft Excel

Axiom

PeopleSoft Financials

Jobbeschreibung

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Manager, Reimbursement and Cost Reporting is responsible for providing support in the preparation of cost reports, reimbursement compliance and research, reimbursement studies and other related financial analysis for the Hackensack Meridian Health (HMH) network. Some responsibilities include the preparation of advanced sections of the Medicare and NJDOH cost reports, completion of advanced reimbursement studies and models (PPS Rate calculations, IME/GME, APC Rate calculations, etc.), audit coordination and support staff supervision and training. Also responsible for Monthly Medicare reconciliation and assists in completion of monthly third party review. Will have Network responsibilities for coordination and execution of reimbursement analysis, strategic modeling, appeal development and execution, regulatory research and summation, managing third party auditors and big data analytics. Also has oversite responsibility for the completion of cost reports for a dedicated region.

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree in Accounting/Finance.
• Four or more years of progressive reimbursement related experience in a large health network and/or academic medical center.
• Advanced proficiency in using technology that includes but is not limited to Microsoft Office (Excel, Outlook, etc.), Axiom and PeopleSoft Financials System.
• Strong interpersonal, team and organizational skills.
• Proven record of progressive professional growth and responsibility.
• Strong analytical and problem solving skills.
• Excellent written and verbal communication skills.

Licenses and Certifications Preferred:

• CPA and/or MBA.