Reimbursement Director, Healthcare

CliftonLarsonAllen; Dallas (TX); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Wellness program

Job summary

CliftonLarsonAllen (CLA) in Texas is seeking a Healthcare Reimbursement Director to lead Medicare and Medicaid reimbursement efforts for hospitals and health systems. You will coordinate cost reports, manage related consulting projects, and guide staff in a fast-paced healthcare team.

The role focuses on regulatory compliance, project leadership, and expanding CLA’s reimbursement services for diverse healthcare entities across Dallas, Houston, and surrounding markets.

Qualifications

• 6+ years of relevant experience; Medicare/Medicaid reimbursement preferred.
• Bachelor's degree required; accounting or related field preferred.
• Knowledge of Medicare and state Medicaid rules and regulations.
• Proficiency with MS Office products (Outlook, Word, Excel).

Responsibilities

• Coordinate and prepare Medicare and Medicaid cost reports.
• Coordinate and manage reimbursement related consulting projects.
• Train and develop staff.
• Maintain knowledge of Medicare/State Medicaid regulations.
• Research topics for clients and CLA personnel related to reimbursement.
• Develop services to positively impact CLA revenue.
• Engage in practice management and build client relationships.
• Develop a reimbursement library.

Skills

Medicare Reimbursement

Staff Training

Cost Reporting

Client Relationships

Regulatory Knowledge

Education

Bachelor's degree in accounting or related field

Tools

Health Financial Systems

MS Office Suite

Job description

CLA is a top 10 national professional services firm where our purpose is to create opportunities every day, for our clients, our people, and our communities through industry-focused wealth advisory, digital, audit, tax, consulting, and outsourcing services. Even with more than 8,500 people, 130 U.S. locations, and a global reach, we promise to know you and help you.

We are dedicated to building a culture that invites different beliefs and perspectives to the table, so we can truly know and help our clients, communities, and each other.

CLA is looking to hire a Healthcare Reimbursement Director in our Dallas, Forth Worth, or Houston, Texas office. This position will work within our Healthcare Group serving a variety of healthcare entities (hospitals, health systems, federally qualified health centers, skilled nursing facilities, etc.) by providing Medicare and Medicaid reimbursement related services. The Reimbursement Director will work with Healthcare team members and clients to plan and prepare Medicare and Medicaid cost reports and consulting projects and will report to Healthcare Principals and Signing Directors.

Job Responsibilities

• Coordinate and prepare Medicare and Medicaid cost reports, coordinate and review Medicare and Medicaid cost reports.
• Coordinate and prepare reimbursement related consulting projects.
• Train and develop staff.
• Maintain a working knowledge of rules and regulations of the Medicare program and State Medicaid programs.
• Research various topics as necessary for clients or CliftonLarsonAllen personnel related to Medicare and Medicaid regulations.
• Responsible for the development of services to provide to CliftonLarsonAllen clients and potential clients to positively impact revenue.
• Become actively involved in practice management, i.e. participating in professional organizations and associations which develop/build relationships with clients, potential clients, and industry leaders, etc.
• Research related to Medicare and Medicaid reimbursement and developing a reimbursement library.

Job Requirements

• Experience: 6 or more years of relevant experience is required. Experience with Medicare and Medicaid reimbursement preferred.
• Education: Bachelor's degree is required. Degree in Accounting or related field preferred. (Combination of experience, education, and training may be accepted in lieu of degree.)
• Technical Competencies: Knowledge of Medicare program and state Medicaid program rules and regulations. Knowledge of Medicare cost report software such as, Health Financial Systems. Proficiency with MS Office products (Outlook, Word, Excel, etc.) required.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Wellness at CLA

To support our CLA family members, we focus on their physical, financial, social, and emotional well-being and offer comprehensive benefit options that include health, dental, vision, 401k and much more.