Reimbursement Director, Healthcare

CLA (CliftonLarsonAllen); Fort Worth (TX); On-site; USD 150,000 - 230,000; Full time

Job summary

CLA is seeking a Healthcare Reimbursement Director for its Dallas–Fort Worth or Houston offices in Texas. The role focuses on Medicare and Medicaid cost reports and related consulting within the Healthcare Group, serving hospitals, health systems, and other facilities.

The position emphasizes leadership, staff development, and keeping current with Medicare/Medicaid regulations while expanding reimbursement services for CLA clients.

Qualifications

• 6+ years of relevant experience in Medicare/Medicaid reimbursement.
• Bachelor's degree in Accounting or related field preferred.
• Knowledge of Medicare cost reports and Medicaid rules.
• Proficiency with Health Financial Systems and MS Office.

Responsibilities

• Coordinate and prepare Medicare cost reports for clients.
• Coordinate and prepare Medicaid cost reports for clients.
• Lead and train staff on reimbursement projects.
• Maintain knowledge of Medicare and State Medicaid regulations.
• Research topics related to Medicare/Medicaid rules for clients.
• Develop reimbursement services to grow CLA offerings and revenue.
• Engage with professional organizations to network with clients.

Skills

Medicare reimbursement

Medicaid reimbursement

Cost reports

Staff training

Healthcare industry knowledge

MS Office

Education

Bachelor's degree in Accounting

Tools

Health Financial Systems

MS Office

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.