Reimbursement Director, Healthcare

CliftonLarsonAllen; Houston (TX); On-site; USD 120,000 - 170,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401k

Job summary

CLA’s Healthcare Group seeks a Healthcare Reimbursement Director to lead Medicare and Medicaid reimbursement efforts for our Dallas–Fort Worth or Houston offices, working with hospitals, health systems, and related entities.

You will plan and prepare cost reports, coordinate reimbursement projects, and mentor staff, reporting to Healthcare Principals and Signing Directors. This is a senior leadership role blending policy knowledge with client service at CLA.

Qualifications

• 6+ years of relevant experience in Medicare/Medicaid reimbursement.
• Bachelor's degree in Accounting or related field required.
• Strong knowledge of Medicare program and state Medicaid rules.
• Experience with Medicare cost reports and reimbursement projects.
• Proficiency with MS Office and cost reporting software.

Responsibilities

• Coordinate and prepare Medicare/Medicaid cost reports and reimbursement projects.
• Lead and train staff involved in reimbursement engagements.
• Maintain up-to-date knowledge of Medicare and Medicaid rules and guidelines.
• Develop services to expand CLA's reimbursement offerings.

Skills

Leadership

Healthcare reimbursement knowledge

Analytical skills

Regulatory compliance

Education

Bachelor's degree in Accounting or related field

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.