Cost Reporting Manager

Cascadia Healthcare; Eagle (ID); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Key role in community financial health

Collaborative team environment

Opportunity for professional development

Job summary

Cascadia Healthcare in Eagle, Idaho is seeking a Reimbursement Manager to lead complex financial analyses related to Medicare and Medicaid reimbursement. This strategic role requires strong financial expertise and collaboration across departments for audit readiness and financial decision-making.

The ideal candidate should possess a Bachelor’s degree in Accounting or Finance, a CPA is preferred, and 6-8+ years of relevant experience. Join us to support community financial health while influencing organizational performance in a collaborative team environment.

Qualifications

• 6-8+ years of experience in skilled nursing home reimbursement.
• Strong focus on Medicare/Medicaid cost reporting and audits.
• Ability to manage multiple projects under tight deadlines.

Responsibilities

• Lead preparation and submission of Medicare/Medicaid cost reports.
• Manage audit strategy and external relationships.
• Analyze reimbursement rates and regulatory changes.

Skills

Leadership in financial health

Expertise in Medicare/Medicaid regulations

Advanced Excel proficiency

Analytical skills

Communication and interpersonal skills

Education

Bachelor’s degree in Accounting, Finance, or related field

CPA preferred

Tools

Workday

PointClickCare

Business intelligence tools

Job description

At Cascadia, we want to be a Force for Good for our residents, our employees and the communities that we serve.

We are looking for a reimbursement professional who combines strong financial expertise with a collaborative, solutions-focused mindset. This person is curious, detail-oriented, and takes pride in helping healthcare organizations navigate complex reimbursement requirements while identifying opportunities for improvement.

Position Summary

The Reimbursement Manager is a strategic leader to the organization’s financial health, responsible for leading complex analyses related to Medicare and Medicaid reimbursement, net revenue, and cost reporting. This role combines deep expertise in federal and state regulations, advanced financial and analytical skills, and the ability to translate regulatory requirements into actionable insights. The Reimbursement Manager collaborates across departments to support audit readiness, budgeting, and financial decision-making.

Key Responsibilities

• Lead the preparation, review, and submission of Medicare and Medicaid cost reports, ensuring accuracy, compliance, and timely filing.
• Own audit strategy and execution, including managing external auditor relationships, coordinating responses, and leading appeals and reopening opportunities.
• Serve as the organization’s subject matter expert on federal and state reimbursement regulations, translating requirements into clear operational and financial guidance.
• Analyze reimbursement rates, cost trends, and regulatory changes to identify financial risks and opportunities.
• Lead preparation of supplemental reporting for federal and state agencies (e.g., Wage Index, Contract Labor, Bad Debt, and other required filings).
• Partner with accounting and operations to ensure appropriate cost allocation, expense classification, and reimbursement optimization.
• Support budgeting and forecasting related to net patient revenue and third-party reimbursement.
• Translate audit findings and reimbursement changes into financial impact analyses and executive-level insights.
• Establish and maintain standardized documentation, processes, and controls to ensure audit readiness and consistency across facilities.
• Mentor and support reimbursement staff, fostering technical development and promoting best practices.

Required Qualifications

• Bachelor’s degree in Accounting, Finance, or related field. CPA preferred.
• Minimum of 6-8+ years of experience in skilled nursing home reimbursement, with a strong focus on Medicare/Medicaid cost reporting and audits.
• Advanced proficiency in Microsoft Excel and other Microsoft Office applications.
• Experience with Workday, PointClickCare, and business intelligence tools.
• Strong understanding of revenue cycle processes in healthcare environments.
• Excellent analytical, financial modeling, and technical accounting skills.
• Ability to interpret and apply federal and state reimbursement regulations.
• Strong communication, presentation, and interpersonal skills.
• Ability to manage multiple projects under tight deadlines with high attention to detail.

Why Join Us

• Play a key role in supporting the financial health and sustainability of the communities we serve.
• Partner with leaders across finance, operations, and clinical teams to drive meaningful business decisions.
• Apply your expertise in a strategic role that directly influences organizational performance.
• Lead complex reimbursement, audit, and regulatory initiatives in a dynamic healthcare environment.
• Be part of a collaborative team that values accountability, innovation, and continuous improvement.
• Contribute to an organization dedicated to delivering exceptional care and positive outcomes for residents.