Reimbursement Manager

(PACS) Providence Administrative Consulting Services, Inc.; United States; Presencial; USD 120.000 - 170.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health Coverage

PTO and Vacation

Financial Wellness (HSA/FSA)

Descripción de la vacante

PACS Group is seeking a Reimbursement Manager to lead a small team and drive advanced reimbursement analyses across our multi-state post-acute platform. You will coordinate workloads, prepare cost reports, and submit audits while partnering with operations to forecast and justify reimbursement rates.

Reporting to the Assistant Director of Reimbursement, you will develop ad hoc reports and data models to support strategic decisions and ensure regulatory compliance across states.

Formación

• 7+ years of dedicated healthcare cost reporting experience (SNF or post-acute care).
• Bachelor’s degree preferred (Accounting, Finance, Healthcare Administration, or related).
• High-level knowledge of corporate accounting functions and financial modeling.
• Advanced Excel skills (pivot tables, complex formulas, data manipulation).

Responsabilidades

• Direct, mentor, and manage a small team of reimbursement professionals.
• Allocate and monitor daily workloads to meet team goals and deadlines for cost reports and audits.
• Prepare, review, and submit annual Medicare and Medicaid cost reports across multiple states.
• Provide ad hoc reporting, data analysis, and financial forecasting to support reimbursement rates.
• Coordinate collection and delivery of audit materials for MACs and state Medicaid audits.
• Perform complex revenue recognition analysis and reconcile reimbursement data with the general ledger.

Conocimientos

Healthcare cost reporting

Team leadership

Excel proficiency

Data analysis

Educación

Bachelor’s degree preferred in Accounting/Finance/Healthcare Admin

Herramientas

Cost reporting software

Descripción del empleo

Job Summary

Reporting directly to the Assistant Director of Reimbursement, the Reimbursement Manager is a pivotal role combining advanced technical expertise with team leadership. This position is responsible for executing senior-level reimbursement analysis while actively managing a small team. You will coordinate workloads to ensure the flawless and timely delivery of cost reports and audit materials across our multi-state post-acute platform. Additionally, you will act as a strategic partner to our operational leaders, providing ad hoc reporting and critical data models necessary to project and support reimbursement rates.

Essential Duties

• Direct, mentor, and manage a small team of reimbursement professionals.
• Allocate and monitor daily workloads to ensure team goals, cost report deadlines, and audit timelines are met seamlessly.
• Execute senior-level preparation, review, and final submission of annual Medicare and Medicaid cost reports, ensuring complete regulatory compliance across multiple states.
• Partner with regional and facility operational leaders to provide ad hoc reporting, data analysis, and financial forecasting to project, justify, and support reimbursement rates.
• Coordinate the collection and delivery of audit materials for external audits conducted by Medicare Administrative Contractors (MACs) and state Medicaid agencies.
• Leverage a high-level understanding of corporate accounting functions to perform complex revenue recognition analysis, review contractual allowances, and reconcile reimbursement data with general ledger activity.

Qualifications

• 7+ years of dedicated healthcare cost reporting experience, with deep expertise in Skilled Nursing Facility (SNF) or post-acute care regulations.
• Bachelor’s degree preferred (preferably in Accounting, Finance, Healthcare Administration, or a related field).
• High-level knowledge of corporate accounting functions and financial modeling.
• Advanced proficiency in Microsoft Excel (pivot tables, complex formulas, data manipulation) and specialized cost reporting software.
• Proven ability or strong aptitude for managing direct reports, balancing a team’s workload, and driving collaborative results.
• Superb analytical capabilities with a sharp eye for identifying trends, anomalies, and optimization opportunities within complex datasets.

Location

In-Office (SLC) preferred, or fully remote for candidate outside of the UT Market.

Join PACS

Elevate Healthcare with Us! PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide. If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare!

At PACS, we believe our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.

Our Comprehensive Benefits

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

Diversity and Inclusion

We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.

PACS is revolutionizing the delivery and leadership of post-acute healthcare and support services across the country. Originally founded in 2013, the organization now consists of hundreds of independent operating subsidiaries, as well as ancillary and support services. We bring a proven model of mission-driven care that balances access to a national network of support and resources with local decision making. In addition, PACS helps connect exceptional people with premier healthcare careers across the country. We focus on finding innovative and effective team members based on their qualifications, experience, geographic preferences, and personality fit with the existing facility staff and culture. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.