Reimbursement Manager

PACS Group; United States; On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Health insurance

401(k) plan

Paid time off

Job summary

PACS Group is seeking a Reimbursement Manager to lead a small team and drive senior-level reimbursement analysis across a multi-state post-acute platform.

You will partner with operational leaders, deliver ad hoc reporting, and build data models to project and support reimbursement rates while ensuring timely cost reports and audit materials.

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.

Responsibilities

• 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.

Skills

Healthcare cost reporting

Team leadership

Financial forecasting

Data analysis

Excel proficiency

Cost reporting software

Education

Bachelor's degree

Tools

Microsoft Excel

Cost reporting software

Job description

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!

Join Our Team and Thrive!

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 Include

• 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.

Join us at PACS and take advantage of a workplace that truly values you!

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.