Reimbursement Manager

PACS; United States; Remote; USD 120,000 - 150,000; Full time

Benefits offered by this job

Health Coverage

PTO and Vacation

Health Savings Accounts (HSA) / FSA

401(k) with company contributions

Employee Assistance Plan (EAP)

Job summary

PACS is seeking a Reimbursement Manager to lead a small team and drive senior-level cost reporting for Medicare and Medicaid across multiple states. This role partners with operational leaders to provide ad hoc reporting, data models, and forecasts supporting reimbursement strategies.

The ideal candidate has 7+ years in healthcare cost reporting (SNF/post-acute), strong Excel and cost reporting software skills, and a Bachelor’s degree in a related field.

Qualifications

• 7+ years of healthcare cost reporting experience in SNF or post-acute care.
• Bachelor's degree preferred in Accounting, Finance, Healthcare Administration, or related field.
• Advanced Excel skills and cost reporting software proficiency.
• Experience managing direct reports and balancing team workload.
• Strong analytical skills to identify trends and optimization opportunities.

Responsibilities

• Direct, mentor, and manage a small team of reimbursement professionals.
• Coordinate senior-level preparation, review, and submission of annual Medicare and Medicaid cost reports across multiple states.
• Partner with regional leaders to provide ad hoc reporting 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 general ledger.

Skills

Healthcare cost reporting

Team leadership

Financial analysis

Excel proficiency

Data modeling

Education

Bachelor's degree preferred (Accounting/Finance/Healthcare Administration)

Tools

Excel (Pivot tables, formulas)

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.