Reimbursement Manager: Medicare & Regulatory Compliance

Tampa General Hospital; Tampa (FL); On-site; USD 110,000 - 140,000; Full time

Job summary

Tampa General Hospital is seeking a Manager of Reimbursement to oversee Medicare, Medicaid, and related reimbursement programs, ensuring regulatory compliance and accurate documentation. The role includes leading the reimbursement team, managing enrollment activities, and supporting audits and government reviews.

The position requires a Bachelor’s degree in Finance or related field with at least five years of hospital finance and reimbursement experience, working on complex regulatory matters

Qualifications

• Bachelor's Degree in Finance or related field.
• Minimum 5 years hospital finance and reimbursement experience.
• Equivalent combination of education and experience.

Responsibilities

• Monitor, interpret, and apply federal and state regulatory changes for Medicare/Medicaid and private payors.
• Provide leadership to reimbursement team for alignment across the entity.
• Oversee enrollment activities including PECOS and background revalidation; maintain documentation for audits.
• Prepare responses to CMS rules and regulatory impact analyses.
• Lead reimbursement-related audits and manage proteste d items, appeals, and settlements.

Skills

Regulatory compliance

Medicare/Medicaid knowledge

Audit coordination

Documentation

Education

Bachelor's Degree in Finance or related field

Job description

Tampa General Hospital is seeking a Manager of Reimbursement to oversee Medicare, Medicaid, and related reimbursement programs, ensuring regulatory compliance and accurate documentation. The role includes leading the reimbursement team, managing enrollment activities, and supporting audits and government reviews.

The position requires a Bachelor’s degree in Finance or related field with at least five years of hospital finance and reimbursement experience, working on complex regulatory matters