Senior Management Consultant (Bus. Org. & Methods) - Level I, Reimbursement Consulting

NYC Health + Hospitals; New York (NY); On-site; USD 70,000; Full time

Job summary

An established industry player is seeking a dedicated professional to empower New Yorkers by ensuring accurate Medicare and Medicaid cost reporting. This role involves coordinating cost reports, analyzing audit adjustments, and preparing essential documentation for audits. The ideal candidate will possess a strong analytical background and relevant experience in public administration or business management. Join a diverse workforce committed to enhancing health outcomes across the city and enjoy a competitive benefits package that supports your professional growth and well-being.

Benefits

Comprehensive Health Benefits

Retirement Savings and Pension Plans

Loan Forgiveness Programs

Paid Holidays and Vacation

College Tuition Discounts

Professional Development Opportunities

Employee Discounts Programs

Qualifications

• Experience in Medicare and Medicaid Cost Report preparation.
• Strong analytical skills for audit adjustments and settlements.

Responsibilities

• Coordinate Medicare Cost Reports and assist in audits.
• Prepare necessary documents for year-end audits.

Skills

Medicare Cost Report Regulations

Data Analysis

Statistical Reporting

Education

Master's degree in Public Administration

Bachelor's degree

Tools

Microsoft Excel

Microsoft Word

NYS Institutional Cost Report

Medicare 2552 Cost Report

Job description

1 week ago Be among the first 25 applicants

NYC Health + Hospitals provided pay range

This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$69,525.00/yr - $69,525.00/yr

Marketing Statement

Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible.

Job Description

• Coordinate and assist the facilities in the preparation of the Medicare Cost Reports by summarizing the Medicare data from the Provider Statistical and Reimbursement (PS&R) Report.
• Gathers necessary information needed for the completion of the Medicare Cost Report.
• Prepare, review and compile the requirements needed in the submission of the Medicare Cost reports.
• Analyze the audit adjustments of the tentative and final settlements.
• Review the components of the Medicare Periodic Interim Payments (PIP) such as Disproportionate Share (DSH) and Low-Income Patient (LIP) percentages, Indirect Medical Education (IME), Capital payments, utilization, case-mix-index (CMI) and rate factors.
• Assist in the preparation and updates for the outstanding Medicare Retroactive schedules for the Controllers’ Office, Corporate Budget and General Accounting.
• Prepares and provides the necessary documents for the year-end audit done by the external auditors.
• Coordinate and assist in timely and accurate completion of Medicaid cost reports for all facilities
• Coordinate and assist all in cost report certifications, desk reviews and audits
• Provide statistical data to meet various internal, City and external stakeholders needs
• Develop and disseminate Selected Cost Rates and other analysis of cost report data
• Prepare response to various surveys and data requests, including routine reporting required by GNYHA, AHA, AEH and HANYS
  
  

Minimum Qualifications

• A Master's degree in public administration or business administration, or in an equivalent or equally acceptable program, and four (4) years of satisfactory, full-time paid experience in a major governmental agency or large corporation or foundation in management analysis or in operational direction, planning, coordination or control of which two (2) years must have been in a supervisory, administrative or consultative capacity; or
• A Baccalaureate degree from an accredited college or university and five (5) years of experience as stated in #1 above of which three (3) years must have been in a supervisory, administrative or consultative capacity; or
• A satisfactory equivalent, however, all candidates must possess not less than the two (2) years of supervisory, administrative or consultative experience required. Four (4) years of appropriate general experience may be substituted for a Baccalaureate degree requirement. Appropriate full-time teaching experience in an accredited college or university may be substituted on a year-for-year basis for the required general experience and appropriate full-time teaching experience in a position of professional rank may be substituted on a year-for-year basis for the required supervisory, administrative or consultative experience.
  
  

Department Preferences

Educational Level

• College Degree
  
  

Knowledgeable In

• Medicare and Medicaid Cost Report Regulations
  
  

Computer Programs/Software Operated

• Microsoft Excel
• Microsoft Word
• NYS Institutional Cost Report & RHCF reports
• Medicare 2552 Cost Report
• Medicare 222-14 Report
• Medicare 2540 Report
  
  

How To Apply

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

If applying online, please include your cover letter in the same file attachment with your uploaded resume.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Consulting, Information Technology, and Sales

• Industries

  Hospitals and Health Care

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