Senior Medicare & Medicaid Reimbursement Strategist

OhioHealth Corporation; Columbus (OH); On-site; USD 90,000 - 120,000; Full time

Job summary

OhioHealth in Columbus, OH seeks a Senior Reimbursement Consultant to lead Medicare/Medicaid cost reporting for multiple entities. You will oversee calculations, modeling of regulatory changes, and variance analysis of third-party liability accounts.

You will supervise daily activities, mentor staff, and collaborate with directors on revenue cycle, charge analyses, and regulatory reporting. Deep knowledge of CMS, DSH, HCAP, and GME is essential.

Qualifications

• Bachelor's degree in Finance or related field required.
• Strong financial analysis and cost reporting experience.
• Proficiency with Microsoft Office and healthcare management systems.

Responsibilities

• Prepare and review Medicare and Medicaid cost reports for all OhioHealth entities.
• Ensure appropriate governmental reimbursement is captured for OhioHealth.
• Perform variance analysis and support third-party inquiries with documentation.
• Supervise Reimbursement Analysts and mentor staff on reimbursement principles.
• Lead special projects and provide updates to senior leadership.
• Maintain knowledge of CMS/Medicare rules and state Medicaid requirements.

Skills

Financial analysis

Cost reporting

Microsoft applications

CMS cost reporting

Education

Bachelor's Degree: Finance

Tools

Microsoft Office

Clinical & financial patient management systems

Job description

OhioHealth in Columbus, OH seeks a Senior Reimbursement Consultant to lead Medicare/Medicaid cost reporting for multiple entities. You will oversee calculations, modeling of regulatory changes, and variance analysis of third-party liability accounts.

You will supervise daily activities, mentor staff, and collaborate with directors on revenue cycle, charge analyses, and regulatory reporting. Deep knowledge of CMS, DSH, HCAP, and GME is essential.