Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive compensation package, including excellent Medical, Dental, Vision, and Prescription Drug Plan
- 401k plan with company match
- Dynamic and challenging work environment
- Recognition as one of the World’s Most Admired Companies by Fortune

What to Expect (Job Responsibilities):
- Complete Medicare and Medicaid cost report submissions for assigned hospitals and manage related audit activities
- Provide independent reimbursement consulting services to corporate and regional finance teams
- Oversee and develop reimbursement strategies for Medicare alternate payment methodologies, focusing on bundled payments
- Coordinate Medicare quality-based payment methodologies, including Value-Based Purchasing and Excess Readmissions
- Review and ensure compliance of Medicare and Medicaid contractual models and related reimbursement factors

What is Required (Qualifications):
- Bachelor’s degree with 10+ years of experience in Medicare cost reporting
- Comprehensive knowledge of Medicare prospective payment systems including Inpatient Acute DRGs and Outpatient APCs
- Thorough understanding of Medicare statutes and regulations, including GME and IME reimbursement
- Familiarity with Medicaid supplemental payment concepts and related provider tax assessments
- Intermediate-to-Advanced level knowledge of Microsoft Excel

How to Stand Out (Preferred Qualifications):
- Familiarity with McKesson G/L and Siemens Invision
- Proficiency in HFS cost report software or its equivalent

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