Manatee Memorial Hospital
Senior Program Manager - Reimbursement - Acute
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Job Description
- Req#: 291755
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Competitive compensation package with excellent benefits including Medical, Dental, Vision, and Prescription Drug Plan
- Opportunity for career advancement and growth within the organization
- Engage in a challenging and rewarding work environment
- Work with a leading provider of hospital and healthcare services recognized for excellence
- Contribute to the financial performance and compliance of multiple healthcare facilities
What to Expect (Job Responsibilities):
- Manage Medicare and Medicaid cost report submissions and conduct related desk reviews and audit activities for assigned hospitals
- Provide independent hospital reimbursement consulting services to corporate business offices, regional finance, and hospital executives
- Oversee and develop reimbursement strategies for Medicare alternate payment methodologies, focusing on bundled payments
- Coordinate reimbursement activities related to quality-based payment methodologies
- Participate in the development and maintenance of Medicaid supplemental payment programs for assigned facilities
What is Required (Qualifications):
- Bachelor's degree with 10+ years of experience in Medicare cost reporting and related concepts
- Comprehensive knowledge of Medicare prospective payment systems including Inpatient Acute DRGs and Outpatient APCs
- In-depth understanding of Medicare statutes, regulations, and administrative rules
- Familiarity with Medicaid supplemental payment concepts and state-directed payments
- Intermediate-to-Advanced level knowledge of Microsoft Excel and proficiency in HFS cost report software
How to Stand Out (Preferred Qualifications):
- Experience with reimbursement consulting in a healthcare setting
- Familiarity with Mckesson G/L and Siemens Invision systems
- Knowledge of Graduate Medicare Education (GME) and Indirect Medical Education (IME) reimbursement concepts
- Understanding of quality-based Medicare reimbursement concepts, such as Value-Based Purchasing
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