Northwest Texas Healthcare system
Senior Program Manager - Reimbursement - Acute
PayCompetitive
LocationKing Of Prussia/Pennsylvania
Employment typeFull-Time
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Job Description
- Req#: 291755
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Competitive compensation and benefits package, including Medical, Dental, Vision, and Prescription Drug Plan
- 401k with company match
- Opportunity for career advancement and growth within the organization
- Challenging and rewarding work environment
- Recognized as one of the World’s Most Admired Companies by Fortune
What to Expect (Job Responsibilities):
- Complete Medicare and Medicaid cost report submissions and manage related audits for assigned hospitals
- Provide independent hospital reimbursement consulting services to corporate and regional finance teams
- Oversee and develop reimbursement strategies for Medicare alternate payment methodologies
- Manage reimbursement aspects related to quality-based payment methodologies in acute care hospitals
- Participate in the oversight and development of Medicaid supplemental payment programs
What is Required (Qualifications):
- Bachelor's degree with 10+ years of experience in Medicare cost reporting and concepts
- Comprehensive knowledge of Medicare prospective payment systems, including Inpatient Acute DRGs and Outpatient APCs
- Thorough understanding of Medicare statutes, regulations, and related legislative processes
- Intermediate-to-Advanced level knowledge of Microsoft Excel
- Proficiency in HFS cost report software or its equivalent
How to Stand Out (Preferred Qualifications):
- Familiarity with McKesson G/L and Siemens Invision
- Specific knowledge of Graduate Medicare Education (GME) and Indirect Medical Education (IME) reimbursement
- Understanding of Medicaid supplemental payment concepts and state-directed payments
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