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

      #HealthcareServices #Reimbursement #CareerOpportunity #CompetitivePay #GrowthPotential

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
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