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Government Reimbursement & Cost, Manager

Atlanta StaffingAtlanta, GA, US

2 days ago

Job type

Full-time

Job description

Emory Healthcare Manager Of Government Reimbursements

Be inspired. Be rewarded. Belong. At Emory Healthcare, we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide :

Comprehensive health benefits that start day 1
Student Loan Repayment Assistance & Reimbursement Programs
Family-focused benefits
Wellness incentives
Ongoing mentorship, development, and leadership programs
And more

This position reports to the Director, Reimbursements and Net Patient Service Revenue (NPSR), and oversees analysis and reporting for Governmental Reimbursements for Emory Healthcare. The Manager of Government Reimbursements is responsible for overseeing the financial reporting and analysis related to governmental reimbursements both federal and state, including cost reporting and audits. This role involves ensuring accurate and timely revenue recognition and calculating the estimated reimbursements for Emory Healthcare. The manager will work closely with hospital operations, clinical departments, and the finance team to support the financial reporting associated with the governmental reimbursements and required cost reporting compliance.

Responsibilities include :

Preparing cost reports, monitoring compliance with CMS regulations, attestations, and preparing to report on all supplemental Federal and State reimbursement matters

Coordinating Medicare and Medicaid audits and assisting with preparation of all supporting work papers and documentation

Conducting detailed financial analyses to monitor revenue performance, identify trends, and develop insights to improve governmental reimbursements

Assisting with monitoring changes in Federal and State regulations regarding hospital and physician reimbursement requirements

Developing control procedures and assisting in the development of new procedures to improve internal control measures

Preparing, developing, and monitoring the budget and compliance with fiscal constraints related to governmental reimbursements

Developing and reviewing information and analysis for long-range financial and cash flow forecasting

Supervising and analyzing current policies and procedures and assessing effectiveness

Overseeing special projects

Ensuring professional development and attending educational in-services as appropriate

Participating in professional activities and organizations to maintain knowledge of current trends, practices, and developments

Providing guidance and direction to professional staff

Minimum Qualifications :

6 years related experience required with an MBA or CPA preferred

Experience in preparation of Medicare and Medicaid cost reports required

Experience with complex academic healthcare and transplants preferred

Strong knowledge of Medicare and Medicaid reimbursement regulations

Excellent analytical and problem-solving skills

Proven leadership and team management abilities

Preferred technical qualifications :

Knowledge and experience with Epic, Stratajazz, PeopleSoft, SQL, Power BI, EPSI and Kodiak (RCA)

Education :

A bachelor's degree in accounting, finance, data or business analytics or information systems related field

Emory Healthcare is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request.

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Cost Manager • Atlanta, GA, US