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Director of Reimbursement - Michigan Medicaid

Director of Reimbursement - Michigan Medicaid

Generations Healthcare Management LLCWashington, MI, US
3 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Director of Reimbursement - Michigan Medicaid Cost Reporting

50 / 50 Hybrid Option After Initial 4 Months

Are you ready to join a dynamic and growing healthcare company who is the leading provider of skilled nursing and short-term rehabilitation in Michigan? MediLodge is seeking a top notch Corporate Director of Reimbursement who is an expert in Michigan Medicaid to join our team. This is a dynamic position that integrates multiple disciplines on key strategies, blends historical data with forward looking projections, and has a seasoned team to supervise and work with.

Why MediLodge?

  • Michigan’s Largest Provider of long-term care skilled nursing and short-term rehabilitation services.
  • Employee Focus : We foster a positive culture where employees feel valued, trusted, and have opportunities for growth.
  • Employee Recognition : Regular acknowledgement and celebration of individual and team achievements.
  • Career Development : Opportunities for learning, training, and advancement to help you grow professionally.
  • Michigan Award Winner : Recipient of the 2023 Michigan Employer of the Year Award through the MichiganWorks! Association.

Key Benefit Package Options?

  • Medical Benefits : Affordable medical insurance options through Anthem Blue Cross Blue Shield.
  • Additional Healthcare Benefits : Dental, vision, and prescription drug insurance options via leading insurance providers.
  • Flexible Pay Options : Get paid daily, weekly, or bi-weekly through UKG Wallet.
  • Benefits Concierge : Internal company assistance in understanding and utilizing your benefit options.
  • Pet Insurance : Three options available
  • Education Assistance : Tuition reimbursement and student loan repayment options.
  • Retirement Savings with 401K.
  • HSA and FSA options
  • Unlimited Referral Bonuses .

    • Start a rewarding and stable career with MediLodge today!

    Summary :

    The Director of Reimbursement – Michigan Medicaid is responsible for leading and managing all aspects of Medicaid reimbursement strategy and compliance for skilled nursing facilities within the state of Michigan. This role ensures accurate and timely reimbursement for services rendered, maintains compliance with state and federal regulations, and supports financial sustainability through strategic payer engagement and data-driven decision-making. Key Responsibilities :

  • Develop and implement reimbursement strategies to optimize Medicaid payments.
  • Oversee the submission, tracking, and resolution of Medicaid audits and appeals.
  • Ensure compliance with Michigan Medicaid regulations, policies, and reporting requirements.
  • Collaborate with internal departments (Finance, Billing, Compliance, Clinical Operations) to streamline reimbursement processes.
  • Monitor reimbursement trends and identify opportunities for improvement.
  • Maintain strong relationships with Medicaid payers, regulatory agencies, and other stakeholders.
  • Provide leadership and supervision to reimbursement and billing teams.
  • Prepare and present reimbursement performance reports to senior leadership.
  • Support audits and compliance reviews related to Medicaid billing and reimbursement.
  • Contribute to the development of alternative payment models and value-based reimbursement initiatives.

    • Qualifications :

  • Bachelor’s degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field (Master’s preferred).
  • Minimum of 7 years of experience in Michigan Medicaid Skilled Nursing reimbursement, with at least 3 years in a leadership role.
  • Deep understanding of Michigan Medicaid reimbursement methodologies
  • Proven experience with Michigan Medicaid policies and payer systems.
  • Strong analytical skills and proficiency in financial reporting and data analysis.
  • Excellent communication, negotiation, and stakeholder management skills.
  • Experience with electronic health records (EHR) and billing systems.

    • Work Environment & Benefits :

  • Hybrid work model available.
  • Competitive salary and performance-based incentives.
  • Comprehensive benefits package including health, dental, vision, retirement plans, and paid time off.
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    Director Of Reimbursement • Washington, MI, US

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