Manager, Provider Compliance & Reimbursement

Manager, Provider Compliance & Reimbursement

Under the direction of the Partner / Senior Manager leading the respective service area, region or industry, the Manager, Provider Compliance & Reimbursement is responsible for preparing cost reports and providing reimbursement consulting within the Senior Living space. This role includes reviewing skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement systems for assigned states, assisting clients with cost report audits, and effectively communicating with both internal and external clients.

The role also includes managing strategy, leading the delivery of services to clients and / or developing and executing growth plans for the assigned area and market, in accordance with firm guidelines, policies and procedures.

Responsibilities

Essential Responsibilities :

• Assesses client needs, recommend potential solutions, and delivers expertise on engagements.
• Manages client relationships and projects, ensuring proactive client management, effective planning, and leadership while meeting budget and deadline expectations.
• Performs detailed review of work completed by other associates including Medicare cost reports.
• Gain an understanding of the skilled nursing Medicaid reimbursement systems for the assigned states and assist clients with cost report audits including reviewing cost report adjustments and rate worksheets in those states.
• Informs others of costs, quality, schedule, and risk within the engagement parameters.
• Applies consistent use of professional standards and firm processes while providing quality control to enhance the team's best practice methodology and library.
• Builds team members' confidence in their abilities to deliver work and promotes team self-sufficiency by cross-training, knowledge sharing, mentoring, and delegation of work to support staff development.
• Actively contributes to business development by collaborating with opportunity leaders for subject leadership in sales pursuits and proactively seeks referrals, prospects, and cross-selling opportunities.

Knowledge, Skills and Abilities

Required Qualifications :

Preferred Qualifications :

Additional Details

Additional Details :

Wipfli is an equal opportunity / affirmative action employer. All candidates will receive consideration for employment without regards to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identity, veteran status, disability, or any other characteristics protected by federal, state, or local laws.

Wipfli is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or participate in our recruiting process, please send us an email at hr@wipfli.com.

Wipfli values fair, transparent, and competitive compensation, considering each candidate's unique skills and experiences. The estimated base pay range for this role is $107,000 to $144,000, with offers typically not made at the maximum, allowing for future salary increases. The actual salary at the time of offer depends on business related factors like location, skills, experience, training / education, licensure, certifications, business needs, current associate pay, and relevant employment laws.

Individuals may be eligible for an annual discretionary bonus, subject to participation rules and based on a variety of factors including, but not limited to, individual and Firm performance.

Wipfli cares about our associates and offers a variety of benefits to support their well-being. Highlights include 8 health plan options (both HMO & PPO plans), dental and vision coverage, opportunity to enroll in HSA with potential Firm contribution and an Employee Assistance Program. Other benefits include firm-sponsored basic life and short and long-term disability coverage, a 401(k) savings plan & profit share as well as Firm matching contribution, well-being incentive, education & certification assistance, flexible time off, family care leave, parental leave, family formation benefits, cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life / AD&D. Eligibility for all benefits programs is dependent on annual hours expectation, position status / level and location.