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Senior Reimbursement Analyst | The Confidential Search Company

23 Mar 2019 7:04 AM | Anonymous

Position Description: The Confidential Search Company is an executive recruiting firm with over twenty-five years of experience placing healthcare financial and administrative Executives, VPs. Directors, Managers and specialists.

We are conducting an executive search for a Senior Reimbursement Analyst for our client, a large academic medical center of a multi-hospital health network in Vermont.

Starting salary up to $95,000, depending on background and experience.
Excellent benefit package.

Relocation assistance is available.

This position has the potential to grow into a larger network role over time.

The Senior Reimbursement Analyst will be responsible for:

  • Government payer reimbursement related to Medicare, Medicaid, and TRICARE/CHAMPUS including the coordination and preparation of the annual Medicare Cost Report filings, audits and appeals
  • State of Vermont Medicaid payment systems
  • Staying current on all government regulatory changes and Federal and State proposals to change reimbursement methodologies and payment systems
  • Performing net revenue impact analyses on all CMS regulatory publications related to Medicare and Medicaid reimbursement
  • Reviewing monthly Medicare and Medicaid models, preparing monthly third party reserve adjustments and maintaining third party reserve accounts
  • Being a key organizational contact, with the Reimbursement Manager, for all questions pertaining to payer reimbursement rules, regulations, and net revenue modeling
  • High level independent contributions – will directly impact the financial performance of the organization
  • Working with Senior Leadership

Requirements


  • Bachelor’s degree or an equivalent combination of education and experience from which comparable knowledge and abilities were acquired may be considered.
  • 5 or more years of experience in health care finance or reimbursement
  • 2 years of direct practical experience with Medicare Cost Report filings and audits
  • Proven ability to analyze regulations, perform sophisticated data analysis on regulatory impacts, and present results to financial and operational leadership

Special Skills

  • Highly motivated and a self-starter, ability to work independently
  • Ability to multitask and apply critical thinking skills
  • Must be able to successfully prioritize and work to government-mandated deadlines
  • Ability to understand, interpret and react to CMS and Vermont State regulations, third party payer methodologies, and health care regulatory and compliance issues
  • Excellent written and verbal communication and interpersonal skills
  • Excellent analytical and problem-solving skills
  • Ability to thrive in a fast-paced environment
  • Strong organizational skills and ability to meet deadlines
All inquiries will be treated confidentially.

Interested candidates should send their resume to:

Matthew O’Brien
The Confidential Search Company
mailto:confsearch@aol.com
860-742-1555 or 800-222-2729

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