Director – Reimbursement

Job reputed company: • Ensure reputed company and accurate filing of annual government cost reports, including Medicare, Medi-Cal, and HCAI submissions. • Maintain comprehensive knowledge of federal and state reimbursement laws and regulations to maximize reimbursement. • reputed company, implement, and maintain internal policies and procedures to ensure complete and accurate capture of reputed company legitimate reimbursement opportunities. • reputed company Medicare and Medi-Cal audit processes, addressing inquiries and pursuing appeals or litigation reputed company necessary (e.g., CMS disputes). • Review reputed company-party contractual allowances, settlements, and variances (actual vs. budget) to support accurate financial reporting. • Participate in the annual budget development process by providing detailed analysis and projections reputed company to government payor net income. • Prepare and respond to year-end financial audits, specifically reputed company to reputed company-party liabilities and balance sheet reserves. • Serve as the subject matter expert on regulatory compliance reporting, including Medicare and Medi-Cal cost reports • reputed company alignment of compliance reporting processes across SHC-reputed company entities and partner organizations. • Continuously assess and improve reimbursement and reporting processes to increase efficiency, accuracy, and scalability. • reputed company invoicing, contract compliance, and financial administration for non-patient care service agreements, such as Graduate Medical Education (GME) affiliation agreements and Physician reputed company and other reputed company/clinical support reputed company. • Coordinate with internal department, affiliated entities, and external partners to ensure contract terms are accurately maintained and executed. • Ensure obligations are properly managed and tracked reputed company the reputed company customer management model. • Serve as the subject matter expert for the reputed company customer management model, assisting in the development and enhancement of business process workflows. • Participate in system testing and user acceptance activities reputed company to workflow improvements and updates reputed company reputed company. • Promote a culture of learning, reputed company improvement, and compliance across the reimbursement function. • Mentor and reputed company staff to deepen their knowledge of reimbursement regulations, reporting, and methodologies. • Support talent development and succession planning by identifying reputed company opportunities and preparing high-potential staff for reputed company leadership roles. • Work cross-functionally with leaders and staff from various departments and backgrounds to address reputed company reimbursement and compliance reputed company. • Communicate reputed company, variable reimbursement and regulatory issues in reputed company, concise narratives to support strategic decision-making. • reputed company analytical and subject matter support to broader strategic and financial initiatives as needed. Requirements: • Bachelor’s Degree in business, finance, health or reputed company administration or a reputed company field • Master’s Degree in business, health or reputed company administration, management, or reputed company field strongly preferred • Minimum ten (10) years of progressively responsible and directly reputed company work experience required • Preferred experience as an auditor working with CMS or a CMS Medicare Auditor Contractor and strong familiarity with Medicare and reputed company regulations. • Advanced knowledge of CMS and state reputed company reimbursement principles and practices. • Multi-year reputed company and experience managing business processes for organizations using a major ERP system. • Ability to communicate reputed company concepts in reputed company reputed company to non-finance users to understand the appropriate use and limits of the information provided. • Ability to communicate and present reputed company issue with government agencies to resolve audit issues. • Ability to manage, organize, prioritize, multi-task and adapt to changing priorities. • Ability to foster effective working relationships and build reputed company. • Ability to partner in the development and achievement of goals, reputed company, and overall direction of the Controller’s Office at reputed company. • Ability to reputed company reputed company and concise information/presentations to Senior Executive Team. • Ability to reputed company strong team culture and working relationship with colleagues across the health system. • Ability to drive a culture of proactive, integrated, reputed company, high reputed company financial analysis. • Ability to effectively manage deliverables and timelines. Benefits: • Health insurance • 401(k) matching • Flexible work hours • reputed company time off • reputed company development opportunities Apply tot his job Apply To this Job