Schedule: Full time
Shift: Day (United States of America)
Address: 900 HOPE WAY
City: ALTAMONTE SPRINGS
State: Florida
Postal Code: 32714
Job Description: - Serves as AdventHealth subject matter resource for Medicaid reimbursement matters. This role is focused on Medicaid payment areas. Leads a team of reimbursement professionals, providing guidance, training, and development opportunities. Maintain a strong working knowledge of current laws and regulations of the federal and state Medicaid programs.
- Ensures data, payments, settlements, audits, and financial entries are completed.
- Communicate technical positions/arguments effectively to Medicaid auditors to support positions.
- Leverages reimbursement expertise to identify strategic opportunities supporting long-term reimbursement optimization and sustainability.
- Propose year end estimated Medicaid third party financial settlement to be audited by AdventHealth's external auditor for inclusion in the audited financial statements.
- Proactively seeks to improve strategy and reduce risks. This includes managing outside consultants and engaging with hospital associations.
- Creates solutions in compliance with regulations
- Collaborates with key stakeholders to support the reimbursement initiative and to identify, plan and execute reimbursement strategy.
- Collaborates with other large system reimbursement leadership to identify best practices and incorporate learnings within the organization.
- Engages in continuous knowledge development regarding healthcare industry developments, best practices, tools and techniques.
- Responsible for ensuring that the potential of future take backs, is understood, communicated, and managed appropriately.
- Educates Finance, Revenue, Cycle & Operational Leaders on regulations & impacts
- Communicate with key stakeholders on opportunities and impact, both regarding current issues as well as fundamentals of reimbursement for those in new roles
- Strategic Thinking deployed identifying new reimbursement mechanisms, ensuring the proper development, management and optimization of existing programs (coordinate, grow, reduce risk) and identify when and whether to join appeal cases.
- Consults with leadership, providing guidance how to ensure stability of existing programs and strategic options to consider, to fulfill our mission
- Provides mentoring and coaching to staff, develops future financial leaders, recruits top-tier talent
- Utilizes excellent communication skills, including adjusting or adapting messaging for different stakeholders.
- Participates in and/or lead special projects as assigned.
Education: - Bachelor's [Required]
- Master's [Preferred]
Field of Study: - in Accounting, Finance, or related field
Work Experience: - 10+ years of relevant experience in healthcare finance, preferably in reimbursement including medicare, medicaid reimbursement and regulatory cost reporting [Required]
- 5+ years of proven leadership skills in management role [Preferred]
- Strong background in accounting and financial analysis [Required]
Licenses and Certifications: - Certified Public Accountant (CPA) [Preferred]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:$146,405.57 - $272,307.13
