Manager Government Reimbursement

Find your purpose as the Manager of Government Reimbursement at CentraCare. The Manager of Government Reimbursement is responsible for overseeing the preparation, submission, and audit of Medicare and Medicaid cost reports for all facilities within the health system. This role requires expertise in government reimbursement regulations and the ability to project the financial impact of regulatory changes and cost-reporting outcomes. The Manager will play a key role in providing actionable insights to support long-range planning, budgeting, and strategic decision-making across the health system.

Schedule:

• Full-time 80 hours every 2 weeks
• Mon-Fri Day Shift

Pay & Benefits:

• Starting pay begins at $103,590.08 per year and increases with experience
• Salary range:  $103,590.08- $155,374.44 per year
  • Salary range is based on a 1.0 FTE, reduced FTE will result in a prorated offer rate
• We offer a generous benefits package that includes medical, dental, flexible spending accounts, PTO, 401(k) retirement plan & match, LTD and STD, tuition reimbursement, discounts at local and national businesses and so much more! 

Qualifications:

• Bachelor's Degree Accounting, Finance, Business Administration, or a related field required; Master's degree or CPA preferred. 
• Minimum of 8 years of experience in healthcare reimbursement, cost reporting, or a related field.
• Progressive leadership responsibilities.
• Experience in a multi-hospital system including prospective payment hospitals, critical access hospitals, and rural health clinics.
• Advance knowledge of hospital Medicare cost accounting fundamentals.
• Advanced knowledge of Medicare and Medicaid payments, with knowledge with Critical Access, Rural Health, 340B, DSH, IME, and other teaching hospital payments.
• Familiarity with government regulations, auditing processes, and healthcare financial operations.
• HFMA certification preferred.
• Proficiency in Medicare and Medicaid cost reporting software and tools.
• Advanced skills in financial modeling and data analytics (e.g., Excel, or similar platforms).
• Strong knowledge of CMS regulations and reimbursement methodologies.
• Demonstrated ability to analyze complex financial data and present it to non-technical audiences.
• Strong project management skills, with the ability to meet multiple deadlines.
• Excellent written and verbal communication skills.

Key Competencies

• Analytical Thinking: Ability to interpret financial data and project future impacts accurately.
• Attention to Detail: Ensures accuracy and completeness in all reporting and analysis.
• Strategic Mindset: Understands the broader financial goals of the organization and aligns department efforts accordingly.
• Collaboration: Works effectively with diverse teams to achieve common goals. 

Physical and Working Conditions:

• This position operates in a professional office environment with occasional travel to system hospitals for data collection, audits, and compliance to regulations.
• Work hours may be extended during peak reporting periods or in response to regulatory deadlines.
• This is a hybrid position; onsite requirements are monthly to bimonthly.

Key Performance Indicators (KPIs):

• Timeliness and accuracy of cost report submissions.
• Reduction in audit adjustments and penalties.
• Improvement in reimbursement rates and recovery outcomes.
• Successful implementation of process improvements.

CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.