Department

FINANCIAL ANALYTICS - 108213

Worker Sub Type

Regular

Work Shift

First Shift (United States of America)

Pay Grade

Job Description

The Reimbursement and Financial Compliance Manager is responsible for leading efforts to identify cost drivers that impact reimbursement levels and recommend corrective strategies. The Manager directs the preparation of annual patient revenue budgets, including contractual adjustments and bad debt reserves. This position is also responsible for ensuring Valley Health entities receive accurate payments from third-party payers such as Medicare, Medicaid, and Champus.

Responsibilities and Duties

Develops and implements systems to monitor regulatory changes affecting revenue streams.

Analyzes and communicates the financial impact of regulatory updates to senior leadership.

Oversees data mining and dashboard development using tools like HBI/HPM to support financial decision-making.

Manages the preparation and review of Medicare and Medicaid cost reports for all hospital subsidiaries.

Serves as the primary point of contact for third-party auditors, consultants, and legal teams.

Resolves discrepancies, appeals, and audit findings in collaboration with Medicare/Medicaid intermediaries.

Provides internal consulting on reimbursement, fixed assets, and budgeting.

Establishes and maintains schedules for cost updates across entities based on materiality and operational needs.

Education

Bachelor’s in Accounting is required.

Experience

Five years of experience in healthcare finance and accounting is required.

Experience in Medicare, Medicaid, and other payer reimbursement is required.

Experience with computerized accounting software, spreadsheet programs, and word processing is required.

Certification & Licensure

Certified Public Accountant (CPA) or MBA is preferred.

Qualifications

Strong understanding of financial statement preparation, financial analysis.

Strong analytical and communication skills.

Proven ability to lead cross-functional teams and manage complex financial projects.

Benefits

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:

• A Zero-Deductible Health Plan
• Dental and vision insurance
• Generous Paid Time Off
• Tuition Assistance
• Retirement Savings Match
• A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
• Membership to Healthy U: An Incentive-Based Wellness Program

Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.

To see the full scale of what we offer, visit valleyhealthbenefits.com.