[Remote] Gov Reimbrsmnt & Cost, Mgr

Note: The job is a remote job and is open to candidates in USA. Emory Healthcare is a leading healthcare provider dedicated to delivering quality care and support to its patients. They are seeking a Manager of Government Reimbursements who will oversee financial reporting and analysis related to governmental reimbursements, ensuring compliance with regulations and optimizing revenue recognition. This role involves collaboration with various departments to maintain accurate reporting and enhance reimbursement processes. Responsibilities • Overseeing the financial reporting and analysis related to governmental reimbursements both federal and state, including cost reporting and audits. • Ensuring accurate and timely revenue recognition and calculating the estimated reimbursements for Emory Healthcare. • Working closely with hospital operations, clinical departments, and the finance team to support the financial reporting associated with the governmental reimbursements and required cost reporting compliance. • Preparing cost reports, monitoring compliance with CMS regulations, attestations, and preparing to report on all supplemental Federal and State reimbursement matters. • Coordinating Medicare and Medicaid audits and assisting with preparation of all supporting work papers and documentation across Emory Healthcare. • Conducting detailed financial analyses to monitor revenue performance, identify trends, and develop insights to improve governmental reimbursements. • Analyzing Medicare Administrative Contractor (MAC) correspondence and interim rate setting to ensure accurate reimbursement and compliance with regulations. • Assisting with monitoring changes in Federal and State regulations regarding hospital and physician reimbursement requirements, with priority focus on billing changes impacting physician and hospital chargemasters. • Assisting with Provider based attestations, and all Federal and State reporting associated with them. • Monitoring changes in Federal and State regulations affecting the healthcare industry and assisting with preparation of pro-forma analysis as it relates to third-party reimbursement. • Reviewing and assisting with preparation of the annual State of Georgia, DCH Reports, including DSH, GME, Hospital Financial Survey (HFS) and Indigent Care Trust Fund Survey (ICTF), etc. • Managing graduate medical education reporting and helping to provide organizational guidance to maximize reimbursements. • Assisting with preparation and review of annual hospital UPL and physician LIP reporting and other regulatory/contractually obligated reports. • Preparing research, analyzing, and communicating reimbursement matters. • Reviewing and assisting with strategic pricing analysis in association with the annual budget for charge master pricing and net revenues. • Developing year-end audit documentation; reviewing and overseeing detailed schedules and analysis to support financial statements. Working with external and internal auditors to interpret schedules and resolve discrepancies. • Developing control procedures and assisting in the development of new procedures to improve internal control measures. • Preparing, developing, and monitoring the budget and compliance with fiscal constraints related to governmental reimbursements for actual, budget and prior period financial information. • Developing and reviewing information and analysis for long-range financial and cash flow forecasting. • Reviewing and analyzing data trends in governmental reimbursements, working with vendors to develop analysis and support on-going and future reimbursements. • Enhancing and improving analysis to determine the impact of payer mix and changes to operations on governmental reimbursements. • Developing recommendations to management. • Identifying and reviewing analysis involving new business initiatives and models governmental reimbursement impacts. • Creating recommendations on policy issues to maintain compliance with regulations and guidelines. • Enhancing and being proactive in implementing procedures consistent with established policies. • Supervising and analyzing current policies and procedures and assessing effectiveness. • Overseeing and managing special projects. • Overseeing the preparation of special impact studies and other financial surveys and questionnaires. • Ensuring professional development and attending educational in-services as appropriate. • Participating in professional activities and organizations to maintain knowledge of current trends, practices, and developments. • Reviewing, preparing and analyzing statistical reports, financial statements, and supporting schedules for management. • Identifying, developing, and implementing methods for improving reporting efficiency. Identifying requirements and developing reports required by state and federal agencies and ensuring compliance. • Providing guidance and direction to professional staff. • Performing related responsibilities as required. Skills • 6 years related experience required with an MBA or CPA preferred. • Experience in preparation of Medicare and Medicaid cost reports required. • Strong knowledge of Medicare and Medicaid reimbursement regulations. • Excellent analytical and problem-solving skills. • Proven leadership and team management abilities. • Experience with complex academic healthcare and transplants preferred. • Knowledge and experience with Epic, Stratajazz, PeopleSoft, SQL, Power BI, EPSI and Kodiak (RCA). Education Requirements • A bachelor's degree in accounting, finance, data or business analytics or information systems related field. Benefits • Comprehensive health benefits that start day 1 • Student Loan Repayment Assistance & Reimbursement Programs • Family-focused benefits • Wellness incentives • Ongoing mentorship, development, and leadership programs • And more Company Overview • Emory Healthcare is the largest healthcare system in the state of Georgia., United States. It was founded in 1953, and is headquartered in Atlanta, Georgia, USA, with a workforce of 10001+ employees. Its website is http://www.emoryhealthcare.org/. Apply tot his job Apply To this Job