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Job description
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.
Maintains 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.
Communicates technical positions and arguments effectively to Medicaid auditors to support positions.
Leverages reimbursement expertise to identify strategic opportunities supporting long-term reimbursement optimization and sustainability.
Proposes year-end estimated Medicaid third-party financial settlements to be audited by AdventHealth’s external auditor for inclusion in the audited financial statements.
Proactively seeks to improve strategy and reduce risks, including 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.
Ensures that the potential of future take-backs is understood, communicated, and managed appropriately.
Educates Finance, Revenue, Cycle & Operational Leaders on regulations and impacts.
Communicates with key stakeholders on opportunities and impact, regarding current issues as well as fundamentals of reimbursement for those in new roles.
Provides strategic thinking to identify new reimbursement mechanisms, ensuring the proper development, management, and optimization of existing programs while identifying when and whether to join appeal cases.
Consults with leadership, providing guidance on ensuring stability of existing programs and strategic options to consider, to fulfill our mission.
Provides mentoring and coaching to staff, develops future financial leaders, and recruits top-tier talent.
Utilizes excellent communication skills, including adjusting or adapting messaging for different stakeholders.
Participates in and/or leads special projects as assigned.
Benefits
Medical, Dental, Vision Insurance
Life Insurance
Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Position Details
Schedule: Full time
Shift: Day
Location: 900 Hope Way, Altamonte Springs, FL 32714
Education
Bachelor’s Degree (Required)
Master’s Degree (Preferred)
Field of Study
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 a management role (Preferred)
Strong background in accounting and financial analysis (Required)
Licenses and Certifications
Certified Public Accountant (CPA) (Preferred)
Physical Requirements
Work requirements are available at
Pay Range
$146,405.57 - $272,307.13
Equal Opportunity Employment
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.