Manager Government Reimbursement and Reporting
Job ID: 106420 Date posted: November 24, 2020
- Sharp HealthCare
- Management Jobs
- Day Job
The person in this role will serve as Sharp Healthcare’s expert in Medicare and Medicaid reimbursement and reporting.Oversee a team of 4-5 to advise on the cost reporting and reimbursement implications of operational changes, provide analysis and financial impact of government rate changes, and ensure compliance with government reporting requirements.
RESPONSIBILITIES:The role of the Manager
of Government Reimbursement & Reporting is to oversee, prepare and maintain
appropriate hospital schedules and supporting audit documentation for required
governmental reporting. It also encompasses serving as the hospitals’ primary
liaison for any associated audits with external governmental agencies.
Key responsibilities include the following:
Reimbursement and Reporting Oversight
Manages the process of cost reporting for Medicare and Medicaid
Manages the process for preparing Medicaid DSH filings, California OSHPD filings, and other ad hoc external reports
Coordinates support for audits of cost reports and other third party filings
Leads the preparation of appeals and re-openings of Medicare and Medicaid cost reports, and coordinates the accurate settlements of all issues
Monitors and communicates to management the impact of proposed regulatory changes as needed
Maintains relationships with individuals across the organization, including key business partners at hospitals, Patient Financial Services, Finance and Legal
Leadership and Other
Leads a team of at least 3 individuals
Hire, retain and develop talent
Creates and maintains a work environment that is aligned with the organization’s goals and strategies
Seeks opportunities to continuously improve processes
Participate in other department initiatives as appropriate
Sharp HealthCare’s Corporate Finance
department is primarily responsible for the preparation of monthly financial
statements for Sharp HealthCare and its various entities, coordinating the
preparation of Sharp’s annual operating budget, filing all required cost reports,
tax returns and various other reports with the appropriate regulatory agencies,
and coordinating Sharp’s annual external audit.
Sharp System Services have campuses located in the communities of Kearny Mesa and Serra Mesa and consist of the Spectrum location, the Ruffin Road location and Sharp Operations Center (SOC). These offices provide the centralized integrated system support services to the operating entities within the system. These services include: Strategic Planning, Business Development, Information Technology, Compliance, Internal Audit, Legal, Risk Management and Insurance, Contracts, Human Resources, Facilities Management and Development, Clinical Effectiveness, Finance, Nursing, Systems Supply Chain Services, Marketing and Communications, The Sharp Experience and Sharp University.
Sharp HealthCare is proud to be an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, gender identity, transgender status, sexual orientation, protected veteran status or any other protected class.
This position is located in Kearny Mesa, San Diego County
Full Time – Day Shift
Required Skills and Qualifications
Minimum of ten (10) years of hospital Cost Report reimbursement accounting experience and / or Medicare or Medi-Cal auditor experience with a MAC or MAC subcontractor providing reimbursement and provider auditing services
Experience conducting research, thorough analysis, interpretation of findings and preparing concise, accurate reports.
Working knowledge of Microsoft applications (i.e. Excel, Access, and Word) and Cost Reporting software is required.
“After nearly 10 years of working here, it's still one of the hardest jobs I've ever loved. If you find a niche here, you'll be working with some of the smartest in the industry. This is where they'll respect you for thinking outside the box and kindness matters. They expect consistency and hard work, but pay you well to do it.”