Health Care Reimbursement Manager

Description

Blue & Co., Health Care practice focuses on helping health care organizations and companies achieve and maintain economic strength while also managing the risks they confront in the challenging health care environment.

Responsibilities

Business Development

 

· Demonstrate a proven track record in professional services business development in the acute healthcare industry.

· Help lead healthy, sustainable growth for Blue and our clients by understanding client needs, our service lines, and actively advising, assessing, and presenting ways that the firm can serve clients.

People Development

 

· Be responsible for the growth and development of all levels of professionals.

· Foster teamwork, innovative thinking, and knowledge sharing with team members to enhance service delivery.

· Successfully delegate to all levels of staff.

· Conduct performance reviews, contribute to performance feedback, and serve as a leader and mentor.

· Understand/follow workplace policies, and respect/protect confidential client information.

· Maintain an educational program to continually develop skills.

Managing and Exceeding Client Expectations

 

· Develop and maintain strong working relationships with key client executives.

· Collaborate to plan objectives within a defined budget, and develop strategies that address risk. Understand and articulate trends in the industry.

· Apply/communicate strategic objectives and organizational policies of Blue & Co. Health Care.

 

 To qualify, candidates must have:

· a bachelor's degree in business or a related field (a CPA, MBA, MHA and/or MPH is a plus)

· a minimum of 5-8 years of relevant, in-depth health care experience with a professional services firm, a regional firm, a large acute care, or an academic medical center

· extensive knowledge of Medicare/Medicaid reimbursement principles

· strong technical skills in all areas of Medicare/Medicaid compliance reporting including billing compliance, cost reporting, Graduate Medical Education (GME), Medicare Bad Debt, Wage Index, Organ Acquisition, and Disproportionate Share (DSH) and knowledge of applicable regulations, reimbursement principles, laws, and proposed legislation

· experience conducting Medicare/Medicaid appeals and disputed issues on behalf of hospitals; experience preparing position papers and knowledge of Provider Reimbursement Review Board (PRRB) proceedings preferred

· acute care experience; experience in or knowledge of other healthcare providers (skilled nursing, home health, etc.) is a plus

· strong financial, analytical, technical, and interpersonal skills

· excellent client service and demonstrated business development skills

· demonstrated ability to manage large engagements, as well as prioritize and supervise/motivate staff

· excellent written and verbal communication skills

The successful candidate must be a highly motivated professional and a self starter, and be willing and able to travel. Current contacts with hospital CEO's, COO's, and CFO's are also required, along with the ability to develop long-term relationships.

 

To apply, please visit our website and navigate your way to this position on our career's page.