System Manager Reimbursement

Summary:

The Manager of Reimbursement is a highly strategic leadership role responsible for developing and executing reimbursement strategies across Deaconess Health System. This position oversees all reimbursement activities, including government and commercial payer settlements, cost reporting, and compliance with regulatory requirements.

What you will do

*Develop and implement reimbursement strategies aligned with organizational goals and regulatory changes.

*Advise senior leadership on financial impacts of reimbursement trends, legislation, and payment models.

*Oversee preparation and submission of Medicare and Medicaid cost reports, audits, and settlements.

*Analyze reimbursement data to identify opportunities for improvement and risk mitigation.

*Ensure adherence to federal and state regulations, payer requirements, and internal policies.

*Stay current on healthcare reimbursement regulations and proactively adjust strategies.

*Partner with Finance, Revenue Cycle, Managed Care, and Clinical Operations to align reimbursement initiatives.

*Present complex reimbursement concepts and financial impacts to executive leadership.

Provides acute hospital care and specialized medical services.