Manager Reimbursements - Remote at Providence Health Care, Inc

Portland, Oregon, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Aug, 26

Salary

96.35

Posted On

21 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Regulatory Reporting, Medicare Reimbursement, Medicaid Reimbursement, Financial Analysis, Internal Controls, Staff Mentoring, Project Prioritization, Compliance Management, Wage Index Reviews, Cost Based Reimbursement Strategies

Industry

Hospitals and Health Care

Description

Manager Reimbursements - Remote The Manager, Reimbursement Regulatory Reporting is responsible for execution of various strategic value-added reimbursement initiatives for the system to include evaluation, planning, coordination, and follow through to completion of such initiatives that include but are not limited to: Preparation and review of Medicare, Medicaid, and other regulatory reports, Wage index reviews, Medicaid Eligible Days reviews, various cost based reimbursement strategies, and any reimbursement methodology related to Medicare and Medicaid that has financial implications. The Manager is responsible for ensuring compliance with all government reimbursement regulations and executes internal controls as defined by Director. The Manager is also responsible for the efficient operation of the functional team, including mentoring of staff, assessing current workloads, and providing adequate prioritization of reimbursement-related projects. The incumbent performs all duties in a manner that promotes PSJH mission, values, and philosophy. In all aspects, he/she serves as a role model for the values and mission of the organization. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Finance and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: * Bachelor's Degree - Accounting, Finance, Business Information Systems, Data Science, or Mathematics/Statistics or an equivalent combination of education and experience. * 6 years demonstrated experience in the reimbursement field with expert knowledge of current reimbursement and reporting rules and regulations. * 4 years leadership experience, preferably with supervisory experience. Preferred Qualifications: * CPA upon hire. * CHFP upon hire. * Work experience in consulting, in a multi-hospital system, or MAC. Salary Range by Location: AK: Anchorage: Min: $52.19, Max: $82.39 AK: Kodiak, Seward, Valdez: Min: $54.40, Max: $85.88 California: Humboldt: Min: $54.40, Max: $85.88 California: All Northern California - Except Humboldt: Min: $61.04, Max: $96.35 California: All Southern California - Except Bakersfield: Min: $54.40, Max: $85.88 California: Bakersfield: Min: $52.19, Max: $82.39 Montana: Except Great Falls: Min: $42.02, Max: $66.33 Montana: Great Falls: Min: $39.81, Max: $62.84 Oregon: Non-Portland Service Area: Min: $48.65, Max: $76.80 Oregon: Portland Service Area: Min: $52.19, Max: $82.39 Texas: Min: $39.81, Max: $62.84 Washington: Western - Except Tukwila: Min: $54.40, Max: $85.88 Washington: Southwest - Olympia, Centralia & Below: Min: $52.19, Max: $82.39 Washington: Tukwila: Min: $54.40, Max: $85.88 Washington: Eastern: Min: $46.44, Max: $73.31 Washington: Southeastern: Min: $48.65, Max: $76.80 Why Join Providence? Our best-in-class benefits [https://nam11.safelinks.protection.outlook.com/?url=https://providence.jobs/benefits/&data=05|01|ethelleah.torres1@providence.org|6da11282629946c936bc08dbf64b1e78|2e3190869a2646a3865f615bed576786|0|0|638374574718197112|Unknown|TWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0=|3000|||&sdata=CHUc7JRL0t6AAExYx6UfCEVEH8gfmaw9cEOZ4wX0+ZU=&reserved=0] are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission [https://providence.jobs/mission/] of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits [https://providence.jobs/benefits/]. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act [https://s3-us-west-2.amazonaws.com/images.provhealth.org/HR-onboarding/LA_County_Fair_Chance_Ordinance_2024.pdf]. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer [https://www.providenceiscalling.jobs/eeo/]. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity [https://providence.jobs/diversity/] makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Responsibilities

The Manager is responsible for executing strategic reimbursement initiatives, including the preparation and review of Medicare and Medicaid regulatory reports. They ensure compliance with government regulations and manage the functional team's workload and professional development.