Senior Reimbursement Strategist

3 weeks ago


Milwaukee, Wisconsin, United States Advocate Health Full time
About the Role:

Advocate Health is seeking a highly skilled Senior Reimbursement Strategist to join our team. As a key member of our reimbursement team, you will play a critical role in planning and preparing revenue analysis for system-wide programs, projects, and services. Your expertise will be invaluable in identifying opportunities to enhance revenue and improve administrative efficiency of governmental payor programs.

Responsibilities:

• Develop and implement revenue strategies to maximize reimbursement rates and improve operational efficiency

• Analyze government agency bulletins, publications, and the Federal Register to understand proposed and actual state and federal government statutory and regulatory changes that impact Advocate Health

• Collaborate with the Manager of Reimbursement to develop a plan to communicate the impact of statutory and regulatory changes to finance and operational leadership

• Serve as an Aurora representative on the state Medicaid Hospital Rate Advisory Group, Health Care Quality Coalition, and Wisconsin Hospital Association Medicaid Advisory Group

• Participate in national, statewide, and regional public forums designed to inform payers and providers on policy changes to government payor programs

• Provide support as needed to Finance and Operations on reimbursement-related matters

• Assist with the preparation of the model template to be utilized in the annual budget process for third-party reimbursement

Requirements:

• Bachelor's Degree in Finance or related field

• Typically requires 5 years of experience in reimbursement that includes experiences in preparation of Medicare/Medicaid cost reports, regulations, and the analysis, modeling, and reporting of third-party payers

• Demonstrated expertise with Medicare and Medicaid regulations in a health care or federal intermediary setting

• Strong accounting background with experience in preparing and/or reviewing health care financial statements

• Strong proficiency in the use of Microsoft Office (Excel, PowerPoint, Word, Access), software systems, data management tools, or similar products

Working Conditions:

• Must be able to sit the majority of the workday

• Must be able to lift up to 10 lbs. occasionally

• Operates all equipment necessary to perform the job

• Exposed to normal office environment

• This position requires travel, so will be exposed to weather and road conditions

Estimated Salary Range:

$85,000 - $110,000 per year, depending on experience and qualifications

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