Position Summary:

Responsible for compiling complex reimbursement data to support management decision making and internal and external reporting for assigned subsidiaries. Assists in coordination of reimbursement functions related to the strategic financial planning process. Responsible for the integrity of net revenue.

Essential Functions and Responsibilities:

Prepares and or reviews the schedules required to support the submission of Medicare, Medicaid and Blue Cross cost report, complying with regulations. Analyzes third party cost report changes from prior years, investigating differences.
Prepares monthly contractual model and provides thorough analysis of the monthly contractual allowances for assigned subsidiaries. Investigates and makes recommendations for updates to assumptions and/or methodology.
Maintains adequate reserve position by complete monthly reserve analysis identifying and reporting any increase or decrease from previously stated reserve position.
Provides complex projections and analytical support during the fiscal year budgeted net revenue preparation.
Researches and keeps abreast of third party regulations and changes, providing analytical support through financial impact summarization. Estimates the financial impact any changes in payment assumptions and/or budget assumptions may have on the subsidiary and communicates as directed.
Coordinates the collection of data and/or preparation of schedules for third party financial audits, settlements, and cash reconciliations.

Qualifications:

Required:

Bachelor degree in finance, accounting or related field.
Three years experience in a progressively more responsible reimbursement or finance role with reimbursement responsibilities.

Preferred:

CPA or MBA preferred.

McLaren

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