Manager, Budget and Reimbursement

Job Description - Manager, Budget and Reimbursement (2400715)

Who You Are:

As Manager, Budget and Reimbursement for Catholic Medical Center (CMC), you are a detail-oriented finance professional with a passion for maximizing third-party reimbursement in a healthcare setting. With a strong background in federal and state reimbursement regulations and managed care contracts, you excel in ensuring financial statements accurately reflect these elements. You bring experience in preparing and filing Medicare/Medicaid cost reports and have a knack for working collaboratively with senior leadership and diverse teams. You thrive in a fast-paced environment and are committed to streamlining processes without compromising quality.

This is a fully benefitted exempt full time position, Monday through Friday (40 hours/week)

What You’ll Do:

1. Cost Reporting: Timely preparation and filing of Medicare/Medicaid/Tricare/Martin’s Point cost reports in compliance with federal and state regulations.
2. Analytical Support: Conducting Wage Index Reviews, Occupational Mix Surveys, and assisting with Intermediary audits and reviews of bad debt and DSH logs.
3. Monthly Financial Analysis: Reviewing contractual allowances, revenue by payer, bad debt, and other analytics necessary for month-end close.
4. Budget Preparation: Assisting in the development of operating and capital budgets, ensuring accuracy in patient revenue computations, contractual allowances, and other expenses.
5. Statistical Oversight: Developing and maintaining accurate monthly statistics and providing related reports and graphs.
6. Reimbursement Maximization: Investigating reimbursement developments, making recommendations, and ensuring correct payments under DRG and APC mechanisms.
7. Training and Support: Training hospital directors on the EPSI budget module and providing ongoing support throughout the budget process.
8. Collaboration: Working closely with directors across the hospital and various departments on ad-hoc analyses and ensuring compliance with federal and state reimbursement regulations.

What You’ll Bring:

1. Bachelor’s Degree in Business Administration or Accounting; a Master’s degree with an emphasis in Healthcare Finance or Administration is preferred.
2. 5-7 years of experience in third-party reimbursement, focusing on Medicare and Medicaid in a healthcare provider setting.
3. Proven experience collaborating with senior-level administration and diverse teams.
4. Supervisory experience is a plus.
5. Proficiency in cost reporting and budget preparation.
6. Strong analytical and problem-solving abilities.
7. Excellent communication and interpersonal skills.
8. Familiarity with financial reporting software, specifically EPSI, is desirable.

Who We Are:

Catholic Medical Center (“CMC”) is a nonprofit, regional health system committed to delivering the highest quality and most advanced healthcare to patients across New Hampshire. CMC is the home of the nationally-renowned New England Heart & Vascular Institute, rated among the top cardiovascular programs in the country.

We are driven by our mission to offer health, healing, and hope to every individual who seeks our care, and we live by our values of Respect, Integrity, Compassion, and Commitment.

CMC is proud to be named to the Forbes list of America’s Best-in-State Employers for two consecutive years. This prestigious award is presented by Forbes and Statista, Inc., and is based on 2.1 million employer recommendations from employees working for companies with more than 500 employees in the United States.

With our award-winning clinical programs, primary care network and dedication to community, CMC is fostering a healthier New Hampshire, every day.

Catholic Medical Center is an equal opportunity employer and we embrace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.