Healthcare Consulting Reimbursement Manager

Description

About Dean Dorton

Dean Dorton’s team makes up one of the largest advisory firms in the United States. We thrive when you thrive! We are here to help you succeed in every step of your development and career as you work with nationally recognized experts in a recognized best place to work.

About the Role

The Reimbursement Manager plays a key role in Dean Dorton’s healthcare consulting practice by overseeing governmental reimbursement services, including Medicare and Medicaid cost reporting, audit coordination, compliance monitoring, and regulatory impact analysis. Reporting to the Associate Director of Reimbursements, this role is responsible for preparing and reviewing cost reports, monitoring CMS compliance, conducting pro forma and trend analyses, and supporting Federal and State attestation and reporting requirements. This individual will contribute to strategic growth by managing client engagements and supporting business development efforts.

Essential Duties and Responsibilities

• Oversee governmental reimbursement functions, including Medicare and Medicaid cost report preparation and audit coordination.
• Monitor compliance with CMS regulations and prepare attestation and Federal/State reporting requirements.
• Analyze MAC correspondence and interim rate settings for accuracy and compliance.
• Conduct detailed financial analyses to monitor reimbursement trends and identify opportunities for improvement.
• Assist with provider-based attestations and related Federal/State submissions.
• Research and interpret changes in reimbursement policies and regulations.
• Lead the development of year-end audit documentation and support financial statement preparation.
• Review data trends in governmental reimbursements and develop reports and dashboards.
• Collaborate with vendors and internal stakeholders to prepare reimbursement analyses.
• Prepare policy recommendations and compliance strategies.
• Manage special projects, financial surveys, and impact studies.
• Participate in professional development and stay informed on industry trends.
• Contribute to business development and client relationship management.

Experience & Qualifications

• Minimum of 6 years related experience in reimbursement consulting or healthcare finance
• CPA or MBA preferred
• Bachelor’s degree in accounting, finance, data or business analytics or information systems
• Expertise in Medicare and Medicaid reimbursement regulations
• Experience with preparation and review of cost reports and compliance filings

Essential Skills

• Strong data analysis skills to evaluate reimbursement trends, develop financial models, and support strategic decision-making.
• Aptitude for identifying issues in audit findings or cost report variances and developing creative solutions for clients.
• Demonstrated ability to lead, mentor, and train junior staff, especially in technical reimbursement areas.
• Skilled in building trust and credibility with clients through proactive communication, responsiveness, and expertise.
• Ability to monitor, interpret, and implement changes to Federal and State reimbursement regulations across multiple provider types (e.g., hospitals, SNFs, home health, hospice).

The Fun Stuff

Work isn’t all work! We want to make your experience at Dean Dorton a great one. From your health and happiness to your long-term satisfaction, we focus on YOU! A few highlights are listed below:

• Flexible work schedules and environment
• Unlimited Paid Time Off (PTO)
• Paid family leave, medical leave, and maternity/paternity leave programs
• Retirement benefits, including a best-in-class employer match and automatic profit sharing.
• Telemedicine, mental health resources and wellness program reimbursement

This job description is intended to describe the general nature and level of work being performed by team members assigned to this position. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Additionally, responsibilities and duties may vary depending on business needs and individual circumstances. Dean Dorton is an equal opportunity employer.

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