Additional Information About the RoleJoin BJC HealthCare's gov't reimbursement department today! In this position, you will have the opportunity to lead a team of reimbursement managers to ensure accurate and timely reimbursement. This position will help provide guidance, audits, and analytics to validate the team's work. Apply and start growing with BJC today!
OverviewBJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations.
Cost Reimbursement continuously improves the reimbursement process for BJC HealthCare. Responsible for third-party reimbursement with responsibilities for cost report review, fiscal intermediary interaction, regulatory review and system wide analyses involving third-party reimbursement.
Role PurposeThis role is responsible for the management of government programs reimbursement, striving to continuously improve the reimbursement process for BJC Healthcare. The individual will supervise certain Reimbursement Managers and have responsibility for reviewing cost reports and directing Missouri Medicaid matters, including the FRA program.
Responsibilities- Reviews third-party cost reports, DSH audit surveys, and other required filings
- Keeps current on Medicare and Medicaid regulatory changes
- Assist the Department Director with the third-party component of the MYM and budget
- Review the ongoing changes to the FRA program to understand the impact of the changes to BJC HealthCare and to participate as a member of the FRA Policy Committee
- Manages individual(s) including but not limited to: onboarding and hiring, training, workload management & performance evaluations, conducting professional development plans as needed. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
Minimum RequirementsEducation
- Bachelor's Degree - Finance/Bus/IS/Health related
Experience
Supervisor Experience
Benefits and Legal StatementBJC Total Rewards
At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
- Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date
- Disability insurance* paid for by BJC
- Pension Plan*/403(b) Plan funded by BJC
- 401(k) plan with BJC match
- Tuition Assistance available on first day
- BJC Institute for Learning and Development
- Health Care and Dependent Care Flexible Spending Accounts
- Paid Time Off benefit combines vacation, sick days, holidays and personal time
- Adoption assistance
To learn more, go to www.bjctotalrewards.com/Benefits
*Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
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