Manager, Governmental Reimbursement & Cost Reporting, Marlton

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community.

If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work  addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community.

That means bringing life-changing resources and health services directly into our communities through ourEat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Location:

Lippincott - 406 Lippincott Drive

Remote Type:

Hybrid

Employment Type:

Employee

Employment Classification:

Regular

Time Type:

Full time

Work Shift:

1st Shift (United States of America)

Total Weekly

Hours:

40

Hybrid - three days onsite, two days remote.

Must possess knowledge and understanding of the Medicare Cost Report, NJ Acute Care Reporting and other regulatory requirements.

The Manager of Reimbursement serves as the health system's primary subject matter expert for Medicare reimbursement, governmental regulations, and complex reimbursement methodologies. This role maintains full ownership for the preparation, review, and submission of the annual Medicare and NJ State cost reports, as well as oversight of related reimbursement and audit activities.

The position requires advanced knowledge of acute care hospital reimbursement, New Jersey reimbursement methodologies, and evolving federal and state regulatory requirements. Working closely with Corporate Finance leadership and external regulatory agencies, the Manager of Reimbursement identifies opportunities to optimize reimbursement outcomes, interprets regulatory changes, and provides strategic guidance that supports the organization's financial performance and long-term reimbursement strategy.

This is a highly specialized reimbursement leadership role. The ideal candidate will possess demonstrated end-to-end ownership of Medicare cost reporting and extensive experience in hospital reimbursement within a complex acute care health system environment, i.e.;
Chapter 160 cost reports, Wage Index submissions, NJ DSH, Occupational Mix surveys, PPS calculations, IME/GME appeals, and regulatory analysis.

Responsible for coordination and completion of the data for the Medicare/Medicaid Cost Reports and all reimbursement surveys and empowers the staff to make recommendations for improvements.

Coordinates all 3rd party audits with government intermediaries. Lead contact person with scheduling audit, gathering all requested information, fielding questions, and analyzing impact of audit adjustments.

Monitors and trends the impact of Medicare and Medicaid regulations. Reviews and analyzes relevant information related to Medicare regulatory compliance issues.

Provides monthly, quarterly, and special request reports related to patient detailed data for Operational Management through data reporting.

Implements new systems related to financial controls and assists in matters as they relate to reimbursement operations. Serves as System Administrator in various reimbursement systems for IE:
Cost report system and other CMS systems.

Required Experience:

Five to seven years of Reimbursement experience required with one to three years supervisory experience preferred. Must possess knowledge and understanding of the Medicare Cost Report, NJ Acute Care Reporting and other regulatory requirements. Ability to work independently to achieve goals and prioritize work assignments. Excellent…