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Senior Manager of Reimbursement and Compliance

RWJBarnabas Health Corporate Services
Oceanport, NJ Full Time
POSTED ON 3/5/2025
AVAILABLE BEFORE 3/20/2025

Job Description

The Director of Quality and Medical Staff will serve as a key resource to department leadership, providing Medicare and Medicaid reimbursement support and implementing government payment strategies across all RWJBarnabas Health hospitals.

This includes planning, preparing, and reviewing annual Medicare/Medicaid cost reports filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification projects.

The Director will closely assess, track, and monitor participation in state-level supplemental payments programs and will assist with regulatory research. The Director will also work closely with finance department personnel at system facilities and oversee the accurate determination of third-party receivables/payables, ensuring revenue and receivables reporting complies with GAAP.

The Director will have an advanced level of knowledge of government payment regulation, third-party revenue accounting practices, and excellent communication/staff management skills. Furthermore, the Director promotes a positive atmosphere and maintains a high degree of customer service orientation, including proactive interaction with staff and managers.

Bachelor's or Master's Degree in Accounting, Finance, or Health Administration is required. Proactively prioritizing needs and effectively managing resources are essential qualities for this role.

Benefits:

  • Medical and Prescription Drug Insurance
  • Dental and Vision Insurance
  • Retirement Plans
  • Short- & Long-Term Disability
  • Tuition Reimbursement
  • Health Care/Dependent Care Flexible Spending Accounts

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