Reimbursement Manager

Inova Health is looking for a dedicated Reimbursement Manager to join the team, this role will be full-time day shift Monday-Friday, 8 : 00 a.m.- 5 : 00 p.m., Remote

The Reimbursement Manager develops, prepares, and presents the financial impact of all new and proposed Medicare / Medicaid regulations to senior management. Directs the development of contractual allowances for budget projections. Takes ownership of Graduate Medical Education and Indirect Graduate Medical Education reimbursement. Manages, directs, and assists in the preparation and / or review of preliminary and filed Medicare / Medicaid cost reports. Manages daily operations of the reimbursement group, including staff assignments and prioritization of projects. Stays abreast of Medicare / Medicaid regulations and works to ensure that Inova Health System's facilities stay in compliance with regulations within the scope of assigned duties.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits :

• Committed to Team Member Health : offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement : Inova matches the first 5% of eligible contributions - starting on your first day.
• Tuition and Student Loan Assistance : offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support : offering all Inova team members, their spouses / partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work / Life Balance : offering paid time off, paid parental leave, and flexible work schedules.

Reimbursement Manager Job Responsibilities

Minimum Qualifications

Experience - Seven years of reimbursement experience in a healthcare setting to include at least two years in a management position.

Education - Bachelors Degree in Business Administration or Accounting.

Preferred Qualifications

End-to-End Medicare cost reporting : Expertise including preparation, amendments, reopening's, settlements, and audit / appeals interaction.

Amendments & Appeals : Identifies amendment opportunities; manages appeal timelines; documents and defends reserves on open reports; prepares the monthly journal entries for the cost report reserves.

Audits & Interaction : Direct experience collaborating with Medicare auditors, including issue resolution, audit responses, and negotiating findings.

Vendor Coordination : Manages external reimbursement vendors (scope definition, data exchanges, and QA of workpapers / deliverables).

Provider Enrollment : Hands-on with Medicare provider enrollment, modifications, revalidations, and coordination to secure timely effective dates aligned to cost reporting would be a plus.

Remote Eligibility : This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV