Talent.com
Healthcare Reimbursement Consulting Manager

Healthcare Reimbursement Consulting Manager

Plante MoranColumbus, OH, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Count on us. Our "we-care" culture is more than just a motto; it's a promise. From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achieve your professional goals. Join us.

Our management consulting team focuses on our clients' critical business needs. From strategy to operations and everything in between, our integrated solution approach is designed to help enable and manage growth, leverage resources, and mitigate costs and risks. At Plante Moran, we have the privilege of serving clients and providing consultative services as they face challenges and seek new opportunities.

Your role.

Your work will include, but not be limited to :

  • Lead and manage strategic engagements focused on client financial and accounting analysis
  • Prepare, review, and analyze SNF, Home Health & Hospice Medicare and Medicaid cost reports in accordance with Federal and State regulations
  • Analyze client financial and operating data in order to identify opportunities to optimize reimbursement rates for clients, while also understanding the clients' operational data from a staffing and expense management standpoint
  • Provide client accounting assistance as requested
  • Drive top-line revenue for clients in maximizing reimbursement
  • Supervise and coordinate activities of consulting staff
  • Build and manage client relationships, including practice development activities

The qualifications.

  • Bachelor's degree in Accounting or Finance is required.
  • CPA is a plus, but not required.
  • 5+ years of experience in post- acute healthcare reimbursement including Medicare, Medicaid and cost reporting
  • Strong background in accounting and financial analysis, with the ability to identify variances and identify opportunities to improve processes & procedures
  • Proficient technical skills, including those required to be proficient with financial accounting and reporting systems and MS Office
  • Ability to exercise extreme confidentiality and effectively communicate with client personnel
  • Staff members working onsite at healthcare clients will be required to have updated immunizations per client compliance requirements with federal workplace safety guidelines
  • Ability to travel approximately 10% - 15%
  • Preferred locations in Cleveland, Columbus, and Chicago. Full remote applicants will be in consideration
  • What makes us different?

    On the surface, we're one of the nation's largest audit, tax, consulting, and wealth management firms. But dig a little deeper, and you'll see what makes us different : we're a relatively jerk-free firm (hey, nobody 's perfect) with a world-class culture, consistent recognition as one of Fortune Magazine's "100 Best Companies to Work For," and an endless array of opportunities.At Plante Moran, diversity, equity and inclusion means that all staff members have equitable and fair opportunities to succeed, in an inclusive environment, with their individual, unique identities. So,what are you waiting for? Apply now.

    Plante Moran enjoys a "Workplace for Your Day" model which, simply put, means we strive for flexibility and balance while staying true to our principally in-person model. We believe that face-to-face interactions are paramount for individual and collective development, but also encourage individuals to work with their supervisor and team to determine their optimal working environment each day.

    Plante Moran is committed to a diverse workplace.We strive to create a culture where each person feels accepted and valued. We believe that each person's ultimate potential begins with first acknowledging their inherent dignity. When we can recognize - and celebrate - our many human differences, we're able to create a workplace where all staff feel a sense of belonging and an opportunity to succeed. This allows us to attract and retain the best talent, serve clients through diverse thinking, and better represent and support the various communities in which we live and work.Plante Moran is an Equal Opportunity Employer.

    Plante Moran maintains a drug-free workplace.

    Interestedapplicantsmust submit their resume for consideration using our applicant tracking system. Due to the high volume of interest in our positions, only candidates selected for interviews will be contacted. Candidates must be legally authorized to work in the United States without sponsorship, with the exception of qualified candidates who are bilingual in either Japanese and English or Chinese and English. Unsolicited resumes from search firms or employment agencies, or similar, will not be paid a fee and become the property of Plante Moran.

    The specific statements above are not intended to be all-inclusive.

    For Colorado & Illinois Applicants :

    We are pleased to offer eligible staff a robust benefits package. Eligibility and contribution requirements for some of these benefits vary based on the number of hours staff work per week. Highlights include health, dental, vision, disability and life insurance. These standard offerings are effective on the first of the month following your start date. In addition to this, eligible staff are able to take advantage of our Flexible Time Off and various pre-determined holidays as well as a 401(k) plan, flexible benefits plans, business-related travel expense, lodging and meal reimbursement for business-related use. A Pension plan is also available for eligible administrative and paraprofessional staff. A discretionary bonus plan is available for eligible staff. Plante Moran also offers Interns and Contractors the option to elect health insurance under our contingent staff medical plan as of the 1st of the month following 60 days of employment in addition to limited paid time sick time. Seasonal staff are not eligible for benefits.

    Compensation is commensurate with technical skills and experience is provided in accordance with applicable state requirement. Compensation information posted is based on a position being located in the state of CO or IL. Please review theposition location for theapplicable geographic location.

    Under Colorado's Job Application Fairness Act, you have the right to redact from any documents that you submit in connection with your application information that identifies your age, date of birth, or dates of attendance at or graduation from an educational institution. Should you wish to exercise your right to redact such information, please redact it prior to submitting documentation.

    Colorado monthly base range is as follows : $8,333.33 - $10,000.00

    Illinois monthly base range is as follows : $8,333.33 - $10,000.00

    #LI JV-1

    #LI Hybrid

    serp_jobs.job_alerts.create_a_job

    Consulting Manager • Columbus, OH, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Managed Services - Health PLS Spend Transparency Sr. Manager

    Managed Services - Health PLS Spend Transparency Sr. Manager

    Veterans StaffingColumbus, OH, US
    serp_jobs.job_card.full_time
    Risk Management Generalist At PwC.At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions.They help orga...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Project Manager - Clinical Trials

    Project Manager - Clinical Trials

    CencoraColumbus, OH, US
    serp_jobs.job_card.full_time
    Our team members are at the heart of everything we do.At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Manager of Care Management

    Clinical Manager of Care Management

    AIDS Healthcare FoundationColumbus, OH, US
    serp_jobs.job_card.full_time
    Amazing individuals working for positive people at AIDS Healthcare Foundation!.Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Outcomes Manager / Nursing Peer Review Coordinator

    Clinical Outcomes Manager / Nursing Peer Review Coordinator

    OhioHealthColumbus, OH, US
    serp_jobs.job_card.full_time
    We Are More Than A Health System.We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide.We work hard,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Provider Reimbursement Analyst 1

    Provider Reimbursement Analyst 1

    Ohio JobsColumbus, OH, US
    serp_jobs.job_card.full_time +2
    Provider Reimbursement Analyst 1.The Ohio Department of Medicaid (ODM) is seeking a financial professional to be part of our LTC Nursing Home Unit. As a Provider Reimbursement Analyst 1, your respon...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Care Review Clinician, Prior Authorization

    Care Review Clinician, Prior Authorization

    Molina Healthcarecolumbus, oh, us
    serp_jobs.job_card.full_time
    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Care Review Clinician (RN)

    Care Review Clinician (RN)

    Molina HealthcareOhio, US
    serp_jobs.job_card.full_time
    JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Care Review Clinician (RN) Ohio

    Care Review Clinician (RN) Ohio

    Molina HealthcareOhio, US
    serp_jobs.job_card.full_time
    JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Opioid Treatment Program Medical Director

    Opioid Treatment Program Medical Director

    COMPLETE HEALTHCAREMarysville, OH, US
    serp_jobs.job_card.full_time
    Complete Healthcare is a comprehensive, private practice with 8 locations specializing in Addiction Medicine, Primary Care, and Gynecology. As an established, rapidly growing, and fast-paced organiz...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Homecare Reimbursement Specialist- Homecare Finance

    Homecare Reimbursement Specialist- Homecare Finance

    Nationwide Childrens HospitalColumbus, OH, US
    serp_jobs.job_card.full_time
    Coordinates patient accounts from prior authorization to point of bill payment or referral to collection, including processing billing for home health agencies to appropriate agencies, including Me...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Accreditation and Regulatory Consultant

    Accreditation and Regulatory Consultant

    Nationwide Childrens HospitalColumbus, OH, US
    serp_jobs.job_card.full_time
    Compliance And Accreditation Specialist.Assists in the evaluation, implementation, monitoring, improvement of compliance with internal and external regulatory requirements, and policies for the org...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Network Relations Consultant Senior (Value-Based Program Specialist) MyCare Ohio

    Network Relations Consultant Senior (Value-Based Program Specialist) MyCare Ohio

    Elevance HealthColumbus, OH, US
    serp_jobs.job_card.full_time
    Network Relations Consultant Senior (Value-Based Program Specialist).Be part of an extraordinary team.The MyCare Ohio Plan program is to deliver high quality, trauma informed, culturally competent,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Licensed Crisis Therapist : Mobile Response and Stabilization Services

    Licensed Crisis Therapist : Mobile Response and Stabilization Services

    Applewood CentersLondon, OH, US
    serp_jobs.job_card.full_time
    The MRSS Licensed Crisis Therapist will provide mobile response and stabilization services to youth (age 2-20) and families who have called the crisis hotline with a family identified crisis.The MR...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Health Specialist (Temporary and Remote)

    Health Specialist (Temporary and Remote)

    MAXIMUSWesterville, OH, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Maximus is looking to fill a limited service (Temp) Health Specialist position.The Health Specialist role is to provide advanced and accurate clinical inquiry responses to health related, disease c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Program Consultant - Ohio MyCare

    Program Consultant - Ohio MyCare

    Elevance HealthColumbus, OH, US
    serp_jobs.job_card.full_time
    Program Consultant - Ohio MyCare.The MyCare Ohio Plan program is to deliver high-quality, trauma informed, culturally competent, person-centered coordination for all members that addresses physical...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Manager of Criminal Justice Services (LPCC, LISW)

    Clinical Manager of Criminal Justice Services (LPCC, LISW)

    MARYHAVEN,INCColumbus, OH, US
    serp_jobs.job_card.full_time
    Salary commensurate with experience.Medical, vision, and dental insurance effective on your first day!.Paid time off (PTO) starts accruing on your first day!. Free Workforce Development and CEU'...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Care Review Clinician, Inpatient Review (RN)

    Care Review Clinician, Inpatient Review (RN)

    Molina HealthcareOhio, US
    serp_jobs.job_card.full_time
    JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    Oracle is hiring : Oracle Health Communications Consultant, End User Engagement,

    Oracle is hiring : Oracle Health Communications Consultant, End User Engagement,

    MediabistroColumbus, OH, United States
    serp_jobs.job_card.full_time
    Demonstrated basic knowledge of communication platform and tools.Creative with strong communication skills, ability to build relationships with internal team members and clients that enhance collab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Permanent Business Associate Non-Clinical - Health and Information Management

    Permanent Business Associate Non-Clinical - Health and Information Management

    Aya HealthcareColumbus, OH, US
    serp_jobs.job_card.permanent
    Whether you have your eye set on a specific hospital or found a place you'd love to call home, we can help.As the nation's largest healthcare staffing agency, we'll get you in the door faster throu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Client Service Lead

    Client Service Lead

    Crane WWLockbourne, OH, US
    serp_jobs.job_card.full_time
    Location : Lockbourne, OH 43137, USA.Responds to orders, general client inquiries, invoice questions and client complaints. Records consistent problem areas.Resolves issues with orders, delivery date...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30