Enterprise Manager – Finance and Reimbursement, Reporting and Regulatory

Job not on LinkedIn

2 days ago

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Logo of WVU Medicine

WVU Medicine

Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Ensures that all Hospitals are in compliance with all state and federal regulations related to reimbursement • Manages the preparation and analytical review of all external Medicare Cost Reports, WV HCA filings and all other state or federal reimbursement filings for all hospitals • Reviews and analyzes all state and federal reimbursement regulations to ensure compliance • Communicates directly with external auditors, third party payors and WV HCA staff in regard to financial matters • Coordinates the development of the net revenue budget • Establishes a process for ongoing monitoring of gross and net revenue • Ensures that the financial terms of managed care contracts are thoroughly and accurately analyzed and monitored • Works with legal counsel and the fiscal intermediary to identify and resolve outstanding Medicare appeal issues

🎯 Requirements

• Bachelor’s Degree in Business with a major in Accounting or Finance • Five (5) years of experience in healthcare finance or accounting • MBA or CPA preferred • Effective verbal and written communications skills • Extensive knowledge of personal computers, Excel software

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Professional development opportunities

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