Healthcare Reimbursement Senior Consultant
Core
Help healthcare organizations navigate complex Medicare and Medicaid reimbursement requirements, identify reimbursement opportunities, and improve regulatory reporting accuracy.
Role type
Senior Consultant, Healthcare Reimbursement
Builds
Medicare and Medicaid cost reports, reimbursement analyses, and regulatory compliance documentation for hospitals and health systems.
Domain
Healthcare + US Federal/State Reimbursement Regulations
Required skills
Medicare/Medicaid reimbursement regulations, cost report analysis, financial reconciliation, regulatory compliance, client engagement management, data trend analysis, workpaper development
Preferred skills
CMS requirements knowledge, state-specific reimbursement methodologies, wage index analysis, IME/GME reimbursement expertise, provider-based services knowledge
Technologies
CMS systems, financial reporting tools, cost reporting software
Responsibilities
Prepare and review Medicare/Medicaid cost reports; analyze cost report data to identify trends and reimbursement opportunities; perform reconciliations of cost report data to financial statements; manage significant portions of client engagements; communicate with client finance and reimbursement personnel; provide technical guidance to junior team members; stay current on CMS and Medicaid regulation changes
Seniority
Senior, hands-on IC with mentorship responsibilities
