- Bachelor's degree in Accounting or Finance or related field
- 5+ years of experience in Medicare and Medicaid reimbursement and cost reporting preparation
- Demonstrated knowledge of experience in Florida Medicaid and the supplemental funding pools (dollars outside of Fee for Service), strongly preferred
- Familiarity with 340B programs, managed care relationships, and standard revenue cycle practices strongly preferred
- 2 years of experience in a leadership role preferred
- Basic understanding of Generally Accepted Accounting Principles (GAAP) and their application
- Experience with healthcare and non-for-profit accounting principles and procedures
- Ability to interpret an analyze regulations issued by Centers for Medicare and Medicaid Services (CMS)
- Proficient in the use of a personal computer and software applications (e.g. Microsoft, Word, Excel, PowerPoint, etc.) to include cost reporting and graduate medical education software
- Assesses current performance and establishes quarterly/annual goals and work plans that matures the organization's reimbursement strategy.
- Manages the process for the collection of data and creation of supporting documentation for the preparation and submission of the Medicare and Medicaid cost reports for submission to the Centers for Medicare and Medicaid Services (CMS) and the Agency for Healthcare Administration (AHCA) for government reimbursement of costs. Works in conjunction with members of the JH Revenue & Reimbursement department.
- Works with appropriate parties to coordinate the completion and submission of the initial application, performance report, and reconciliation application for the Children's Hospitals Graduate Medical Education (CHGME) program for government reimbursement of graduate medical education costs.
- Serves as a liaison to contracted government auditors in the audit of submitted cost reports to provide data requests, supporting documentation, and guidance.
- Organizes the completion and submission of annual surveys and State agency reports such as Disproportionate Share (DSH), Low-Income Pool (LIP) and Florida Hospital Uniform Reporting System (FHURS).
- Analyzes impact of federal regulation changes to Medicare and Medicaid, as well as State of Florida legislature policy changes and communicates those impacts to leadership.
- Assists finance and accounting staff to record accounting entries related to DSH, LIP, Education Revenues, and cost report settlements.
- Provides training and coaching to leaders and stakeholders to develop internal expertise. Keeps executive leadership informed of potential/pending changes and models the impact to JHACH.
- Actively broadens knowledge and develops relationships with industry peers and local colleagues to stay informed of best practices.
- Works closely with the JHACH Financial Planning & Analysis team on the annual operational budget, prospectively modeling reimbursement for the forthcoming year. Assists in the tracking and reporting of variances from plan throughout the year.
- Manages relationship and directs relevant JHACH third-party consultants/advisors. Regularly evaluates the scope of external relationships for improvements required or expense reduction opportunities.
- Serves as a liaison with Johns Hopkins Health System office of Revenue Management and Reimbursement and team to coordinate ownership of various tasks.
- Responsible for the coordination of activities and ensures continual compliance with local and national regulatory standards (i.e. TJC, CMS, AHCA, etc.).
-
Program Manager
10 hours ago
Honeywell Clearwater, United States**Join a team recognized for leadership, innovation and diversity**: · **THE BUSINESS** · **Honeywell International Inc. (NYSE: HON) **is a global technology and manufacturing company that invents and commercializes solutions to address some of the world's most critical challenge ...
-
Information Security Program Manager
2 days ago
Fisher Investments Saint Petersburg, United States Full timeAre you eager to help manage an impactful program within Information Security, develop security programs that promote best practices towards our firm's goals, and work across business units, departments and global sites to bridge the alignment of information security/cybersecurit ...
-
Titan Ventures Clearwater, United StatesLocation: 56269 Dierdorf | Contract type: Full-time, temporary | Job ID: 805894 · Start of training: | planned end of training: · At REWE, you can expect more than just a job, because we know: You are more than just an employee. In our REWE team, you can develop professionally a ...
-
Program Manager
1 week ago
Smiths Interconnect Clearwater, United StatesJob DescriptionJob Description · We are seeking a Manufacturing Program Manager to play an integral role within several programs, analyzing, monitoring and reporting on programs from inception through to completion and review. The Program Manager will be responsible for managing ...
-
Program Manager
2 weeks ago
AMIkids St Petersburg, United StatesPosition Summary · Therole of the Program Manager, underthedirection of the Executive Director,is to plan, coordinate, and directthe management and supervision of all program operations and toprovide leadership and consultwith staff on personnel issues. · Essential Job DutiesMa ...
-
Programs Manager
2 weeks ago
General Dynamics Ordnance & Tactical Systems St Petersburg, United StatesOverview: · General Dynamics Ordnance and Tactical Systems (GD-OTS), a premier provider of ordnance weapons and tactical systems to the U.S. Department of Defense and allied nations, has an opening for a Programs Manager 2 to join our St. Petersburg, FL Team. · We take pride in ...
-
Program Manager
1 day ago
Honeywell Clearwater, United States OTHERJoin a team recognized for leadership, innovation and diversity · THE BUSINESS · Honeywell International Inc. (NYSE: HON) is a global technology and manufacturing company that invents and commercializes solutions to address some of the world's most critical challenges. With a div ...
-
Senior Program Manager
2 weeks ago
Raymond James Financial Services St Petersburg, United StatesJob Summary · Job Summary · Under general direction with a high level of autonomy, uses extensive knowledge and skills obtained through education and experience to guide the Advisor Inclusion Networks through complex and multi-dimensional change, with feedback and input from ad ...
-
Senior Program Manager
2 weeks ago
Raymond James Financial Incorporated St Petersburg, United StatesJob Summary · Job Summary · Under general direction with a high level of autonomy, uses extensive knowledge and skills obtained through education and experience to guide the Advisor Inclusion Networks through complex and multi-dimensional change, with feedback and input from ad ...
-
Nursing Program Manager
1 week ago
Insight Global Clearwater, United StatesThe Nursing Program Manager is responsible for the overall effectiveness of their assigned program and oversees the management of the courses offered by the campus in Florida. The majority of their time will be spent observing instructors, making suggestions to better the effecti ...
-
Reimbursement Program Manager
1 week ago
Johns Hopkins Medicine St Petersburg, United StatesShare This Page · Job Details · Requisition #: · 622989 · Location: · Johns Hopkins All Children's Hospital, · St. Petersburg, · FL 33701 · Category: · Manager/Supervisor · Schedule: · Day Shift · This is an onsite position at All Chrildren's Hospital, St. Petersburg, FL ...
-
Workforce Development Program Manager
18 hours ago
Civica Rx Petersburg, United StatesAbout Civica · Civica is a 501(c)(4) social welfare organization established in 2018 by health systems and philanthropies to reduce chronic generic drug shortages and related high prices in the United States. Civica is led by an experienced team of healthcare and pharmaceutical i ...
-
Operational Excellence Program Manager
18 hours ago
Civica Rx Petersburg, United StatesAbout Civica · Civica is a 501(c)(4) social welfare organization established in 2018 by health systems and philanthropies to reduce chronic generic drug shortages and related high prices in the United States. Civica is led by an experienced team of healthcare and pharmaceutical i ...
-
Senior Technical Program Manager
3 weeks ago
Leidos Saint Petersburg, United States Full time· Description · The EW Division of Leidos is looking for a Senior Technical Program Manager to join our cross-functional engineering team using innovative technology to develop truly novel solutions for the Department of Defense (DoD). This is a great opportunity for a program m ...
-
Senior Technical Program Manager
2 days ago
Leidos St. Petersburg, United StatesDescription · The EW Division of Leidos is looking for a Senior Technical Program Manager to join our cross-functional engineering team using innovative technology to develop truly novel solutions for the Department of Defense (DoD). This is a great opportunity for a program man ...
-
Workforce Development Program Manager
20 hours ago
civica rx Petersburg, United States Full timeAbout Civica Civica is a 501(c)(4) social welfare organization established in 2018 by health systems and philanthropies to reduce chronic generic drug shortages and related high prices in the United States. · Civica is led by an experienced team of healthcare and pharmaceutical i ...
-
Insurance Account Manager Training Program
2 weeks ago
Marsh McLennan Agency Clearwater, United States OTHERInsurance Account Manager Training Program · Our not-so-secret sauce. · Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 9,000 of the industry's brightest talent drive our efforts to deliver p ...
-
Honeywell Clearwater, United States OTHERInnovate to solve the world's most important challenges · As · a Director Program Management Office, Defense and Space here at · Honeywell Aero, you will be responsible for overseeing the program management · office and ensuring the successful execution of defense and space progr ...
-
Honeywell International, Inc. Clearwater, United StatesAs a Director Program Management Office, Defense and Space here at Honeywell Aero, you will be responsible for overseeing the program management office and ensuring the successful execution of defense and space programs. Your strong leadership skills Director, Management, Program ...
-
Housing Manager
1 week ago
Catholic Charities Clearwater, United States**SUMMARY**: CCCDC Housing Manager is responsible for assisting program director to oversee, supervise and manage all elderly housing properties and service coordination program. · - **ESSENTIAL DUTIES AND RESPONSIBILITIES**: · - Responsible for assisting director in all aspects ...
Reimbursement Program Manager - St. Petersburg, United States - Johns Hopkins Medicine
Description
This is an onsite position at All Chrildren's Hospital, St. Petersburg, FL
The Johns Hopkins All Children's Hospital (JHACH) Reimbursement Program Manager purpose is to serve as the primary expert in state and federal funding programs, with a specific emphasis on, but not limited to, the State of Florida's Medicaid program. The incumbent will manage reimbursement reporting, analysis, and performance improvement opportunities.
This role serves as an expert in assessing supplemental funding/reimbursement performance and strategies. The incumbent will provide expertise and insight to JHACH and JH executive leaders on payment programs such as the Specialty Outlier Payment, the Special Children's Supplement Program, the Directed Payment Program, Disproportionate Share Hospital, Lower Income Payment, Graduate Medical Education, Indirect Medical Education, and other programs as they arise. The role requires a strategic thinker with a high-degree of initiative and action-orientation, and must stay informed of changes in local and federal guidelines.
The incumbent will be responsible for delivering or working with JHACH and Johns Hopkins Health System resources to support the preparation, submission, and settlements of all required cost reports for reimbursement from federal and state programs, such as Medicaid, Medicare, and FHURS (Florida Hospital Uniform Reporting System). As appropriate, the incumbent will lead or represent JHACH with external consultants, agencies and stakeholders, and will develop appropriate relationships with industry experts to broaden our knowledge and strategic insight.
The incumbent will prepare financial models under different scenarios, including the impact of new regulations or new funding mechanisms on the organization's strategic goals. The leader will work in a highly matrixed environment, and will keep leadership informed of opportunities and potential challenges, and will be adept at simplifying complex topics and data.
Key partners and contributors: JHACH Chief Financial Officer, finance, revenue cycle, managed care, financial innovation, decision support; JHACH Physicians enterprise leadership team; All Children's Research Institute leaders; JHHS VP of Revenue & Reimbursement and team; JHACH President, JHACH VP of Government Affairs; and relevant external consultants.
QUALIFICATIONS:
KEY ACCOUNTABILITIES:
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
We are committed to providing a healthy and safe environment for our patients, visitors and staff members. The Johns Hopkins Hospital has a tobacco-free at work policy. Employees must refrain from using any tobacco products during their work shifts — including while at lunch or on breaks, and whether they are on or off campus.