Job Summary

The Healthcare Reimbursement Manager is a critical leader in the finance division at University of Michigan Health. The manager is responsible for overseeing all reimbursement, ensuring compliance with federal, state, and local regulations, optimizing revenue realization, and developing strategies to maximize third-party reimbursement. This role partners closely with Finance, Clinical, and Compliance leaders to support the mission of Michigan Medicine.

Responsibilities*

• Coordinates Federal and State reporting activities to ensure that the Health System receives maximum reimbursement consistent with Federal and State regulations.
• Responsible for financial reporting, including monthly third-party payer accounting for net revenue and estimated settlements.
• Health System liaison for Medicare, Medicaid, and financial audits.
• Provides expert reimbursement consulting assistance to management at the Health System to promote financially sound decision making.
• Manages the daily tasks of financial analysts as well as annual goals including cross-training employees on new tasks

Required Qualifications*

• Senior Level: Bachelor's degree in Finance, Accounting, Healthcare Administration, Business, or related field. Minimum 7 years of experience in healthcare reimbursement.
• Intermediate Level: Bachelor's degree in Finance, Accounting, Healthcare Administration, Business, or related field. Minimum 5 years of experience in healthcare reimbursement.
• Minimum of 5 years of Medicare Cost report preparation or cost report audit experience.
• Demonstrated expertise in healthcare reimbursement, third-party payor contracting, and government payor programs.
• Ability to analyze complex financial data, contracts, and regulatory material.
• Excellent communication, negotiation, and leadership skills.
• Strong technical knowledge and skills in financial analysis
• Must demonstrate customer service skills appropriate to the job
• Must be fluent with Medicare/Medicaid regulations
• Experience working with large databases
• Exhibits excellent leadership and self-direction, good judgment in handling difficult situations and good organizational, time management, interpersonal and conflict
• Evidence of sound critical thinking skills and the ability to think creatively and strategically
• Demonstrates highly developed verbal and written communication skills, excellent analytical and problem-solving skills, the ability to assess and evaluate complex financial data, and the ability to manage multiple complex tasks. History of making recommendations using clear and concise presentations to senior leadership
• Demonstrated knowledge of Excel, Outlook, PowerPoint, Word and fluency with industry technology/tools (cost statement software, accounting/ledger, etc).
• Demonstrate sound working knowledge of the contractual allowance, bad debt, financial statement reserve process.
• Demonstrate comprehensive knowledge of net revenue, patient accounting and accounts receivable management.
• Ability to establish and maintain effective working relationships across the Health System

Desired Qualifications*

• Master's degree in Finance, Business Administration, Healthcare Administration, or a related field.
• Experience working in an academic medical center or large health system.

Work Locations

Ann Arbor

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Underfill Statement

This position may be underfilled at a lower classification depending on the qualifications of the selected candidate.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an equal employment opportunity employer.