**Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 900 HOPE WAY **City:** ALTAMONTE SPRINGS **State:** Florida **Postal Code:** 32714 **Job Description:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on supplemental Medicaid payments, provider taxes, Medicaid strategy development and implementation. Develops and implements company Medicaid strategy, both with leadership and key AdventHealth stakeholders, and with multiple outside consultants and experts. Acts as a consultant to leaders ensuring the Medicaid rate setting, payment, and reconciliation processes are accurate, complete, and aligned with cost reporting regulations. Responsible for calculating and recording the financial impacts related to these processes and reconciling those calculations with the local markets. Must be an expert in navigating and resolving audit findings with a variety of CPA & governmental auditors. Must possess knowledge in reimbursement including, but not limited to: Rural Hospitals, Critical Access Hospitals, DSH, Uncompensated Care, DGME, IME, Psych, Rehab, 340B and more. Is an important internal consultant to CFOs and strategic executives, routinely helping find and implement solutions that balance strategic imperative needs while maintaining compliance with the myriad regulations. + Serves as AdventHealth subject matter resource for Medicaid reimbursement matters. This role is focused on Medicaid payment areas. + Leads a team of reimbursement professionals, providing guidance, training, and development opportunities. + Maintain a strong working knowledge of current laws and regulations of the federal and state Medicaid programs. + Ensures data, payments, settlements, audits, and financial entries are completed. + Communicate technical positions/arguments effectively to Medicaid auditors to support positions. **Education:** - Bachelor's [Required] - Master's [Preferred] **Work Experience:** - 10+ years of relevant experience in healthcare finance, preferably in reimbursement including medicare, medicaid reimbursement and regulatory cost reporting [Required] - 5+ years of proven leadership skills in management role [Preferred] - Strong background in accounting and financial analysis [Required] **Licenses and Certifications:** - Certified Public Accountant (CPA) [Preferred] **Physical Requirements:** _(Please click the link below to view work requirements)_ Physical Requirements - **Pay Range:** $146,405.57 - $272,307.13 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Accounting & Finance **Organization:** AdventHealth Corporate **Schedule:** Full time **Shift:** Day **Req ID:** 151063562
Job Title
Director Medicaid Reimbursement