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Role Description

This role involves planning and preparing revenue analysis for system-wide programs, projects, and services, as well as monitoring revenue budgets and benchmarking activities.

• Identifies and researches opportunities to enhance revenue and improve administrative efficiency of governmental payor programs.
• Works with the Manager of Reimbursement and financial and operational leadership to implement identified opportunities.
• Reviews government agency bulletins, publications, and the Federal Register to understand proposed and actual changes impacting Aurora.
• Analyzes the financial and operational impact of statutory and regulatory changes.
• Coordinates Aurora's response to government agencies on proposed rulemaking.
• Assists with operational changes to maximize Aurora's reimbursement under government programs.
• Serves as a representative on various advisory groups related to Medicaid and healthcare quality.
• Participates in public forums to inform payers and providers on policy changes.
• Advocates for administrative flexibility within government regulations.
• Provides support to Finance and Operations on reimbursement-related matters.
• Assists with the preparation of the model template for the annual budget process for third-party reimbursement.
• Prepares necessary information for annual Medicare and Medicaid cost reports.
• Supports and coordinates all system Fiscal Intermediary data requests, audits, and exit conferences.
• Develops and maintains relationships with the Fiscal Intermediary.
• Prepares analysis and recommendations for regulatory reviews.
• Coordinates the system-wide monthly closing process regarding Medicare/Medicaid liabilities.
• Monitors processes for accurate payment and interim payments for Medicare/Medicaid.
• Requests adjustments from United Government Services (UGS) and updates internal systems.
• Works with Graduate Medical Education programs to ensure proper reimbursement and minimize audit exposure.
• Assists with pro forma analysis for new community partnerships to project future budgets.

Qualifications

• Bachelor's degree in finance or related field.
• Typically requires 5 years of experience in reimbursement, including preparation of Medicare/Medicaid cost reports.

Requirements

• Demonstrated expertise with Medicare and Medicaid regulations in a healthcare or federal intermediary setting.
• Knowledge of third-party regulations and financial statements to maximize reimbursement rates.
• Strong initiative and ability to produce high-quality analytical results independently.
• Strong accounting background with experience in preparing/reviewing healthcare financial statements.
• Strong proficiency in Microsoft Office (Excel, PowerPoint, Word, Access) and data management tools.
• Proficiency in data mining and analysis.
• Ability to work in a complex environment with excellent communication skills.
• Self-motivated and capable of completing projects successfully.

Benefits

• Comprehensive suite of Total Rewards including benefits and well-being programs.
• Competitive compensation based on qualifications and experience.
• Paid Time Off programs.
• Health and welfare benefits such as medical, dental, vision, life, and disability.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Family benefits including adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match.
• Educational Assistance Program.