Providence Senior Reimbursement Regulatory Reporting Analyst PSJH in Washington
Providence St. Joseph Health is calling an Senior Reimbursement Regulatory Reporting Analyst PSJH . Candidates for this role may reside in any of our five footprint states: AK, WA, MT, OR and CA.
We are seeking a Senior Reimbursement Regulatory Reporting Analyst PSJH who will be part of the Reimbursement regulatory reporting team specializing in reimbursement analysis and reporting. The Reimbursement team is responsible for all accounting and analytics regarding revenue for PSJH's $24b revenue portfolio. The Senior Reimbursement Regulatory Reporting Analyst is responsible for analyzing complex revenue streams and understanding financial impacts that arise. Proactively identifies potential issues through forward looking analytics, as well as providing assistance in the training of fellow caregivers. Requires proven and deep knowledge, skills and abilities in the areas of Finance, Reimbursement and Revenue Cycle Reporting, Analysis, Organization Hierarchy, Organizational Crosswalks/Mapping, Reporting Hierarchy, and dashboard analytics. This role will be heavily focused on monitoring and escalating issues related to net revenue, mitigating risk on the balance sheet, and involvement in quarterly/annual forecasting and budgets processes. In this role, you'll maintain in depth knowledge of operation improvements plans and assist in development of net revenue models. Requires participation in revenue audits, meetings all selection deadlines, and completion of peer reviews. This role will serve as the principle or lead revenue analyst with solid data analysis background willing to learn new methodologies and data review techniques and support our existing reporting deliverables. This role will be the go-to expert in all ad-hoc reporting and mentor other team caregivers by providing feedback and review of analysis requests from the field. The incumbent performs all duties in a manner that promotes PSJH mission, values, and philosophy. In all aspects, he/she serves as a role model for the values and mission of the organization. This role will recommend and audit data items exchanged with 3rd party vendors and/or consultant companies to assist with any revenue projects where we need to send data outside our Providence St. Joseph networks. This requires knowledge of revenue related initiatives and strategic projects.
In this position you will have the following responsibilities:
Prepare Medicare and Medicaid cost reports and other regulatory filings, and the related work papers in accordance with all applicable regulations and PSJH policies under the guidance of the Manager.
Prepare and analyze proposed audit adjustment impacts and submit additional documentation as required by the MAC or regulatory agency.
Prepare monthly workbooks and resultant journal entries to record third party settlements, and provider taxes payable and supplemental payments receivable. Assist the Manger/Director in validating that workbooks stay current with regulatory changes.
Perform basic financial analysis and provide technical support for Reimbursement leadership, as requested.
Continuously monitor workload and methodologies used to achieve results, making recommendations to improve efficiency and/or achieve cost savings whenever possible.
Ensure that all assigned statutory filings are timely and accurate.
Bachelor's Degree in Accounting, Finance, or Mathematics/Statistics or equivalent education/experience.
5 years of demonstrated experience in the healthcare finance or related field, including regulatory reporting.
Previous work experience in consulting, in a multi-hospital system, or MAC is helpful.
Certified Public Accountant.
About the department you will serve.
Providence Shared Services provides a variety of functional and system support services for our Providence family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Reimbursement
Other Location(s): Montana, California, Washington, Oregon, Alaska
Req ID: 271257