Manager, Provider Compliance & Reimbursement
US
Careers
Req #: 7369
Type: Full Time
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Overview: At Wipfli, people count. At Wipfli, our people are core to everything we do-the catalyst behind our ability to create exceptional impact and extraordinary results. We believe in flexibility. We focus on relationships. We encourage each individual to follow their own path. People truly matter and they feel it. For those looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity. Job Summary Under the direction of the Partner/Senior Manager leading the respective service area, region or industry, the Manager, Provider Compliance & Reimbursement is responsible for preparing cost reports and providing reimbursement consulting within the Senior Living space. This role includes reviewing skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement systems for assigned states, assisting clients with cost report audits, and effectively communicating with both internal and external clients. The role also includes managing strategy, leading the delivery of services to clients and/or developing and executing growth plans for the assigned area and market, in accordance with firm guidelines, policies and procedures. Responsibilities: Essential Responsibilities: * Assesses client needs, recommend potential solutions, and delivers expertise on engagements. * Manages client relationships and projects, ensuring proactive client management, effective planning, and leadership while meeting budget and deadline expectations. * Performs detailed review of work completed by other associates including Medicare cost reports * Gain an understanding of the skilled nursing Medicaid reimbursement systems for the assigned states and assist clients with cost report audits including reviewing cost report adjustments and rate worksheets in those states. * Informs others of costs, quality, schedule, and risk within the engagement parameters. * Applies consistent use of professional standards and firm processes while providing quality control to enhance the team's best practice methodology and library. * Builds team members' confidence in their abilities to deliver work and promotes team self-sufficiency by cross-training, knowledge sharing, mentoring, and delegation of work to support staff development. * Actively contributes to business development by collaborating with opportunity leaders for subject leadership in sales pursuits and proactively seeks referrals, prospects, and cross-selling opportunities. Qualifications: Required Qualifications: * Bachelor's degree * Experience in California and at least one of the following states: Wisconsin, Minnesota, Illinois, Colorado, Arizona, Texas, Missouri, or Florida. * 8+ years' experience in a professional services firm or five+ years of private industry experience focused on appropriate technical area, plus three years in professional services. * Certification's relevant to the role's field of work and position is required Preferred Qualifications: * Bachelor's degree in related field * Training, support or consulting advisory experience preferred. * Experience with compliance or professional standards associated with area of expertise desired. Benjamin Dzanic, from our recruiting team, will be guiding you through this process. Visit his LinkedIn page to connect! #LI-REMOTE #LI-BD1
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