Senior Manager, Skilled Nursing Reimbursement
US
Careers
Req #: 7370
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 leading the Provider Compliance and Reimbursement (healthcare cost reporting) area, the Senior Manager, Senior Living is a skilled nursing facility cost reporting subject matter expert who is accountable for growth of and leading service delivery teams, managing various associates across healthcare teams, engagements and client relationships, in accordance with firm policies and procedures. The primary objective for a Senior Manager is to build leadership, leverage, and a legacy for the Firm. As a technical leader, the individual should work to be a subject matter expert for skilled nursing cost reporting, both internally and externally. Responsibilities: Essential Responsibilities: * Manages assigned clients and engagements by provide proactive client management and planning along with leadership and accountability for engagements. This includes managing engagements to ensure delivery of services on time and within budget. * Ensures high quality of delivery and satisfied client. * Obtains service extensions with client. * Supports business development efforts by participating in sales pursuits and proposal and engagement letter development. * Develops strategy, growth, and service plans for subject areas. * Accountable for execution of growth and delivery plans. * Awareness, whitepapers and presentations to the external market. * Supports practice leadership at all levels in coordinating education and re-education needs for cost reporting staff during training engagements. * Oversees change management processes to include mapping out of provider compliance and reimbursement best practice workflow updates. * Maintains awareness of reimbursement trends and facilitates related responses. Qualifications: Required Qualifications: * Bachelor's degree in appropriate emphasis area for the role such as Accounting, Finance, Healthcare Management, Operations Management, or Business Administration. * 10+ years' experience in a professional services firm or 8+ years of private industry experience in senior living reimbursement plus 3+ years in professional services. * Provider compliance and reimbursement experience including knowledge in pre-authorization, pre-admission processes, denials management, claims adjudication, etc. * Provider compliance and reimbursement business process optimization experience including knowledge of edits, denials, holds, reimbursement, etc. * Senior living cost reporting data analysis knowledge of key performance indicators for reimbursement and national benchmarks * Experience in California and at least one of the following states: Wisconsin, Minnesota, Illinois, Colorado, Arizona, Texas, Missouri, or Florida. * Deep knowledge of skilled nursing facility cost reporting processes * 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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