Senior Program Manager - Reimbursement - Acute (REMOTE)

Responsibilities Join a dynamic organization driven by our passion for healthcare. UHS is seeking talented individuals who are eager to contribute their expertise and pursue rewarding careers. As a leader in acute care and behavioral health, UHS provides high-quality care to over 3 million patients annually, across our national network of facilities. The UHS Corporate Reimbursement Department is hiring a Program Manager - Reimbursement - Acute that will complete Medicare and Medicaid fee‑for‑service reimbursement functions (including cost report preparation) for multiple assigned hospitals or other UHS entities with complex reimbursement environments and that have a significant level of UHS financial statement impact. Key Responsibilities Complete Medicare and Medicaid cost report submissions for assigned hospitals or other UHS entities and related desk review and audit activity (including wage index reviews or other Medicare/Medicaid reimbursement activity) for multiple facilities with complex reimbursement environments and that have a high level of financial statement impact. Provide independent on‑going hospital reimbursement consulting services (e.g., compliance, billing, financial pro forma analysis) to UHS corporate business office, regional finance and to hospital executive staff and other UHS entities. Independently handle complex reimbursement projects and assignments. Oversee, coordinate and develop the reimbursement aspects of all UHS acute care hospital Medicare alternate payment methodology activity with a focus on Bundled Payments. Oversee, coordinate and develop the reimbursement aspects of all UHS acute care hospital Medicare quality based payment methodology activity including but not limited to Value-Based Purchasing, Hospital Acquired Conditions, Excess Readmissions, etc. Provide applicable Medicare and Medicaid contractual models, related reimbursement factors and other necessary data. Review these models for compliance and accuracy. Participate in the oversight, development and maintenance of Medicaid supplemental payment (UPL/SDP) and state Medicaid DSH programs for assigned facilities. Qualifications Bachelor's degree with 8‑10 years' experience with expert knowledge of cost reporting applications and concepts. Comprehensive knowledge of Medicare prospective payment systems including Inpatient Acute DRGs, Outpatient APCs, Rehabilitation CMGs and Psychiatric IPF‑PPS. Thorough understanding of Medicare statutes, regulations and administrative rules and their related legislative and regulatory processes; specific knowledge of Graduate Medicare Education (GME) and Indirect Medical Education (IME) reimbursement. Thorough understanding of Medicaid supplemental payment concepts including state directed payments and related provider tax assessments. Thorough understanding of Medicare alternate payment concepts with a particular focus on Bundled Payments. Thorough understanding of quality based Medicare reimbursement concepts (e.g., Value-Based Purchasing, Hospital Acquired Conditions, Excess Readmissions, etc.). Intermediate‑to‑advanced level knowledge of Microsoft Excel. Familiarity with Mckesson G/L and Siemens Invision. Proficiency in HFS cost report software (or its equivalent). Benefits This opportunity provides a rewarding career, challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401(k) with company match. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. #J-18808-Ljbffr Universal Health Services