Manager, Healthcare Reimbursement and Regulatory Compliance
$112.1k - $225.5kRSM International
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM.RSM’s National Healthcare Consulting practice is searching for a Healthcare Regulatory Manager who will provide healthcare regulatory and reimbursement consulting services to clients, potential clients and centers of influence. RSM’s Healthcare Regulatory recovery services are designed to identify high-impact Medicare cost report-related opportunities, including Medicare Critical Access Hospitals, PPS hospitals disproportionate share, bad debts, wage index and other related issues. As a member of the National Healthcare Consulting practice, you will join professionals with a broad knowledge of the healthcare industry including: financial analysis, regulatory reporting and compliance, and healthcare technology. You will be part of a collaborative consulting team to deliver exceptional client service to meet our client's objectives. Responsibilities:Work with clients regarding regulatory, compliance, strategies, and other business needs.Work interactively with clients and client team members to create deliverables.Assist in the development of training materials for client personnel related to any new processes/systemsAssist in creating, managing, and executing project work plans to provide high-quality client service delivery.Assist in preparing and maintaining internal and external project status reportsAssist in leading and directing support staff on projects to prioritize work tasks, ensuring project milestones and deadlines are met, and ensuring work products meet quality standardsMentor junior team members in industry best practices for implementation and project managementSupport sales activity with new and existing clients by participating in meaningful conversations regarding current challenges while representing RSM’s capabilities.Basic Qualifications:Bachelor's degree in accounting, finance or related field.5+ years of health care reimbursement & regulatory experience, consulting experience desirableHands-on experience completing Medicare, Medicaid & Blue Cross reimbursement reports.Strong knowledge of third-party reimbursement procedures.Previous practice development experience.Strong project management skills.Strong leadership and management experience. Strong skills in Microsoft Office software and industry-related software programsProven experience leading and/or supervising client service teamsAbility and willingness to travelPreferred QualificationsAbility to analyze and interpret financial data.Ability to read, analyze and interpret industry information and regulations.Ability to build strong relationships and work well with others.Ability to understand the economics of the firm's consulting practice.Exceed client expectations, accurate and timely completion of projects and/or reports.Successful in obtaining consulting services from new and existing clients.Professional representation of the firm and the services provided.Excellent time management and organizational skills.Effective in working independently.Exceptional oral, written, communication and facilitation skills.Interpersonal relationships which encourage openness, candor and trust, both internally and outside the organization.Initiative and creative thinking in decision-making, problem resolution situations and the performance of job duties.At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at .All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at View phone number on click.appcast.io or send us an email at View email address on click.appcast.io does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate.RSM will consider for employment qualified applicants with arrest or conviction records. For those living in California or applying to a position in California, please click here for additional information.At RSM, an employee’s pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range.Compensation Range: $112,100 - $225,500Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.SummaryLocation: Minneapolis; Philadelphia; Houston; Tampa; Nashville; New York; Miami; BostonType: Full time
- ...this tip sheet.Case Manager RNThe UHealth System... ...between patient/family, healthcare personnel, and... ...and that encourages compliance with medical advice.... ...continued stay.Facilitates regulatory notifications and patient... ...regarding insurance reimbursement policies.Relies on...ReimbursementTemporary workWork at officeRemote workWorldwide
- ...redefining the way employers fund healthcare. As the largest and fastest... ...insights, innovative risk management, and the collective... ...billing, documentation, and compliance with contractual requirements... ...contribution ~ Tuition reimbursement ~ Professional development...ReimbursementFor subcontractorFlexible hours
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- ...time Utilization Review Case Manager to work Remote. The... ...Manager coordinates with the healthcare team for optimal and efficient... ...patient needs that encourages compliance with medical advice.Core Functions... ...knowledge regarding payer reimbursement policies and clinical...ReimbursementFull timeWork experience placementRemote workWorldwide
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...Sales ManagerSales Manager, EnterpriseConnect What's Next. Drive What's Big.At Boingo... ...new revenue in commercial real estate, healthcare, and hospitality verticals.If you thrive... ...bonus plan, 401(k) match, gym & phone reimbursement programs, tuition reimbursement – and more...ReimbursementRemote workFlexible hours- ...moment matters. RN Case Manager What You Must... ...experience as an RN preferred in a healthcare/clinical setting Full... ...matching ~ Tuition reimbursement ~ Company car for qualifying... ...required Ensure overall compliance with local, state and federal...ReimbursementFull timeLocal area
$90k - $143k
Job TitleHealthcare Customer Project Manager - Field role in Miami/Ft Lauderdale, FLJob DescriptionServe the healthcare community through effective and efficient management... ...), stock purchase plan, education reimbursement and much more. Details about our benefits can...ReimbursementFull timeWork at officeImmediate startWork visaRelocation package3 days per week- ...lasting impact. We collaborate with healthcare executives, leaders, and boards to... ..., operations, clinical optimization, regulatory compliance, and technological advancement. By combining... ...Health Industry - Payer Utilization Management Consulting Manager, your primary...Full timeLive inWork at officeLocal areaWorldwide
$96.5k - $125k
...effective solutions to clients in the healthcare industry? If you said yes, then apply to... ...service agreement. Educates clients in risk management, risk transfer, market issues and... ...account, health care and dependent care reimbursement accounts, employee and dependent life insurance...ReimbursementFull timeTemporary workPart timeLocal area$100k - $150k
...the referral process Work cross-functionally with clinical, reimbursement, and operations teams to ensure seamless patient onboarding... ..., build a pipeline, and close referrals Track activity and manage your territory using CRM tools you own your data as much as your...Reimbursement- ...insurance Position Overview The Store Manager will oversee daily operations,... ..., including understanding reimbursements and billing practices Maintain compliance with HIPAA regulations and secure... ...successfully cross‑sell aesthetic and healthcare services Experience working with...ReimbursementWork at officeFlexible hours
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$75k - $90k
...counseling 24/7), BeyondMed (discounts on wellness and elective healthcare services), PerkSpot (discounts on top brands), Pet Insurance (Nationwide), and On the GoGa wellbeing hub ~ CEU reimbursement ~ Mileage reimbursement ~ Performance bonuses ~ Referral...ReimbursementRelocationRelocation packageFlexible hours$116k - $142k
...acquisition, workforce insights, knowledge management, and HR operations—as part of broader... ...disability. We also offer yearly $350 reimbursement account for any well-being-related... ...are committed to pay transparency and compliance with applicable laws. If you have questions...ReimbursementTemporary workLocal area- ...preserve the planet."The Branch Sales Manager supports a branch in attaining sales goals... ...(Advanced-Resi)EHS/Safety & Compliance (Advanced)Systems, Tools & Technology (... ...development programs availableTuition Reimbursement benefits (for FT Colleagues)Health and...ReimbursementFull timePart timeSeasonal workWork at officeLocal areaImmediate startAfternoon shift
$232.5k - $387.5k
...Title: Regional General Manager - Vaccines SoutheastLocation... ..., administration,reimbursement, and contractingLead commercial... ...achieve and maintain compliance with all applicable regulatory, legal, andoperational... ...including high-quality healthcare, prevention and wellness...ReimbursementFull timeLocal areaRemote workHome officeNight shift$121.74 per hour
...mental health therapists take insurance with ease, earn higher reimbursement rates, and start seeing covered clients faster — all on a... ...reimbursement through a nationwide payer network \n \n Built-In Compliance: Ongoing compliance resources and audit support \n \n All-...ReimbursementBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceRemote workFlexible hours- ...Illness Recovery Hospital (LTACH) Case Manager (PRN)Requires a current licensure in a... ...coordinate with payor sources to assure proper reimbursement for hospital provided services, promote... ...within the plan of care.Demonstrates compliance with facility-wide Utilization...ReimbursementDaily paidFull timePart timeReliefShift workWeekday work
- ...can achieve.PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers... ...in order to obtain optimum value for both the client and the reimbursement sourceEDUCATION AND LICENSINGRN licensure required. Valid...ReimbursementWork at officeRemote workWork from home
- Now Hiring: RN Case Manager - Miami, FL Region Work from home + local field travel Salary: Competitive & commensurate with experience... ...Free CEUs for licenses & certificates License & Certification Reimbursement We're looking for an RN with a passion for case management to...ReimbursementLocal areaImmediate startWork from home
$99k - $135k
Manager, Operations — Sales and Marketing TechnologyWho You’ll Work WithAt Slalom, personal... ...disability. We also offer yearly $350 reimbursement account for any well-being-related... ...are committed to pay transparency and compliance with applicable laws. If you have questions...ReimbursementContract workTemporary workWork at officeLocal areaImmediate startRemote work$99k - $232k
...Description & SummaryThe Opportunity As a Managed Services Revenue Cycle Manager, you... ...across the operating unit - Confirming compliance with applicable industry standards, client... .../EDI processes, professional billing reimbursement, and HIPAA requirements - Managing insurance...ReimbursementFull timeH1b- ...Engineering & Design is seeking a Department Manager and/or Senior Project Manager to join... ....Comply with and ensure others' compliance with all policies and procedures.Collaborate... ...growth opportunities through reimbursement for education; a free in-house resource...ReimbursementContract workTemporary work
- ...recruiting and training top healthcare workers from across the... ...individuals in need of care management services/interventionGathers... ...Medicaid, and key payer benefits/reimbursement methodologies necessary to... ...of, and articulates the regulatory requirements (CMS, TJC, etc...ReimbursementImmediate startWeekend work
- Field Case Manager - Miami, FL Field case managers work face‑to‑face with injured workers and medical providers to facilitate advocacy... ...cost‑effective to obtain optimum value for both client and reimbursement source. Education & Licensing RN licensure required. Valid driver...ReimbursementLive in
$108.48k - $162.71k
...Responsibilities As a Space Planning Manager, you will act as a pivotal link between... ..., planogram libraries, imagery, and compliance with customer and category guidelines.Establish... ..., such as car allowance, cell phone reimbursement, commissions, and/or annual bonuses....ReimbursementFull timeWork at officeImmediate startFlexible hours$121.74 per hour
...Workers that simplifies taking insurance, leading to higher reimbursement rates and fast credentialing. Our free, all-in-one HIPAA-... ...templates, secure messaging, and automated billing. Full Compliance: Stay protected with built-in audit support and ongoing compliance...ReimbursementBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceRemote workFlexible hours$121.74 per hour
...Workers that simplifies taking insurance, leading to higher reimbursement rates and fast credentialing. Our free, all-in-one HIPAA-... ...templates, secure messaging, and automated billing. Full Compliance: Stay protected with built-in audit support and ongoing compliance...ReimbursementBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceRemote workFlexible hours- ...generation, patient access design, reimbursement strategy, and innovative... ...access and utilization management (UM) account strategy... ...field reimbursement, legal, compliance, and market access teams to... ...consulting, payer marketing, healthcare strategy, or related roles....ReimbursementFull timeWork at officeWorldwide
- ...Genmab seeks an Oncology Account Manager for Miami and Puerto Rico to... ...the company's values to healthcare practitioners and... ...territory resources and ensure compliance with pharmaceutical regulations... ...understanding of injectable medication reimbursement and fulfillment pathways...Reimbursement
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