Senior Program Manager - Reimbursement - Acute

(This role has a hybrid schedule with 3 days in office and 2 days flex-remote)

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 Senior Program Manager - Reimbursement - Acute to manage the Medicare and Medicaid fee-for-service reimbursement functions for multiple assigned hospitals or other UHS entities with complex reimbursement environments and that have a significant level of UHS financial statement impact. This role will also ensure compliance with applicable federal and state reimbursement rules and regulations and optimizes Medicare and Medicaid reimbursement through development of strategic planning and on-going financial analysis.

Key Responsibilities include:

• 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

• 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, as applicable

• 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., as applicable

• 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) and state Medicaid DSH programs for assigned facilities

Bachelor's degree with 10+ years' experience of Medicare cost reporting and concepts.

• Comprehensive knowledge of Medicare prospective payment systems including Inpatient Acute DRGs, Outpatient APCs, Rehabilitation CMGs and Psychiatric DRG's

• 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 Medicare alternate payment concepts with a particular focus on Bundled Payments

• Thorough understanding of Quality based Medicare reimbursement concepts (i.e. 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)

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 401k with company match.

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

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.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449