At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

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Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.

As Senior Healthcare Reimbursement Analyst, you will complete a wide range of hospital-related reimbursement duties. Leveraging the latest technologies offered by Cleveland Clinic, you will oversee Medicare and Medicaid Reimbursements, which are essential for our ability to fund initiatives for research/education and improve healthcare outcomes. Our work culture, while within defined roles, strives to break silos and coordinate as one unified team.

A caregiver in this position works remotely from 8:00AM – 5:00PM.

A caregiver who excels in this role will:

• Compile, analyze and file annual Medicare and Medicaid cost reports.
• Review and evaluate cost report tentative settlements, rate reviews, final settlements and audit adjustments.
• Review regulatory rules and changes to determine hospital financial impacts.
• Utilize and update current reimbursement models to understand related reimbursement impacts.
• Assist in modeling governmental reimbursement for long range forecast and budget.
• Oversee Medicare and Medicaid post-filing activities, including cost report audits, desk reviews, wage index audits and state DSH audits.
• Serve as subject matter expert on month end close third-party reimbursement reconciliations, reserves and modeling.

Minimum qualifications for the ideal future caregiver include:

• Bachelor’s Degree in Accounting, Finance, business or a related field and four years of experience in healthcare reimbursement OR Master’s Degree and three years of experience OR High School Diploma/GED and eight years of experience

Preferred qualifications for the ideal future caregiver include:

• Certified Public Accountant (PCA) or Certified Management Accountant (CMA)

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/

Physical Requirements:

• High degree of dexterity to produce materials on a PC.
• Normal or corrected vision to normal range.

Personal Protective Equipment:

• PPE Follows Standard Precautions using personal protective equipment as required for procedures.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

Please review the Equal Employment Opportunity poster .

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities