Senior Management Consultant (Bus. Org. & Methods) - Level I, Reimbursement Consulting
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Senior Management Consultant (Bus. Org. & Methods) - Level I, Reimbursement Consulting

Nyc Health Hospitals

Location: New York,NY, USA

Date: 2024-11-21T11:41:13Z

Job Description:
Empower Every New Yorker - Without Exception - to Live the Healthiest Life PossibleNYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible.Job Description
  • Coordinate and assist the facilities in the preparation of the Medicare Cost Reports by summarizing the Medicare data from the Provider Statistical and Reimbursement (PS&R) Report.
  • Gathers necessary information needed for the completion of the Medicare Cost Report.
  • Prepare, review and compile the requirements needed in the submission of the Medicare Cost reports.
  • Analyze the audit adjustments of the tentative and final settlements.
  • Review the components of the Medicare Periodic Interim Payments (PIP) such as Disproportionate Share (DSH) and Low-Income Patient (LIP) percentages, Indirect Medical Education (IME), Capital payments, utilization, case-mix-index (CMI) and rate factors.
  • Assist in the preparation and updates for the outstanding Medicare Retroactive schedules for the Controllers' Office, Corporate Budget and General Accounting.
  • Prepares and provides the necessary documents for the year-end audit done by the external auditors.
  • Coordinate and assist in timely and accurate completion of Medicaid cost reports for all facilities
  • Coordinate and assist all in cost report certifications, desk reviews and audits
  • Provide statistical data to meet various internal, City and external stakeholders needs
  • Develop and disseminate Selected Cost Rates and other analysis of cost report data
  • Prepare response to various surveys and data requests, including routine reporting required by GNYHA, AHA, AEH and HANYS
Minimum Qualifications1. A Master's degree in public administration or business administration, or in an equivalent or equally acceptable program, and four (4) years of satisfactory, full-time paid experience in a major governmental agency or large corporation or foundation in management analysis or in operational direction, planning, coordination or control of which two (2) years must have been in a supervisory, administrative or consultative capacity; or2. A Baccalaureate degree from an accredited college or university and five (5) years of experience as stated in #1 above of which three (3) years must have been in a supervisory, administrative or consultative capacity; or3. A satisfactory equivalent, however, all candidates must possess not less than the two (2) years of supervisory, administrative or consultative experience required. Four (4) years of appropriate general experience may be substituted for a Baccalaureate degree requirement. Appropriate full-time teaching experience in an accredited college or university may be substituted on a year-for-year basis for the required general experience and appropriate full-time teaching experience in a position of professional rank may be substituted on a year-for-year basis for the required supervisory, administrative or consultative experience.Department PreferencesEDUCATIONAL LEVEL:
  • College Degree
KNOWLEDGEABLE IN:
  • Medicare and Medicaid Cost Report Regulations
COMPUTER PROGRAMS/SOFTWARE OPERATED:
  • Microsoft Excel
  • Microsoft Word
  • NYS Institutional Cost Report & RHCF reports
  • Medicare 2552 Cost Report
  • Medicare 222-14 Report
  • Medicare 2540 Report
Please be advised that proof of Covid-19 vaccination is required prior to hire.If applying online, please include your cover letter in the same file attachment with your uploaded resume.
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