Cascadia Healthcare

Manager

• Lead the preparation, review, and submission of Medicare and Medicaid cost reports, ensuring accuracy, compliance, and timely filing.
• Own audit strategy and execution, including managing external auditor relationships, coordinating responses, and leading appeals and reopening opportunities.
• Serve as the organization’s subject matter expert on federal and state reimbursement regulations, translating requirements into clear operational and financial guidance.
• Analyze reimbursement rates, cost trends, and regulatory changes to identify financial risks and opportunities.
• Lead preparation of supplemental reporting for federal and state agencies (e.g., Wage Index, Contract Labor, Bad Debt, and other required filings).
• Partner with accounting and operations to ensure appropriate cost allocation, expense classification, and reimbursement optimization.
• Support budgeting and forecasting related to net patient revenue and third-party reimbursement.
• Translate audit findings and reimbursement changes into financial impact analyses and executive-level insights.
• Establish and maintain standardized documentation, processes, and controls to ensure audit readiness and consistency across facilities.
• Mentor and support reimbursement staff, fostering technical development and promoting best practices.

Reimbursement Manager