Senior Manager, Skilled Nursing Reimbursement

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Job Summary
Under the direction of the Partner leading the Provider Compliance and Reimbursement (healthcare cost reporting) area, the Senior Manager, Senior Living is a skilled nursing facility cost reporting subject matter expert who is accountable for growth of and leading service delivery teams, managing various associates across healthcare teams, engagements and client relationships, in accordance with firm policies and procedures. The primary objective for a Senior Manager is to build leadership, leverage, and a legacy for the Firm. As a technical leader, the individual should work to be a subject matter expert for skilled nursing cost reporting, both internally and externally.
Essential Responsibilities:

• Manages assigned clients and engagements by provide proactive client management and planning along with leadership and accountability for engagements. This includes managing engagements to ensure delivery of services on time and within budget.
• Ensures high quality of delivery and satisfied client.
• Obtains service extensions with client.
• Supports business development efforts by participating in sales pursuits and proposal and engagement letter development.
• Develops strategy, growth, and service plans for subject areas.
• Accountable for execution of growth and delivery plans.
• Awareness, whitepapers and presentations to the external market.
• Supports practice leadership at all levels in coordinating education and re-education needs for cost reporting staff during training engagements.
• Oversees change management processes to include mapping out of provider compliance and reimbursement best practice workflow updates.
• Maintains awareness of reimbursement trends and facilitates related responses.

Required Qualifications:

• Bachelor's degree in appropriate emphasis area for the role such as Accounting, Finance, Healthcare Management, Operations Management, or Business Administration.
• 10+ years' experience in a professional services firm or 8+ years of private industry experience in senior living reimbursement plus 3+ years in professional services.
• Provider compliance and reimbursement experience including knowledge in pre-authorization, pre-admission processes, denials management, claims adjudication, etc.
• Provider compliance and reimbursement business process optimization experience including knowledge of edits, denials, holds, reimbursement, etc.
• Senior living cost reporting data analysis knowledge of key performance indicators for reimbursement and national benchmarks
• Experience in California and at least one of the following states: Wisconsin, Minnesota, Illinois, Colorado, Arizona, Texas, Missouri, or Florida.
• Deep knowledge of skilled nursing facility cost reporting processes
• Training, support or consulting advisory experience preferred.
• Experience with compliance or professional standards associated with area of expertise desired.

Benjamin Dzanic, from our recruiting team, will be guiding you through this process. Visit his LinkedIn page to connect!
#LI-REMOTE #LI-BD1
Additional Details:
Wipfli is an equal opportunity/affirmative action employer. All candidates will receive consideration for employment without regards to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identify, veteran status, disability, or any other characteristics protected by federal, state, or local laws.
Wipfli is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or participate in our recruiting process, please send us an email at [email protected]
Wipfli values fair, transparent, and competitive compensation, considering each candidate's unique skills and experiences. The estimated base pay range for this role is $142,000 to $191,000, with offers typically not made at the maximum, allowing for future salary increases. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.
Individuals may be eligible for an annual discretionary bonus, subject to participation rules and based on a variety of factors including, but not limited to, individual and Firm performance.
Wipfli cares about our associates and offers a variety of benefits to support their well-being. Highlights include 8 health plan options (both HMO & PPO plans), dental and vision coverage, opportunity to enroll in HSA with potential Firm contribution and an Employee Assistance Program. Other benefits include firm-sponsored basic life and short and long-term disability coverage, a 401(k) savings plan & profit share as well as Firm matching contribution, well-being incentive, education & certification assistance, flexible time off, family care leave, parental leave, family formation benefits, cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D. Eligibility for all benefits programs is dependent on annual hours expectation, position status/level and location.
"Wipfli" is the brand name under which Wipfli LLP and Wipfli Advisory LLC and its respective subsidiary entities provide professional services. Wipfli LLP and Wipfli Advisory LLC (and its respective subsidiary entities) practice in an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations, and professional standards. Wipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Wipfli Advisory LLC and its subsidiary entities are not licensed CPA firms.