divh2Consultancy Role In Healthcare Reimbursement/h2pThank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country./ppEnsemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!/ppO.N.E Purpose:/pulliCustomer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations./liliEmbracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation./liliStriving for Excellence: Execute at a high level by demonstrating our Best in KLAS Ensemble Difference Principles and consistently delivering outstanding results./li/ulpThe Opportunity:/ppBy embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare./ppThis role will serve in a consultancy capacity, advising our clientslarge health systemsin managing and optimizing healthcare reimbursement processes, focusing on Medicare, Medicaid, Disproportionate Share Hospital (DSH) programs, Medicaid Directed Payment programs, and 340B drug pricing and reimbursement. Additionally, this position provides key support in the preparation and analysis of Medicare cost reports, ensuring compliance with federal regulations and maximizing financial performance for healthcare providers./ppEssential Job Functions/pulliConsistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations./liliContinuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Execute at a high level by demonstrating our Best in KLAS Ensemble Difference Principles and consistently delivering outstanding results./liliAssist in gathering and analyzing data for the preparation of Medicare cost reports, ensuring accurate reflection of hospital costs for reimbursement optimization./liliProvide expert advice on reimbursement strategies for governmental lines of business, including Medicaid and Tricare/liliSupport 340B program compliance, eligibility, and ensure correct billing processes./liliAnalyze hospital eligibility for DSH payments, assess financial impact, and ensure complete and accurate capture of Medicaid days and other considerations./liliMonitor Medicaid Directed Payment programs, optimizing revenue opportunities for participating providers./liliServe as a trusted advisor to clients, offering strategic insights and recommendations on reimbursement-related matters./liliMaintain expert-level knowledge of state and federal healthcare reimbursement policies, ensuring strict compliance with CMS guidelines, Medicaid Managed Care rules, and HRSA 340B program regulations./liliAssist healthcare providers in navigating reimbursement complexities, including audits, appeals, and compliance inquiries./liliAnalyze financial data to identify trends and areas for improvement in the reimbursement process./liliBuild and maintain strong relationships with payers, government agencies, and other stakeholders./liliProvide guidance and training to client staff on reimbursement regulations and best practices./li/ulpJob Competencies/pulliLeadership Decision Making - Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results./liliCoaching Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers./liliDelegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement./liliExecutive Communication - Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others attention (appropriate, impactful, and clear)./liliProgram/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results./li/ulpOther Preferred Knowledge, Skills and Abilities/pulliStrong analytical, communication, and negotiation skills./liliAbility to work effectively in a fast-paced and ever-changing environment./liliCPA Licensed/li/ulpThis position pays between $134,000- $200,000 based on relevant years of experience./ppJoin an award-winning company/pulliFive-time winner of Best in KLAS 2020-2022, 2024-2025/liliBlack Book Researchs Top Revenue Cycle Management Outsourcing Solution 2021-2024/lili22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024/liliLeader in Everest Groups RCM Operations PEAK Matrix Assessment 2024/liliClarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023/liliEnergage Top Workplaces USA 2022-2024/liliFortune Media Best Workplaces in Healthcare 2024/liliMonster Top Workplace for Remote Work 2024/liliGreat Place to Work certified 2023-2024/liliInnovation/liliWork-Life Flexibility/liliLeadership/liliPurpose + Values/li/ulpBottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:/pulliAssociate Benefits We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs./liliOur Culture Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation./liliGrowth We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement./liliRecognition We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company./li/ulpEnsemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories./ppEnsemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com./ppThis posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the roles range./p/div