Description 185,000 - 200,000 Benefits include: + comprehensive benefits and resources to support employees + Paid Time Off (PTO) + Medical and Prescription Drug Insurance + Life & Accidental Death Insurance + Dental and Vision Insurance + Discounts Through our Partners + Retirement Plans + Short & Long Term Disability + Health Care/Dependent Care Flexible Spending Accounts + Wellness Programs + Tuition Reimbursement My client, a large healthcare company located in Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare/Medicaid Reimbursement. + The Director will have advanced level of knowledge of government payment regulation, third party revenue accounting practices, and have excellent communication/staff management skills. Furthermore, promotes a positive atmosphere and maintains a high degree of customer service orientation to include proactive interaction with staff and managers. + The Director will also work closely with finance department personnel at system facilities and will oversee the accurate determination of third party receivables/payables, ensuring revenue and receivables reporting complies with GAAP. + Assists in Reimbursement Department projects not listed above. + Planning, preparing and reviewing of the annual Medicare/Medicaid cost reports filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification projects. In addition, the Director will closely assess, track, and monitor s participation in state level supplemental payments programs and will be asked to assist with regulatory research. + Maintains working knowledge of various Medicaid state regulations and Medicare federal regulations. + Responsible for the completion and review of the annual New Jersey Acute Care Hospital (SHARE) cost reports + Monitor and validate State and federal issued reimbursement rates + Investigates and responds to audit reviews/questions/adjustments + Monitor Medicare and Medicaid appeal and cost report reopening issues. + Completed Medicare 855As (and Medicaid) when applicable such as Change of Ownership (CHOW) and Change of Information applications + Completed the annual Medicaid DSH Surveys. + Manage and optimize the data collection and reporting process for the Medicare, Medicaid and NJ SHARE cost reports (Physician Time Studies, Contracted Labor, A-6 Reclasses, and B-1 Statistics) + Assists in orientation, training and development of new Financial Analysts as needed. + Supervises Financial and Senior Financial Analyst(s) in completion of certain projects when assigned by senior management. + Prepares Medicare and Medicaid cost reports and supporting forms/schedules as required Requirements Required: • Minimum of 10 years of experience interpreting Medicare and Medicaid payment regulations, ensuring optimization of revenue and completing Medicare and Medicaid cost reports. • BS/BA in Accounting, Finance, or Health Administration required. • Expert level of knowledge of Medicare and Medicaid regulation and payment rules is essential. • The ability to interpret Medicare and Medicaid payment regulations and develop and implement processes ensuring hospitals are reimbursed for all programs and services is required. • Educated on and follows Generally Accepted Accounting Principles (GAAP); • Proactively prioritizes needs and effectively manages resources; • Delegates and trains appropriately to ensure required deadlines are met; Communication - communicates clearly and concisely; • Guides individuals and groups toward desired outcomes with minimal supervision, sets high performance standards and delivers high quality services; • Demonstrates appropriate decision-making skills and escalates issues to supervisor as appropriate • Establish and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations; • Coordinates with leadership and deploys and directs resources appropriately (e.g. Cost Report preparation, Wage Index, etc.) as directed; • Demonstrates proficiency in Microsoft Office applications (i.e. Excel, Word) and others as required • HFMA Certification Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. 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