salary: $57.59 - $57.6 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
Preparing, analyzing, and validating cost reports, supplemental filings, and regulatory disclosures in accordance with CMS, Medicare, Medicaid/Medi-Cal, and state agency requirements.
Performing detailed review of Medicare and Medicaid/Medi-Cal audit adjustments; managing the appeals process including preparation of supporting documentation and coordination with CMS/HCFA, HCAI, and the Department of Health Services.
Serving as a subject matter expert on HCAI annual reporting, Medicare/Medicaid reimbursement methodologies, program regulations, and cost report implications.
Providing financial impact analyses on regulatory changes, newly enacted or proposed legislation, and reimbursement updates; producing multi-year projections for system and affiliate leaders.
Supporting Managed Care negotiations by supplying reimbursement modeling, trending analyses, and regulatory insights that influence payer strategy.
Collaborating with affiliate finance teams during contractual reviews and audits, and with external auditors or third-party consultants on reimbursement-related evaluations.
Contributing to annual budget development and forecast cycles by supplying government-payer revenue projections grounded in cost report and HCAI data.
Ensuring accuracy, timeliness, and compliance across all submissions, internal workpapers, and supporting documentation.
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
