Reimbursement Financial Administrator

Position Highlights:

The Reimbursement Financial Administrator is responsible for providing analysis and business consulting services to support the Cancer Center's Medicare and Medicaid reimbursement matters. Business consulting services are provided for ongoing operations as well as new products and services, often in collaboration with shared resources. Collaborates with operational and executive leaders and central services to identify opportunities to redesign processes to reduce costs and/or maximize revenue, while complying with regulatory guidelines. Acts as a financial advisor to assigned areas. Interprets information from reports and other sources (which person in the role may have developed) and advises his/her customers of the meaning and impact of the information to the department and related strategies.

The Ideal Candidate:

• Exceptional organizational skills with demonstrated competency of Microsoft Excel.
• Familiarity with accounting procedures.
• Strong quantitative, analytic and problem solving skills.
• Excellent communication and customer service skills and the ability to interact with management.
• Ability to react quickly to change.
• Create complex financial models with multiple variables and assumptions.
• Think independently and demonstrate appropriate professional maturity to substantiate and discuss opinions and interpretations.
• Demonstrate effective functional knowledge of departments he/she supports.
• Ability to make recommendations based on information available.
• Effectively communicate and maintain credibility with all levels within the organization.
• Effective presentation skills.

Responsibilities:

Executive Reporting & Analytics

• Develops and maintains Institutional performance dashboards that report actual performance against predetermined financial, process and resource management goals.
• Fulfills complex report requests from leaders in the organization which requires problem solving and consulting skills.
• Superior analytical skills required to build and summarize a variety of simple and complex financial reports.
• Acts as a system analyst and develops new analyses, reports and dashboards to fulfill changing reporting needs.
• Performs monthly quality assurance reviews on data to ensure accuracy, identifies issues, and works with the necessary departments to resolve the data issues.

Departmental Support

• Prepares various financial modeling to develop a justification and associated proforma for reimbursement.
• Develops new analyses and reports as requested by the Operational Leadership.
• Trains and educates the various end users on the reporting tools and works with IT to continue further development of dashboards or enhancements to existing reports.
• Calculates and reports productivity for customers.
• Interprets reports regarding financial performance, productivity and standards, and provides recommendations for areas of improvement.
• Produces monthly and annual complex ad-hoc requests and reports as requested by departments.

Forecasting & Budgeting

• Provides data, variance analysis, and consulting services for their assigned areas for the annual budget, quarterly forecast and monthly financials.
• Supports development of financial forecasts as it relates to assigned departments.
• Collaborates with operational leaders when evaluating opportunities to reduce costs or maximize revenues.

Strategic Support

• Prepares various financial modeling to develop a justification and proforma for reimbursement.
• Assists with new program and new business development by providing financial assessment of set up, costs, and revenues.
• Provides assistance with the development of strategic cost and margin strategies then translates these into the assumptions used in the annual budget and quarterly forecast.
• Provides support for Strategic Initiatives, including modeling estimated financial impact and reporting on results.

Medicare and Medicaid Reporting: Moffitt is a cost based PPS exempt Cancer Center with significant cost report settlement activities.

• Serves as an expert resource for the Cancer Center in the areas of Medicare and Medicaid regulatory/settlement matters.
• Responsible for preparation and filing of the annual and interim third-party cost report completion.
• Models monthly contractual allowance and settlement adjustment and prepares journal entries.
• Models, monitors and reports on the impacts of the State's Medicaid Reimbursement programs.
• Provides support and contributes to the design and utilization of financial and capital reporting modules.
• Respond to inquiries made by third party auditors.
• Provide assistance in interim and year-end financial audits, as needed.

Credentials and Qualifications:

• Bachelor's degree in Business, Accounting, Finance or a related field required.
• Seven (7) years' experience in financial analysis, healthcare finance, research finance or business administration.
• CPA required (will be tracked by the business).

***In lieu of CPA, a Master's degree in related field or an additional three (3) years of experience in research finance or health care financial analytics support roles, including healthcare financial analysis, decision support, planning and health care economics for a total of ten (10) may be considered.

Additional Skills/Specialized Training:

• Demonstrate knowledge of Medicare and Medicaid regulations, billing requirements, accounts receivable and cost report settlement principals.
• Ability to create and effectively manage financial analysis and understand complex accounting transactions and governmental regulations.
• Demonstrated knowledge of interpreting cost report results and reimbursement impact on billing and settlements.
• Knowledge of Medicare cost reporting software applications.