Location: Edison, NJ
Cap-Exempt H-1B Position — No lottery required
Overview: Our team members are the heart of what makes us better. At **Hackensack Meridian** ***Health*** we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The **Reimbursement Specialist III** position provides specialized, senior-level technical and analytical support for all aspects within the reimbursement department for the Hackensack Meridian Health (HMH) Network. Work assignments are complex and require in-depth knowledge of governmental reimbursement, possessing strong analytical and investigative skills. This position will guide and coordinate direction on reimbursement matters, including preparation of advanced sections of the Medicare and NJDOH cost reports, completion of advanced reimbursement studies and models (PPS Rate calculations, IME/GME, APC Rate calculations, etc.), and audit coordination. In addition, coordinates strategic modeling, appeal development and tracking. Will also coordinate the completion of cost reports for a dedicated region. Responsibilities: A day in the life of a **Reimbursement Specialist III** at **Hackensack Meridian** ***Health*** includes: - Keeps fully informed of current and anticipated changes in Medicare and Medicaid hospital and professional reimbursement determining the impact on the Network`s entities. - Summarizes final regulations with applicable financial impacts and distributes them to key internal stakeholders across the Network. - Prepares written comments on proposed regulatory changes and submits them to CMS and Medicaid ensuring that the Network`s voice is heard by regulators. - Organizes and coordinates potential revenue enhancement op