AdventHealth · 1 day ago
Director Medicaid Reimbursement
Altamonte Springs, FL
Full-time
Onsite
Director/Executive
$146K/yr - $272K/yr
10+ years expAdventHealth is a community-focused organization dedicated to uplifting individuals in body, mind, and spirit. The Director of Medicaid Reimbursement leads the Medicaid reimbursement process, develops and implements Medicaid strategy, and acts as a consultant to ensure compliance with regulations while managing financial impacts.
Health CareHospitalOnline Portals
Responsibilities
Leads AdventHealth's Medicaid reimbursement process across the entire company focusing on supplemental Medicaid payments, provider taxes, Medicaid strategy development and implementation
Develops and implements company Medicaid strategy, both with leadership and key AdventHealth stakeholders, and with multiple outside consultants and experts
Acts as a consultant to leaders ensuring the Medicaid rate setting, payment, and reconciliation processes are accurate, complete, and aligned with cost reporting regulations
Responsible for calculating and recording the financial impacts related to these processes and reconciling those calculations with the local markets
Must be an expert in navigating and resolving audit findings with a variety of CPA & governmental auditors
Must possess knowledge in reimbursement including, but not limited to: Rural Hospitals, Critical Access Hospitals, DSH, Uncompensated Care, DGME, IME, Psych, Rehab, 340B and more
Is an important internal consultant to CFOs and strategic executives, routinely helping find and implement solutions that balance strategic imperative needs while maintaining compliance with the myriad regulations
Serves as AdventHealth subject matter resource for Medicaid reimbursement matters. This role is focused on Medicaid payment areas
Leads a team of reimbursement professionals, providing guidance, training, and development opportunities
Maintain a strong working knowledge of current laws and regulations of the federal and state Medicaid programs
Ensures data, payments, settlements, audits, and financial entries are completed
Communicate technical positions/arguments effectively to Medicaid auditors to support positions
Qualification
Required
Bachelor's
10+ years of relevant experience in healthcare finance, preferably in reimbursement including medicare, medicaid reimbursement and regulatory cost reporting
Strong background in accounting and financial analysis
Preferred
Master's
5+ years of proven leadership skills in management role
Certified Public Accountant (CPA)
Benefits
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Company
AdventHealth
AdventHealth is a nonprofit healthcare system providing whole-person care through hospitals, clinics, and virtual services.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$0.25MKey Investors
Florida Blue FoundationKentucky Opioid Abatement Advisory Commission
2025-09-15Grant
2023-10-05Grant· $0.25M
Leadership Team
Clifton Scott
COO Flagler | St. Johns Market
Bela Nand
Chief Medical Officer
Recent News
2026-01-24
Bizjournals.com Feed (2025-11-12 15:43:17)
2026-01-19
2026-01-15
Company data provided by crunchbase