Healthcare Reimbursement Senior Consultant

Location: Columbus, Ohio, USA; other locations include Bridgeport, Aurora, Charleston, Huntington, and Buckhannon, West Virginia/Ohio, USA.

Salary: $78,500–$126,400 per year.

Company

hirify.global is a professional services firm providing advisory, tax, assurance, and healthcare consulting services through its U.S. and global network.

What you will do

• Prepare and review Medicare and Medicaid hospital and healthcare-provider cost reports using financial, statistical, reimbursement, and operational data.
• Apply CMS requirements, federal and state reimbursement regulations, and state-specific methodologies to client engagements.
• Analyze reimbursement results, reconcile cost-report data with financial statements and supporting records, and identify opportunities, risks, inconsistencies, and compliance considerations.
• Manage significant portions of multiple client engagements, including information gathering, analysis, documentation, deliverables, deadlines, and regulatory requests from MACs and state Medicaid agencies.
• Prepare specialized analyses involving wage index, occupational mix, IME/GME, provider-based services, and special hospital designations.
• Communicate findings to client finance and reimbursement personnel, collaborate with engagement leaders, guide junior team members, and improve reporting tools and methodologies.

Requirements

• Bachelor’s degree in accounting, finance, healthcare administration, business, or a related field.
• At least 3 years of relevant healthcare reimbursement, Medicare/Medicaid cost reporting, healthcare finance, or related consulting experience.
• Hands-on experience preparing or reviewing Medicare hospital cost reports and Medicaid or state medical assistance cost reports.
• Working knowledge of federal and state healthcare reimbursement regulations and methodologies.
• Strong understanding of hospital financial statements, general ledger data, reimbursement statistics, and regulatory cost reporting relationships.
• Ability to analyze reimbursement and cost-report data, develop recommendations, independently manage workstreams, and deliver quality work in a deadline-driven, multi-client environment.
• Strong Microsoft Excel and Microsoft Office skills, analytical and problem-solving abilities, organization, and project-management skills.
• Strong written and verbal communication skills, effective client relationship-building, and the ability to explain technical reimbursement concepts clearly.
• Willingness to coach junior team members, learn new regulations and platforms, and contribute to continuous professional development and knowledge sharing.

Nice to have

• Experience with hospital Medicare cost reporting, including CMS Form 2552-10.
• Experience with wage index, occupational mix, IME/GME, provider-based departments, or special hospital classification projects.
• Experience interacting with MACs, state Medicaid agencies, or other healthcare reimbursement authorities.
• Experience in healthcare consulting, public accounting, hospital reimbursement, or health system finance.
• Advanced Excel and healthcare data-analysis capabilities, or experience with healthcare reimbursement software.

Culture & Benefits

• Full-time position with opportunities for career growth and professional development.
• Flexibility in how and where work is performed; discuss work-location requirements with the hirify.global talent acquisition professional.
• Compensation and benefits package available to eligible employees.
• Work requires maintaining confidentiality, professional quality, client service, engagement, and productivity standards.