Consultant | Healthcare Reimbursement & Regulatory Compliance | Provider Based Services

Location: United States

Notice

This position is no longer open.

Company Profile:

At FORVIS, your career is designed with a purpose. We want our team members to thrive professionally and feel the impact their work yields when serving clients, industries, and local communities. This starts by empowering team members to design a career journey that leverages their skills and fuels their passions.

Creating a best-in-class employee experience is at the heart of our vision for the future. With several industry focus areas, multiple service lines, and locations in five geographical regions across the country to choose from, the opportunities for your career are without limit.

About FORVIS

FORVIS is a Top-10 professional services firm providing assurance, tax, and advisory services, driven by our commitment to using our forward vision to provide rewarding career opportunities and deliver unmatched client experiences. Learn more at FORVIS.com

Design your career with purpose at FORVIS. For more information about our firm locations, visit FORVIS.com. FORVIS, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, or other protected classifications.

It is FORVIS's standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.

• FORVIS expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
• FORVIS further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with FORVIS.
• Any resume or CV submitted to any employee of FORVIS without having a FORVIS vendor agreement in place will be considered the property of FORVIS.

Requisition Number: 2229887

Position Title:

External Description: Description & Requirements

As a Consultant within FORVIS' Healthcare Reimbursement & Regulatory Compliance, you will be working with the firm's healthcare executive leadership team in the continued growth of the firm's Provider-Based Regulatory capabilities. In addition, you will be working with a highly collaborative team that is solely dedicated to the healthcare industry. This position is fully remote with the ability to travel nationally.

How you will contribute:

  • Assist with Financial/Reimbursement assessments to determine reimbursement opportunities for on-campus and off-campus provider-based departments as well as freestanding and provider-based Rural Health clinics.
    • Responsible for the financial analysis proactive calculations and modeling of new regulatory changes and impacts
    • Assist with PowerPoint presentation reports
  • Assist with developing provider-based strategy, gap assessments, and transition advisory processes.
    • Expertise in CMS Provider-Based Clinic regulations and Federal and State regulations
    • Provide guidance to clients regarding provider-based departments.
      • Operational Assistance
      • Split-billing (technical/professional)
      • Chargemaster requirements
      • Compliance with provider-based rule requirements
      • CMS Checklists
        • Assimilate provider-based checklists (attestations)
  • Assist with transitions to Rural Health Clinic (RHC) or Provider Based RHC
    • Policy and Procedure Development
    • Survey readiness assistance
    • Prepare Medicare RHC cost reporting schedules.
      • Calculating RHC visits
      • Calculating FTEs for productivity
  • Advise, communicate, and present to all levels including C-suite, management, and clinic staff.
  • Become proficient in provider-based (42 CFR 413.65) and RHC regulations and stay abreast of ongoing legislative changes.
  • Provide in-depth provider-based processes, regulatory knowledge and leadership to clients.
  • Provide an unmatched client experience and identify additional value-added services
  • Active participant in specific healthcare industry groups (Becker's, NRHA, HFMA, etc.)

We are looking for people with Forward Vision and:
  • Strong analytical and communication skills
  • Ability to deliver work products consistently and with high-quality.
  • Demonstrated ability to think independently and train other team members as needed.
  • Ability to travel up to 50%, depending on client commitments.
  • Highly motivated and self-driven to exceed client needs and timelines.

Minimum Qualifications:
  • Bachelor's degree in business, accounting, health services administration, or a related field
  • Significant experience in advanced Excel, IT platforms, and healthcare
  • Strong technical skills, experience with spreadsheets, databases, and an automated audit work paper system
  • Experience with project management

Preferred Qualifications:

  • Experience in the following areas:
    • Healthcare provider-based billing
    • Provider-based attestation compliance and submission to Medicare
    • Medicare/Medicaid Hospital cost reporting
    • Practice operational knowledge in provider-based physician practices, or RHCs.

#LI-AF1

Colorado's Equal Pay for Equal Work Act (SB 19-085)

Pursuant to Colorado's Equal Pay for Equal Work Act, the salary range displayed is for the Colorado market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. FORVIS reserves the right to make changes to the salary range based on business needs.

Colorado Salary Range:

CO Minimum Salary (USD)

$ 55,000

CO Maximum Salary (USD)

$ 82,500

New York City Pay Transparency

Pursuant to the pay transparency laws of New York State and other local ordinances within the state including (but not limited to) New York City, the salary range displayed is for the New York markets. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. FORVIS reserves the right to make changes to the salary range based on business needs.

New York Salary Range:

NY Minimum Salary (USD)

$ 68,500

NY Maximum Salary (USD)

$ 95,000

California Pay Transparency

Pursuant to the pay transparency laws of California, the salary range displayed is for the California market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. FORVIS reserves the right to make changes to the salary range based on business needs.

California Salary Range:

CA Minimum Salary (USD)

$ 68,500

CA Maximum Salary (USD)

$ 114,000

Close Date: 05/14/2024

City:

State:

Community / Marketing Title: Consultant | Healthcare Reimbursement & Regulatory Compliance | Provider Based Services

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CountryEEOText_Description:

At FORVIS, your career is designed with a purpose. We want our team members to thrive professionally and feel the impact their work yields when serving clients, industries, and local communities. This starts by empowering team members to design a career journey that leverages their skills and fuels their passions.

Creating a best-in-class employee experience is at the heart of our vision for the future. With a global presence and diversified service offerings, we provide our FORVIS team members with an abundance of career paths to choose from. We pride ourselves on building an inclusive culture where the backgrounds and talents of all our people are valued. We view our people as our most important asset and invest in them by providing competitive total rewards, professional development, and rewarding career opportunities.

About FORVIS

FORVIS is a professional services firm providing assurance, tax, and advisory services. Created by the merger of equals of BKD, LLP and Dixon Hughes Goodman, LLP (DHG), FORVIS is driven by the commitment to use our forward vision to deliver Unmatched Client Experiences™. Ranked among the top 10 public accounting firms in the country, FORVIS has 5,500 dedicated professionals who serve clients in all 50 states as well as across the globe. FORVIS is built upon the strong legacies of BKD and DHG, which are reflected in a name that comprises partner initials and represents our unique focus on preparing our clients for what is next. Visit forvis.com for additional information.

FORVIS, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, gender identity, or other protected classifications.

It is FORVIS's standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.

  • FORVIS expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
  • FORVIS further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with FORVIS.
  • Any resume or CV submitted to any employee of FORVIS without having a FORVIS vendor agreement in place will be considered the property of FORVIS.

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