59 Best medicare compliance Jobs in Smithtown, New York (June 2026)

CFO

2 days ago

Central Islip

Job DescriptionCo-CFOJob Description • General Purpose of the Job Provides executive financial leadership to the organization including planning, organizing, coordinating and directing all aspects of the Finance department. Leads FQHC financial strategy including PPS optimization, wrap reconciliation, and reimbursement maximization. Oversees HRSA Section 330 grant financial management and compliance. Responsible for all aspects of Financial Management, which includes, but is not limited to: Reporting, Budgeting, Cash Management, Banking, Taxes, Regulatory Compliance, Revenue Cycle, and Internal Control. • Essential Duties & Responsibilities, • Participates on the Executive Team to develop and implement strategic objectives in support of the organization’s mission, strategic plan and objectives., • Leads value-based payment strategy and managed care financial modeling., • Oversees 340B program financial performance., • Owns enterprise revenue cycle performance including KPIs (Days in AR, Net Collection Rate, PPS realization)., • Develops long-term financial plans including service line profitability and expansion., • Provides financial analytics and dashboards for decision-making., • Leads Board Finance Committee engagement., • Supervises Finance staff including but not limited to: Controller, Accounting Manager, Senior Financial Analyst, Jr. Accountant, Credentialing Manager, & Purchasing Manager., • Selects, trains, orients, and supervises departmental personnel., • Recommends merit increases, promotions and disciplinary actions., • Develops, implements, evaluates and revises, as necessary, company-wide and departmental financial policies and procedures., • Supervises the preparation of budgets, to include the annual Operating, Capital, and Cash budgets, as well as non-routine budgets in support of grant applications., • Supervises the preparation of annual and interim financial statements in accordance with Generally Accepted Accounting Principles (GAAP)., • Supervises or performs financial analyses and keeps the Board of Directors, the Chief Executive Officer and other appropriate parties apprised of the Corporation’s financial position., • Supervises the preparation and assures timely submission of the Medicaid and Medicare cost reports, Consolidated Fiscal Report (Article 16), and the MCVR Annual Report., • Supervises the purchasing and information technology functions., • Supervises and assures timely completion of required external audits., • Ensures that adequate general liability and property insurance are maintained to protect the organization’s assets., • Participates in professional development activities and maintains professional affiliations., • Serves as Administrator of the Group 403B Pension Plan., • Responsible for implementing state-of-the-art systems to further financial functions across department., • Collaborate with Human Resources for benefits, pension, and payroll., • Competencies, • Self-awareness, • Optimism, • Provocativeness, • Flexibility, • Strategic thinking, • Problem solving, • Collaboration/ Partnership, • Accountability, • Commitment, • Communication, • Integrity, • Self-Awareness, • Self Esteem, • Decision Making, • Organizational Development, • Vision Setting, • Supervisory Responsibilities Responsible for the overall direction, coordination, and evaluation of Finance and Credentialing team. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. • Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Advanced knowledge of FQHC reimbursement including PPS, APGs, and NY Article 28, 31, 16 frameworks (DOH, OMH, OPWDD). Experience with financial systems modernization and BI tools., • Knowledge of the principles and practices of health care administration, fiscal management and government regulations and reimbursements., • Knowledge of revenue & reimbursement methodologies., • Knowledge of the principles and practices of employee development sufficient to manage the department., • Knowledge of computer systems, programs and applications., • Skill in exercising a high degree of initiative, judgment and discretion., • Skill in analyzing situations accurately and taking action., • Skill in establishing and maintaining effective working relationships., • Skill in organizing work, delegating and achieving goals and objectives., • Skill in exercising judgment and discretion in developing, interpreting and implementing departmental policies and procedures., • Ability to plan, organize and integrate priorities and deadlines., • Ability to identify, analyze and resolve financial problems., • Ability to evaluate and make recommendations for continuous quality improvement., • Ability to research, analyze, interpret complex data and present comprehensive reports., • Ability to communicate clearly and effectively orally and in writing., • Education and/or Experience Masters degree in Finance, Accounting, Health Care Administration, Business Administration, or comparable field is required. CPA, CPC, COC, or similar certification is preferred. Minimum of ten years’ experience including seven years in a healthcare. FQHC experience strongly preferred. • Necessary Skills & Abilities Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Mathematical Skills Ability to work with complex mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability Ability to solve practical complex problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have advanced knowledge of Microsoft Office software (Word, Outlook, Excel), and financial software packages, i.e. Great Plains, eClinicalWorks, PayChex, UltiPro, Dynamics. Certificates, Licenses, Registrations Certified Public Accountant (CPA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or similar certifications. Other Skills and Abilities Possess excellent verbal and written communication skills necessary for effective communication • Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is frequently required to stand; walk and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. • Travel The employee must be able to travel between sites. • Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

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